The role of vulnerability factors in individuals with an at-risk mental state of psychosis

Papmeyer, Martina; Würsch, Irène; Studerus, Erich; Stieglitz, Rolf-Dieter; Riecher-Rössler, Anita (2016). The role of vulnerability factors in individuals with an at-risk mental state of psychosis. Neuropsychiatrie, 30(1), pp. 18-26. Springer 10.1007/s40211-016-0179-9

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Background Several indicators of heightened vulnerability to psychosis and relevant stressors have been identified. However, it has rarely been studied prospectively to what extent these vulnerability factors are in fact more frequently present in individuals with an at-risk mental state for psychosis. Moreover, it remains unknown whether any of these contribute to the prediction of psychosis onset in at-risk mental state individuals. Methods There were 28 healthy controls, 86 first-episode psychosis patients and 127 at-risk mental state individuals recruited within the Basel “Früherkennung von Psychosen” project. Relative frequencies of selected vulnerability factors for psychosis were compared between healthy controls, psychosis patients, those at-risk mental state individuals with subsequent psychosis onset (n = 31) and those without subsequent psychosis onset (n = 55). Survival analyses were applied to determine associations between time to transition to psychosis and vulnerability factors in all 127 at-risk mental state individuals. Results The vulnerability factors/indicators such as “difficulties during school education or vocational training”, “difficulties during employment”, “being single”, “difficulties with intimate relationships” and “being burdened with specific stressful situations” were more commonly found in the at-risk mental state and first-episode psychosis group than in healthy controls. Conclusions At-risk mental state and first-episode psychosis individuals more frequently present with vulnerability factors. Individual vulnerability factors appear, however, not to be predictive for an onset of psychosis.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Translational Research Center

UniBE Contributor:

Papmeyer, Martina

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0948-6259

Publisher:

Springer

Language:

English

Submitter:

Martina Papmeyer

Date Deposited:

07 Jun 2016 11:05

Last Modified:

20 Jul 2016 07:45

Publisher DOI:

10.1007/s40211-016-0179-9

PubMed ID:

26969465

BORIS DOI:

10.7892/boris.80833

URI:

https://boris.unibe.ch/id/eprint/80833

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