Self-report instruments for clinical monitoring of psychosis risk states

Emily Kline, Elizabeth Thompson, Caroline Demro, Kristin Bussell, Gloria Reeves, Jason Schiffman

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Objective: Practice guidelines emphasize frequent clinical monitoring of patients at high risk for psychosis. No brief instrument assessing attenuated psychotic symptoms has been validated for this purpose. This study examined use of three self-report questionnaires, which were developed as psychosis risk screeners, for monitoring symptom severity in a naturalistic clinical sample of 54 adolescents. Methods: Self-report measures (Prime Screen-Revised, Prodromal Questionnaire-Brief Version [PQ-B], and Youth Psychosis At-RiskQuestionnaire-Brief) and clinician assessments (Structured Interview for Psychosis Risk Syndromes) were administered to participants at baseline and six months. Results: Changes in self-report scores were moderately correlated with changes in clinician ratings. The PQ-B demonstrated slightly better agreement with changes in clinician ratings than the other two measures. Conclusions: Questionnaires developed as psychosis risk screeners could be used for symptom monitoring. Further validation of tools to monitor attenuated symptoms will be a valuable step toward developing an evidencebased approach for treating high-risk youths.

Original languageEnglish (US)
Pages (from-to)456-459
Number of pages4
JournalPsychiatric Services
Issue number4
StatePublished - Apr 1 2016
Externally publishedYes

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 Center for Excellence on Early Intervention for Serious Mental Illness (OPASS no. 14-13717G/M00B4400241). The authors acknowledge the contributions of study participants and their families.


Dive into the research topics of 'Self-report instruments for clinical monitoring of psychosis risk states'. Together they form a unique fingerprint.

Cite this