Family problem solving interactions and 6-month symptomatic and functional outcomes in youth at ultra-high risk for psychosis and with recent onset psychotic symptoms: A longitudinal study

SCHIZOPHRENIA RESEARCH

卷:107

Article

O'Brien, Mary P.¹  Zinberg, Jamie L.³  Ho, Lorena⁴  Rudd, Alexandra⁴  Kopelowicz, Alex¹  Daley, Melita¹  Bearden, Carrie E.^1,2,3  Cannon, Tyrone D.^1,2,3 

[1] Univ Calif Los Angeles, Dept Psychiat & Behav Sci, Semel Inst Neurosci & Human Behav, Los Angeles, CA 90024 USA

[2] Univ Calif Los Angeles, Brain Res Inst, Los Angeles, CA 90024 USA

[3] Univ Calif Los Angeles, Dept Psychol, Los Angeles, CA 90024 USA

[4] Pepperdine Univ, Malibu, CA 90265 USA

关键词: Parent-adolescent interactions;    Problem solving skills;    Communication skills;    Ultra-high-risk youth;    Expressed emotion;   

DOI  :  10.1016/j.schres.2008.10.008

来源: Elsevier

【 摘 要 】

This study prospectively examined the relationship between social problem solving behavior exhibited by youths at ultra-high risk for psychosis (UHR) and with recent onset psychotic symptoms and their parents during problem solving discussions, and youths' symptoms and social functioning six months later. Twenty-seven adolescents were administered the Structured Interview for Prodromal Syndromes and the Strauss-Carpenter Social Contact Scale at baseline and follow-up assessment. Primary caregivers participated with youth in a ten minute discussion that was videotaped, transcribed, and coded for how skillful participants were in defining problems, generating solutions, and reaching resolution, as well as how constructive and/or conflictual they were during the interaction. Controlling for social functioning at baseline, adolescents' skillful problem solving and constructive communication, and parents'constructive communication, were associated with youths' enhanced social functioning six months later. Controlling for symptom severity at baseline, we found that there was a positive association between adolescents' conflictual communications at baseline and an increase in positive symptoms six months later. Taken together, findings from this study provide support for further research into the possibility that specific family interventions, such as problem solving and communication skills training, may improve the functional prognosis of at-risk youth, especially in terms of their social functioning. (C) 2008 Elsevier B.V. All rights reserved.

【 授权许可】

Free