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Emotion regulation across the psychosis continuum / Hannah C. CHAPMAN in Development and Psychopathology, 32-1 (February 2020)
[article]
Titre : Emotion regulation across the psychosis continuum Type de document : Texte imprimé et/ou numérique Auteurs : Hannah C. CHAPMAN, Auteur ; Katherine F. VISSER, Auteur ; Vijay A. MITTAL, Auteur ; Brandon E. GIBB, Auteur ; Meredith E. COLES, Auteur ; Gregory P. STRAUSS, Auteur Article en page(s) : p.219-227 Langues : Anglais (eng) Mots-clés : emotion emotion regulation prodrome psychosis psychotic-like experiences Index. décimale : PER Périodiques Résumé : Emotion regulation dysfunction is characteristic of psychotic disorders, but little is known about how the use of specific types of emotion regulation strategies differs across phases of psychotic illness. This information is vital for understanding factors contributing to psychosis vulnerability states and developing targeted treatments. Three studies were conducted to examine emotion regulation across phases of psychosis, which included (a) adolescent community members with psychotic-like experiences (PLEs; n = 262) and adolescents without PLEs (n = 1,226); (b) adolescents who met clinical high-risk criteria for a prodromal syndrome (n = 29) and healthy controls (n = 29); and (c) outpatients diagnosed with schizophrenia or schizoaffective disorder (SZ; n = 61) and healthy controls (n = 67). In each study, participants completed the Emotion Regulation Questionnaire and measures of psychiatric symptoms and functional outcome. The three psychosis groups did not differ from each other in reported use of suppression; however, there was evidence for a vulnerability-related, dose-dependent decrease in reappraisal. Across each sample, a lower use of reappraisal was associated with poorer clinical outcomes. Findings indicate that emotion regulation abnormalities occur across a continuum of psychosis vulnerability and represent important targets for intervention. En ligne : http://dx.doi.org/10.1017/s0954579418001682 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=416
in Development and Psychopathology > 32-1 (February 2020) . - p.219-227[article] Emotion regulation across the psychosis continuum [Texte imprimé et/ou numérique] / Hannah C. CHAPMAN, Auteur ; Katherine F. VISSER, Auteur ; Vijay A. MITTAL, Auteur ; Brandon E. GIBB, Auteur ; Meredith E. COLES, Auteur ; Gregory P. STRAUSS, Auteur . - p.219-227.
Langues : Anglais (eng)
in Development and Psychopathology > 32-1 (February 2020) . - p.219-227
Mots-clés : emotion emotion regulation prodrome psychosis psychotic-like experiences Index. décimale : PER Périodiques Résumé : Emotion regulation dysfunction is characteristic of psychotic disorders, but little is known about how the use of specific types of emotion regulation strategies differs across phases of psychotic illness. This information is vital for understanding factors contributing to psychosis vulnerability states and developing targeted treatments. Three studies were conducted to examine emotion regulation across phases of psychosis, which included (a) adolescent community members with psychotic-like experiences (PLEs; n = 262) and adolescents without PLEs (n = 1,226); (b) adolescents who met clinical high-risk criteria for a prodromal syndrome (n = 29) and healthy controls (n = 29); and (c) outpatients diagnosed with schizophrenia or schizoaffective disorder (SZ; n = 61) and healthy controls (n = 67). In each study, participants completed the Emotion Regulation Questionnaire and measures of psychiatric symptoms and functional outcome. The three psychosis groups did not differ from each other in reported use of suppression; however, there was evidence for a vulnerability-related, dose-dependent decrease in reappraisal. Across each sample, a lower use of reappraisal was associated with poorer clinical outcomes. Findings indicate that emotion regulation abnormalities occur across a continuum of psychosis vulnerability and represent important targets for intervention. En ligne : http://dx.doi.org/10.1017/s0954579418001682 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=416 Practitioner Review: Schizophrenia spectrum disorders and the at-risk mental state for psychosis in children and adolescents – evidence-based management approaches / Paul A. TIFFIN in Journal of Child Psychology and Psychiatry, 54-11 (November 2013)
[article]
Titre : Practitioner Review: Schizophrenia spectrum disorders and the at-risk mental state for psychosis in children and adolescents – evidence-based management approaches Type de document : Texte imprimé et/ou numérique Auteurs : Paul A. TIFFIN, Auteur ; Patrick WELSH, Auteur Article en page(s) : p.1155-1175 Langues : Anglais (eng) Mots-clés : Schizophrenia psychosis risk syndrome prodrome early recognition Index. décimale : PER Périodiques Résumé : Background Schizophrenia spectrum disorders are severe mental illnesses which often result in significant distress and disability. Attempts have been made to prospectively identify and treat young people viewed as at high risk of impending nonaffective psychosis. Once a schizophrenia spectrum disorder has developed, prompt identification and management is required. Methods This article reviews the literature relating to the assessment and management of ‘at-risk mental states’ (ARMS) and the treatment of schizophrenia spectrum disorders in children and adolescents. A systematic search of the literature was undertaken using EMBASE, MEDLINE, PsycINFO databases for the period January 1970–December 2012. Results Evidence suggests that young people fulfilling the ARMS criteria are at high risk of adverse mental health outcomes but that the majority do not develop nonaffective psychosis over the medium term. Although clinical trial findings have been inconsistent, psychosocial approaches, such as cognitive behaviour therapy, may reduce the risk of transition to psychosis and improve some symptoms, at least over the short term. The effectiveness of psychotropic medication for the ARMS is uncertain although there is accumulating evidence for potential adverse effects of antipsychotic medication, even at low dose, in this population. For the schizophrenias, clinical trial findings suggest that, as in adults, antipsychotics should be selected on the basis of side-effect profile although clozapine may be helpful in treatment refractory illness. There are almost no studies of psychosocial treatments for schizophrenia in young people under 18, and some caution must be exercised when extrapolating the findings of adult studies to younger individuals. Conclusions A stepped care approach to the ARMS in young people represents a plausible potential management approach for those at high risk of serious mental health problems. However, predictive models currently lack precision and should focus on accurately identifying those at high risk for a variety of poor outcomes who may benefit most from intervention. There is also an urgent need for age-specific research in the area of psychosocial treatments for children and adolescents with schizophrenia. En ligne : http://dx.doi.org/10.1111/jcpp.12136 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=217
in Journal of Child Psychology and Psychiatry > 54-11 (November 2013) . - p.1155-1175[article] Practitioner Review: Schizophrenia spectrum disorders and the at-risk mental state for psychosis in children and adolescents – evidence-based management approaches [Texte imprimé et/ou numérique] / Paul A. TIFFIN, Auteur ; Patrick WELSH, Auteur . - p.1155-1175.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 54-11 (November 2013) . - p.1155-1175
Mots-clés : Schizophrenia psychosis risk syndrome prodrome early recognition Index. décimale : PER Périodiques Résumé : Background Schizophrenia spectrum disorders are severe mental illnesses which often result in significant distress and disability. Attempts have been made to prospectively identify and treat young people viewed as at high risk of impending nonaffective psychosis. Once a schizophrenia spectrum disorder has developed, prompt identification and management is required. Methods This article reviews the literature relating to the assessment and management of ‘at-risk mental states’ (ARMS) and the treatment of schizophrenia spectrum disorders in children and adolescents. A systematic search of the literature was undertaken using EMBASE, MEDLINE, PsycINFO databases for the period January 1970–December 2012. Results Evidence suggests that young people fulfilling the ARMS criteria are at high risk of adverse mental health outcomes but that the majority do not develop nonaffective psychosis over the medium term. Although clinical trial findings have been inconsistent, psychosocial approaches, such as cognitive behaviour therapy, may reduce the risk of transition to psychosis and improve some symptoms, at least over the short term. The effectiveness of psychotropic medication for the ARMS is uncertain although there is accumulating evidence for potential adverse effects of antipsychotic medication, even at low dose, in this population. For the schizophrenias, clinical trial findings suggest that, as in adults, antipsychotics should be selected on the basis of side-effect profile although clozapine may be helpful in treatment refractory illness. There are almost no studies of psychosocial treatments for schizophrenia in young people under 18, and some caution must be exercised when extrapolating the findings of adult studies to younger individuals. Conclusions A stepped care approach to the ARMS in young people represents a plausible potential management approach for those at high risk of serious mental health problems. However, predictive models currently lack precision and should focus on accurately identifying those at high risk for a variety of poor outcomes who may benefit most from intervention. There is also an urgent need for age-specific research in the area of psychosocial treatments for children and adolescents with schizophrenia. En ligne : http://dx.doi.org/10.1111/jcpp.12136 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=217