Family Perception and 6-Month Symptomatic and Functioning Outcomes in Young Adolescents at Clinical High Risk for Psychosis in a General Population in China
Given the difficulty of treating schizophrenia and other forms of psychosis, researchers have shifted focus to early detection and intervention of individuals at clinical high risk (CHR) for psychosis. Previous studies have shown that elements in family functioning could predict symptom outcome in C...
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| Veröffentlicht in: | PloS one 2015-09, Vol.10 (9), p.e0138361-e0138361 |
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| creator | Wang, Lu Shi, JingYu Chen, FaZhan Yao, YuHong Zhan, ChenYu Yin, XiaoWen Fang, XiaoYan Wang, HaoJie Yuan, JiaBei Zhao, XuDong |
| description | Given the difficulty of treating schizophrenia and other forms of psychosis, researchers have shifted focus to early detection and intervention of individuals at clinical high risk (CHR) for psychosis. Previous studies have shown that elements in family functioning could predict symptom outcome in CHR individuals. However, associations between self reported family functioning and symptom or functioning outcome of CHR individuals was rarely reported. Our study aimed to investigate the characteristics and the role of family functioning in the development of CHR individuals among young adolescents.
A sample of 32 CHR individuals was recruited from 2800 university students. The characteristics of family perception were evaluated by both Family Assessment Device (FAD) and Family cohesion and adaptability evaluation Scale II (FACES II). 6 month follow up data was available with 25 of the recruited CHR individuals. Baseline socio-demographic characteristics and family functioning were compared between CHR and control group. We also measured the associations between different dimensions of perceived family functioning and both severity of prodromal symptoms and global functioning at baseline and 6-month follow up.
CHR individuals showed more maladaptive family functioning compared to control in nearly all of the dimensions of FAD and FACES II except for Affective Involvement. Better Problem Solving and Affective Responsiveness predicted less severe positive and negative symptoms respectively. Family cohesion and adaptability were not only correlated with the baseline severity of general symptoms, but also positively associated with the general and disorganized symptom outcome.
This study contributed preliminary evidence towards the associations between family perception and symptom outcome of CHR individuals. It also provided evidence for the importance of family interventions on CHR individuals. |
| doi_str_mv | 10.1371/journal.pone.0138361 |
| format | Article |
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A sample of 32 CHR individuals was recruited from 2800 university students. The characteristics of family perception were evaluated by both Family Assessment Device (FAD) and Family cohesion and adaptability evaluation Scale II (FACES II). 6 month follow up data was available with 25 of the recruited CHR individuals. Baseline socio-demographic characteristics and family functioning were compared between CHR and control group. We also measured the associations between different dimensions of perceived family functioning and both severity of prodromal symptoms and global functioning at baseline and 6-month follow up.
CHR individuals showed more maladaptive family functioning compared to control in nearly all of the dimensions of FAD and FACES II except for Affective Involvement. Better Problem Solving and Affective Responsiveness predicted less severe positive and negative symptoms respectively. Family cohesion and adaptability were not only correlated with the baseline severity of general symptoms, but also positively associated with the general and disorganized symptom outcome.
This study contributed preliminary evidence towards the associations between family perception and symptom outcome of CHR individuals. It also provided evidence for the importance of family interventions on CHR individuals.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0138361</identifier><identifier>PMID: 26394221</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adaptability ; Adolescent ; Adolescents ; Behavior modification ; Case-Control Studies ; Child & adolescent psychiatry ; China ; Cognition & reasoning ; Cohesion ; Colleges & universities ; Demographics ; Demography ; Emotional behavior ; Family ; Family - psychology ; Family relations ; Female ; Follow-Up Studies ; Humanities ; Humans ; Life assessment ; Male ; Medicine ; Mental disorders ; Perception ; Perceptions ; Population ; Problem solving ; Prognosis ; Psychosis ; Psychosomatic medicine ; Psychotic Disorders - diagnosis ; Psychotic Disorders - pathology ; Risk Factors ; Schizophrenia ; Severity of Illness Index ; Students ; Studies ; Surveys and Questionnaires ; Systematic review ; Teenagers ; Translating ; Validity ; Young Adult ; Youth</subject><ispartof>PloS one, 2015-09, Vol.10 (9), p.e0138361-e0138361</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Wang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Wang et al 2015 Wang et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-f3a56f9b35de50a1fa087a9960492ecd68dcd4d30ed71970ba2e638c317b82bc3</citedby><cites>FETCH-LOGICAL-c692t-f3a56f9b35de50a1fa087a9960492ecd68dcd4d30ed71970ba2e638c317b82bc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4578854/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4578854/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23864,27922,27923,53789,53791,79370,79371</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26394221$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Hashimoto, Kenji</contributor><creatorcontrib>Wang, Lu</creatorcontrib><creatorcontrib>Shi, JingYu</creatorcontrib><creatorcontrib>Chen, FaZhan</creatorcontrib><creatorcontrib>Yao, YuHong</creatorcontrib><creatorcontrib>Zhan, ChenYu</creatorcontrib><creatorcontrib>Yin, XiaoWen</creatorcontrib><creatorcontrib>Fang, XiaoYan</creatorcontrib><creatorcontrib>Wang, HaoJie</creatorcontrib><creatorcontrib>Yuan, JiaBei</creatorcontrib><creatorcontrib>Zhao, XuDong</creatorcontrib><title>Family Perception and 6-Month Symptomatic and Functioning Outcomes in Young Adolescents at Clinical High Risk for Psychosis in a General Population in China</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Given the difficulty of treating schizophrenia and other forms of psychosis, researchers have shifted focus to early detection and intervention of individuals at clinical high risk (CHR) for psychosis. Previous studies have shown that elements in family functioning could predict symptom outcome in CHR individuals. However, associations between self reported family functioning and symptom or functioning outcome of CHR individuals was rarely reported. Our study aimed to investigate the characteristics and the role of family functioning in the development of CHR individuals among young adolescents.
A sample of 32 CHR individuals was recruited from 2800 university students. The characteristics of family perception were evaluated by both Family Assessment Device (FAD) and Family cohesion and adaptability evaluation Scale II (FACES II). 6 month follow up data was available with 25 of the recruited CHR individuals. Baseline socio-demographic characteristics and family functioning were compared between CHR and control group. We also measured the associations between different dimensions of perceived family functioning and both severity of prodromal symptoms and global functioning at baseline and 6-month follow up.
CHR individuals showed more maladaptive family functioning compared to control in nearly all of the dimensions of FAD and FACES II except for Affective Involvement. Better Problem Solving and Affective Responsiveness predicted less severe positive and negative symptoms respectively. Family cohesion and adaptability were not only correlated with the baseline severity of general symptoms, but also positively associated with the general and disorganized symptom outcome.
This study contributed preliminary evidence towards the associations between family perception and symptom outcome of CHR individuals. It also provided evidence for the importance of family interventions on CHR individuals.</description><subject>Adaptability</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Behavior modification</subject><subject>Case-Control Studies</subject><subject>Child & adolescent psychiatry</subject><subject>China</subject><subject>Cognition & reasoning</subject><subject>Cohesion</subject><subject>Colleges & universities</subject><subject>Demographics</subject><subject>Demography</subject><subject>Emotional behavior</subject><subject>Family</subject><subject>Family - psychology</subject><subject>Family relations</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humanities</subject><subject>Humans</subject><subject>Life assessment</subject><subject>Male</subject><subject>Medicine</subject><subject>Mental disorders</subject><subject>Perception</subject><subject>Perceptions</subject><subject>Population</subject><subject>Problem solving</subject><subject>Prognosis</subject><subject>Psychosis</subject><subject>Psychosomatic medicine</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - pathology</subject><subject>Risk Factors</subject><subject>Schizophrenia</subject><subject>Severity of Illness Index</subject><subject>Students</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Systematic review</subject><subject>Teenagers</subject><subject>Translating</subject><subject>Validity</subject><subject>Young Adult</subject><subject>Youth</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12LEzEUhgdR3HX1H4gGBNGL1nxNZnIjlGJ3Cystuyp4FdIk00nNJHUyI_a_-GNNP3ZpZS9kLjKcPOdNzptzsuwlgkNECvRhFfrWSzdcB2-GEJGSMPQoO0ec4AHDkDw--j_LnsW4gjAnJWNPszPMCKcYo_Psz0Q21m3A3LTKrDsbPJBeAzb4HHxXg9tNs-5CIzurdvFJ79UWsn4JZn2nQmMisB58D32KjHRwJirjuwhkB8bOequkA1d2WYMbG3-AKrRgHjeqDtHuEiW4NN60CZqHde_k7gYpPq6tl8-zJ5V00bw4rBfZ18mnL-OrwfXscjoeXQ8U47gbVETmrOILkmuTQ4kqCctCcs4g5dgozUqtNNUEGl0gXsCFxIaRUhFULEq8UOQie73XXbsQxcHYKFCiMccUF4mY7gkd5EqsW9vIdiOCtGIXCO1SyDaZ5IwgvFALQnOWpCk2hqOKFAZSijTSkJVJ6-PhtH7RGL21K9V_Inq6420tluGXoHlRljlNAu8OAm342ZvYicYm152T3oR-d--CFjQvUULf_IM-XN2BWspUgPVVSOeqragY0QKlNso5T9TwASp92jRWpS6sbIqfJLw_SUhMZ353S9nHKKa3N__Pzr6dsm-P2NpI19UxuH7bO_EUpHtQtSHG1lT3JiMotkN054bYDpE4DFFKe3X8QPdJd1ND_gKO_BgY</recordid><startdate>20150922</startdate><enddate>20150922</enddate><creator>Wang, Lu</creator><creator>Shi, JingYu</creator><creator>Chen, FaZhan</creator><creator>Yao, YuHong</creator><creator>Zhan, ChenYu</creator><creator>Yin, XiaoWen</creator><creator>Fang, XiaoYan</creator><creator>Wang, HaoJie</creator><creator>Yuan, JiaBei</creator><creator>Zhao, XuDong</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20150922</creationdate><title>Family Perception and 6-Month Symptomatic and Functioning Outcomes in Young Adolescents at Clinical High Risk for Psychosis in a General Population in China</title><author>Wang, Lu ; Shi, JingYu ; Chen, FaZhan ; Yao, YuHong ; Zhan, ChenYu ; Yin, XiaoWen ; Fang, XiaoYan ; Wang, HaoJie ; Yuan, JiaBei ; Zhao, XuDong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-f3a56f9b35de50a1fa087a9960492ecd68dcd4d30ed71970ba2e638c317b82bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adaptability</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Behavior modification</topic><topic>Case-Control Studies</topic><topic>Child & adolescent psychiatry</topic><topic>China</topic><topic>Cognition & reasoning</topic><topic>Cohesion</topic><topic>Colleges & universities</topic><topic>Demographics</topic><topic>Demography</topic><topic>Emotional behavior</topic><topic>Family</topic><topic>Family - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Lu</au><au>Shi, JingYu</au><au>Chen, FaZhan</au><au>Yao, YuHong</au><au>Zhan, ChenYu</au><au>Yin, XiaoWen</au><au>Fang, XiaoYan</au><au>Wang, HaoJie</au><au>Yuan, JiaBei</au><au>Zhao, XuDong</au><au>Hashimoto, Kenji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Family Perception and 6-Month Symptomatic and Functioning Outcomes in Young Adolescents at Clinical High Risk for Psychosis in a General Population in China</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-09-22</date><risdate>2015</risdate><volume>10</volume><issue>9</issue><spage>e0138361</spage><epage>e0138361</epage><pages>e0138361-e0138361</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Given the difficulty of treating schizophrenia and other forms of psychosis, researchers have shifted focus to early detection and intervention of individuals at clinical high risk (CHR) for psychosis. Previous studies have shown that elements in family functioning could predict symptom outcome in CHR individuals. However, associations between self reported family functioning and symptom or functioning outcome of CHR individuals was rarely reported. Our study aimed to investigate the characteristics and the role of family functioning in the development of CHR individuals among young adolescents.
A sample of 32 CHR individuals was recruited from 2800 university students. The characteristics of family perception were evaluated by both Family Assessment Device (FAD) and Family cohesion and adaptability evaluation Scale II (FACES II). 6 month follow up data was available with 25 of the recruited CHR individuals. Baseline socio-demographic characteristics and family functioning were compared between CHR and control group. We also measured the associations between different dimensions of perceived family functioning and both severity of prodromal symptoms and global functioning at baseline and 6-month follow up.
CHR individuals showed more maladaptive family functioning compared to control in nearly all of the dimensions of FAD and FACES II except for Affective Involvement. Better Problem Solving and Affective Responsiveness predicted less severe positive and negative symptoms respectively. Family cohesion and adaptability were not only correlated with the baseline severity of general symptoms, but also positively associated with the general and disorganized symptom outcome.
This study contributed preliminary evidence towards the associations between family perception and symptom outcome of CHR individuals. It also provided evidence for the importance of family interventions on CHR individuals.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26394221</pmid><doi>10.1371/journal.pone.0138361</doi><tpages>e0138361</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2015-09, Vol.10 (9), p.e0138361-e0138361 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1719292427 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adaptability Adolescent Adolescents Behavior modification Case-Control Studies Child & adolescent psychiatry China Cognition & reasoning Cohesion Colleges & universities Demographics Demography Emotional behavior Family Family - psychology Family relations Female Follow-Up Studies Humanities Humans Life assessment Male Medicine Mental disorders Perception Perceptions Population Problem solving Prognosis Psychosis Psychosomatic medicine Psychotic Disorders - diagnosis Psychotic Disorders - pathology Risk Factors Schizophrenia Severity of Illness Index Students Studies Surveys and Questionnaires Systematic review Teenagers Translating Validity Young Adult Youth |
| title | Family Perception and 6-Month Symptomatic and Functioning Outcomes in Young Adolescents at Clinical High Risk for Psychosis in a General Population in China |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T04%3A28%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Family%20Perception%20and%206-Month%20Symptomatic%20and%20Functioning%20Outcomes%20in%20Young%20Adolescents%20at%20Clinical%20High%20Risk%20for%20Psychosis%20in%20a%20General%20Population%20in%20China&rft.jtitle=PloS%20one&rft.au=Wang,%20Lu&rft.date=2015-09-22&rft.volume=10&rft.issue=9&rft.spage=e0138361&rft.epage=e0138361&rft.pages=e0138361-e0138361&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0138361&rft_dat=%3Cgale_plos_%3EA471193599%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1719292427&rft_id=info:pmid/26394221&rft_galeid=A471193599&rft_doaj_id=oai_doaj_org_article_397cb345682b42ee91f37e0441d1d068&rfr_iscdi=true |