Käser, Janko Mario; Reichl, Corinna; Koenig, Julian; Lerch, Stefan; Kaess, Michael; Cavelti, Marialuisa (12 July 2023). Psychotic symptoms as a severity marker in a transdiagnostic clinical sample of adolescents: What is the significance of hallucinations? (Unpublished). In: IEPA's 14th International Conference on Early Intervention in Mental Health. Lausanne, Switzerland. 10.07.-12.07.2023.
Objectives: The aim of the present study was twofold: First, to examine the association between positive psychotic symptoms (PPS) and the severity of general psychopathology in a clinical sample of adolescents. Second, to explore whether delusions and hallucinations are differentially associated with psychopathology, particularly with self-harm.
Methods: 506 patients aged 11 to 17 years from a child and adolescent psychiatric service were included in the study. Based on the presence of psychotic symptoms, they were assigned to one of the following groups: no PPS (noPSS; n = 341), delusions only (del; n= 32), hallucinations only (hall; n = 80), and delusions & hallucinations (del&hall; n = 53). Generalized structural equation modeling was conducted to compare the groups with regard to a latent severity factor consisting of the number of psychiatric diagnoses, severity of depression, level of personality dysfunction, non-suicidal self-injury (NSSI), suicide attempts, perceived stress, and psychosocial impairments.
Findings: Participants with any PPS (del, hall, del&hall) scored higher on the severity factor than participants without PPS. Additionally, participants with both delusions and hallucinations showed higher severity scores than those with only delusions or hallucinations. Finally, participants with hallucinations only reported more frequent NSSI compared with those with delusions only. No such group difference was found for suicide attempts.
Implications: In adolescent patients, the presence of any PPS represents a general risk marker for more severe psychopathology and functional impairments, while the presence of hallucinations indicates a specific risk for NSSI. Early detection and treatment of PPS seems indicated in adolescent patients, irrespective of their diagnosis.
Item Type: |
Conference or Workshop Item (Speech) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy 04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy |
UniBE Contributor: |
Käser, Janko Mario, Reichl, Corinna, Koenig, Julian, Lerch, Stefan, Kaess, Michael, Cavelti, Marialuisa (A) |
Subjects: |
600 Technology > 610 Medicine & health |
Language: |
English |
Submitter: |
Chantal Michel |
Date Deposited: |
21 Aug 2023 11:28 |
Last Modified: |
21 Aug 2023 11:28 |
URI: |
https://boris.unibe.ch/id/eprint/185609 |
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