Lower functioning predicts identification of psychosis risk screening status in help-seeking adolescents

Aim There is some previous evidence suggesting that the risk state for psychosis is associated with decreased functioning ability, health‐related quality of life (QoL), anxiety and depression. The aim of this study is to identify which factors predict psychosis risk screening status. Methods The dat...

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Bibliographic Details
Published in:Early intervention in psychiatry 2015-10, Vol.9 (5), p.363-369
Main Authors: Granö, Niklas, Kallionpää, Santeri, Karjalainen, Marjaana, Edlund, Virve, Saari, Erkki, Itkonen, Arja, Anto, Jukka, Roine, Mikko
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Behavior - psychology
adolescents
Anxiety
Anxiety - complications
Anxiety - psychology
Depression - complications
Depression - psychology
Early Diagnosis
Female
functioning ability
Humans
Inventory
Logistic Models
Male
Patient Acceptance of Health Care - psychology
Predictive Value of Tests
Psychiatric Status Rating Scales
Psychosis
psychosis risk screening status
Psychotic Disorders - diagnosis
Psychotic Disorders - psychology
Quality of Life
Risk Factors
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Summary:Aim There is some previous evidence suggesting that the risk state for psychosis is associated with decreased functioning ability, health‐related quality of life (QoL), anxiety and depression. The aim of this study is to identify which factors predict psychosis risk screening status. Methods The data were collected in Helsinki University Central Hospital, Finland, by an early intervention team. One hundred eighty‐one help‐seeking adolescents (mean age 15.3 years) completed questionnaires of QoL (16D), alcohol consumption (Alcohol Use Disorders Identification Test), anxiety (Beck Anxiety Inventory), hopelessness (BBeck Hopelessness Scale) and depression (Beck Depression Inventory II). Functioning ability was assessed by the Global Assessment of Functioning, whereas the PROD‐screen was used to interview and assess risk symptoms for psychosis. Results In a logistic regression analysis, a lower functioning ability explained independently (P = 0.006) psychosis risk screening status after age, gender, alcohol consumption, QoL, anxiety, hopelessness and depression symptoms were adjusted. Conclusions The present results suggest that lower functioning ability is associated independently with psychosis risk screening status. Hence, therapeutic input for those at risk should focus upon improving functioning.
ISSN:1751-7885
1751-7893
DOI:10.1111/eip.12118