Negative symptoms in individuals at clinical high risk of psychosis.

TitleNegative symptoms in individuals at clinical high risk of psychosis.
Publication TypeJournal Article
Year of Publication2012
AuthorsPiskulic, D, Addington J, Cadenhead KS, Cannon TD, Cornblatt BA, Heinssen R, Perkins DO, Seidman LJ, Tsuang MT, Walker EF, Woods SW, McGlashan TH
JournalPsychiatry research
Volume196
Issue2-3
Pagination220-4
Date Published2012 Apr 30
ISSN0165-1781
KeywordsDisease Progression, Factor Analysis, Statistical, Female, Humans, Longitudinal Studies, Male, Psychiatric Status Rating Scales, Psychotic Disorders, Risk Factors, Time Factors
Abstract

Negative symptoms are present in the psychosis prodrome. However, the extent to which these symptoms are present prior to the onset of the first episode of psychosis remains under-researched. The goal of this study is to examine negative symptoms in a sample of individuals at clinical high risk (CHR) for psychosis and to determine if they are predictive of conversion to psychosis. Participants (n=138) were all participants in the North American Prodrome Longitudinal Study (NAPLS 1) project. Negative symptoms were assessed longitudinally using the Scale of Prodromal Symptoms. The mean total negative symptom score at baseline was 11.0, with 82.0% of the sample scoring at moderate severity or above on at least one negative symptom. Over the course of 12 months, the symptoms remained in the above moderate severity range for 54.0% of participants. Associations between individual symptoms were moderate, and a factor analysis confirmed that all negative symptoms loaded heavily on one factor. Negative symptoms were more severe and persistent overtime in those who converted to psychosis, significantly predicting the likelihood of conversion. Thus, early and persistent negative symptoms may represent a vulnerability for risk of developing psychosis.

DOI10.1002/hbm.20991
Alternate JournalPsychiatry Res