Impact of “psychosis risk” identification: Examining predictors of how youth view themselves

Identifying young people as at clinical high-risk (CHR) for psychosis affords opportunities for intervention to possibly prevent psychosis onset. Yet such CHR identification could plausibly increase stigma. We do not know whether these youth already perceive themselves to be at psychosis-risk (PR) o...

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Bibliographic Details
Published in:Schizophrenia research 2019-06, Vol.208, p.300-307
Main Authors: Yang, Lawrence H., Woodberry, Kristen A., Link, Bruce G., Corcoran, Cheryl M., Bryant, Caitlin, Shapiro, Daniel I., Downing, Donna, Girgis, Ragy R., Brucato, Gary, Huang, Debbie, Crump, Francesca M., Verdi, Mary, McFarlane, William R., Seidman, Larry J.
Format: Article
Language:English
Subjects:
Clinical high risk state for psychosis
Early intervention
Identity
Psychosis risk
Stigma
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Summary:Identifying young people as at clinical high-risk (CHR) for psychosis affords opportunities for intervention to possibly prevent psychosis onset. Yet such CHR identification could plausibly increase stigma. We do not know whether these youth already perceive themselves to be at psychosis-risk (PR) or how their being told they are at PR might impact how they think about themselves. 148 CHR youth were asked about labels they had been given by others (labeling by others) or with which they personally identified (self-labeling). They were then asked which had the greatest impact on how they thought about themselves. We evaluated whether being told vs. thinking they were at PR had stronger effects. The majority identified nonpsychotic disorders rather than PR labels as having the greatest impact on sense of self (67.6% vs. 27.7%). However, participants who identified themselves as at PR had an 8.8 (95% CI = 2.0-39.1) increase in the odds of the PR label having the greatest impact (p 
ISSN:0920-9964
1573-2509
DOI:10.1016/j.schres.2019.01.037