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Brief Reports
Published Online: 16 November 2015

Self-Report Instruments for Clinical Monitoring of Psychosis Risk States

Emily Kline, Ph.D., Elizabeth Thompson, M.A., Caroline Demro, B.A., Kristin Bussell, M.S., C.R.N.P., Gloria Reeves, M.D., and Jason Schiffman, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 67, Number 4
https://doi.org/10.1176/appi.ps.201500063
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Abstract

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-Risk Questionnaire–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 evidence-based approach for treating high-risk youths.

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Information & Authors

Information

Published In

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Cover: Fame Weathervane, by E.G. Washburne and Company, circa 1890. Copper and zinc with gold leaf. American Folk Art Museum, Long Island City, New York. Gift of Ralph Esmerian, accession number 2005.8.62. Photo credit: Gavin Ashworth.

Psychiatric Services
Volume 67 • Number 4 • April 01, 2016
Pages: 456 - 459
PubMed: 26567937

History

Received: 10 February 2015
Revision received: 3 June 2015
Accepted: 1 July 2015
Published online: 16 November 2015
Published in print: April 01, 2016

Authors

Details

Emily Kline, Ph.D.
Dr. Kline is with the Department of Psychiatry, Harvard Medical School, and Beth Israel Deaconess Medical Center, Boston (e-mail: [email protected]). Ms. Thompson, Ms. Demro, and Dr. Schiffman are with the Department of Psychology, University of Maryland, Baltimore County, Baltimore. Ms. Bussell and Dr. Reeves are with the Department of Psychiatry, University of Maryland Medical School, Baltimore.
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Elizabeth Thompson, M.A.
Dr. Kline is with the Department of Psychiatry, Harvard Medical School, and Beth Israel Deaconess Medical Center, Boston (e-mail: [email protected]). Ms. Thompson, Ms. Demro, and Dr. Schiffman are with the Department of Psychology, University of Maryland, Baltimore County, Baltimore. Ms. Bussell and Dr. Reeves are with the Department of Psychiatry, University of Maryland Medical School, Baltimore.
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Caroline Demro, B.A.
Dr. Kline is with the Department of Psychiatry, Harvard Medical School, and Beth Israel Deaconess Medical Center, Boston (e-mail: [email protected]). Ms. Thompson, Ms. Demro, and Dr. Schiffman are with the Department of Psychology, University of Maryland, Baltimore County, Baltimore. Ms. Bussell and Dr. Reeves are with the Department of Psychiatry, University of Maryland Medical School, Baltimore.
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Kristin Bussell, M.S., C.R.N.P.
Dr. Kline is with the Department of Psychiatry, Harvard Medical School, and Beth Israel Deaconess Medical Center, Boston (e-mail: [email protected]). Ms. Thompson, Ms. Demro, and Dr. Schiffman are with the Department of Psychology, University of Maryland, Baltimore County, Baltimore. Ms. Bussell and Dr. Reeves are with the Department of Psychiatry, University of Maryland Medical School, Baltimore.
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Gloria Reeves, M.D.
Dr. Kline is with the Department of Psychiatry, Harvard Medical School, and Beth Israel Deaconess Medical Center, Boston (e-mail: [email protected]). Ms. Thompson, Ms. Demro, and Dr. Schiffman are with the Department of Psychology, University of Maryland, Baltimore County, Baltimore. Ms. Bussell and Dr. Reeves are with the Department of Psychiatry, University of Maryland Medical School, Baltimore.
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Jason Schiffman, Ph.D.
Dr. Kline is with the Department of Psychiatry, Harvard Medical School, and Beth Israel Deaconess Medical Center, Boston (e-mail: [email protected]). Ms. Thompson, Ms. Demro, and Dr. Schiffman are with the Department of Psychology, University of Maryland, Baltimore County, Baltimore. Ms. Bussell and Dr. Reeves are with the Department of Psychiatry, University of Maryland Medical School, Baltimore.
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Notes

An incomplete version of the data and analyses was presented at the annual meeting of the Society for Research in Psychopathology, Oakland, California, on September 19–22, 2013.

Funding Information

Maryland Department of Health and Mental Hygiene10.13039/100006671: OPASS# 14-13717G/M00B4400241
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 report no financial relationships with commercial interests.

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