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The relationship between psychosocial functioning and resilience and negative symptoms in individuals at ultra-high risk for psychosis

Authors
 Kyung Ran Kim ; Yun Young Song ; Jin Young Park ; Eun Hye Lee ; Mikyung Lee ; Su Young Lee ; Jee In Kang ; Eun Lee ; Sang Woo Yoo ; Suk Kyoon An ; Jun Soo Kwon 
Citation
 Australian and New Zealand Journal of Psychiatry, Vol.47(8) : 762~771, 2013 
Journal Title
 Australian and New Zealand Journal of Psychiatry 
ISSN
 0004-8674 
Issue Date
2013
Abstract
Objective: Decline in psychosocial functioning seems to be a core feature in schizophrenia across various phases of the disorder. Little is known about the relationship between psychosocial functioning and protective factors or psychopathologies in individuals in the prodrome phase of psychosis. We aimed to investigate whether psychosocial functioning is impaired in individuals in the putative prodromal phase of schizophrenia, and, if so, to identify factors associated with compromised psychosocial functioning. Method: Sixty participants at ultra-high risk (UHR) for psychosis and 47 healthy controls were recruited. All subjects were assessed in terms of psychosocial functioning using the Quality of Life Scale. A clinical assessment of psychopathology and protective factors, including resilience and coping style, was also conducted. Results: Psychosocial functioning in UHR participants was found to be compromised; this dysfunction was associated with negative symptoms, adaptive coping, and resilience. In addition, baseline resilience was lower among those in the UHR group who converted to frank psychosis than among those who did not. Conclusions: These findings imply that treatment strategies for individuals at UHR for psychosis should be comprehensive, promoting resilience as well as targeting the reduction of positive and negative symptoms to foster social reintegration and recovery.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/87321
DOI
10.1177/0004867413488218
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Psychiatry
Yonsei Authors
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Link
 http://anp.sagepub.com/content/47/8/762.long
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