Abstract
Despite practice guidelines recommending caregiver inclusion for assessment of mental health problems in adolescents, clinical high-risk (CHR) assessment tools that target attenuated psychosis symptoms rely solely on self-report. As many individuals in the clinical high-risk phase are expected to be adolescents, and programs of CHR research routinely recruit participants as young as twelve, parent input regarding adolescents' symptoms and functioning may help to inform clinical conceptualizations. No assessment tool targeting CHR symptoms has been developed for this purpose. We created a caregiver-report version of the 12-item Prime Screen-Revised and administered the measure to caregivers of 52 youth ages 12-19 referred by mental health providers for CHR study participation. Youth completed the Prime Screen-Revised as well as the Structured Interview for Psychosis Risk Syndromes (SIPS). Caregiver responses demonstrated poor agreement with youth ratings on Prime Screen-Revised (r= .09), but moderate agreement with clinician ratings (r= .41). The addition of caregiver screening data to youth self-report scores significantly improved a linear regression predicting clinician ratings. Using a threshold of four or more endorsements, the combined use of parent and adolescent responses accurately classified 75% of respondents with regard to SIPS-determined CHR status. Findings suggest that involving caregivers may help to improve the specificity of CHR screening and assessment procedures.
Original language | English (US) |
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Pages (from-to) | 147-152 |
Number of pages | 6 |
Journal | Schizophrenia Research |
Volume | 147 |
Issue number | 1 |
DOIs | |
State | Published - Jun 2013 |
Externally published | Yes |
Bibliographical note
Funding Information:This work was supported in part by funding from the Maryland Department of Health and Mental Hygiene, Mental Hygiene Administration through the 1915(c) Home and Community- Based Waiver Program Management, Workforce Development and Evaluation (OPASS# 13-10954G/M00B3400369); Baltimore Mental Health Systems; a Research Seed Funding Initiative (RSFI) grant from the University of Maryland, Baltimore County; and the Passano Foundation. The funding bodies had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication.
Funding Information:
This work was supported in part by funding from the Maryland Department of Health and Mental Hygiene, Mental Hygiene Administration , and Baltimore Mental Health Systems ; a Research Seed Funding Initiative (RSFI) grant from the University of Maryland, Baltimore County ; and by the Division of Child and Adolescent Psychiatry within the University of Maryland.
Keywords
- Adolescents
- Attenuated psychosis syndrome
- Caregivers
- Prodrome
- Schizophrenia
- Screening