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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
MeSH
Adaptation, Psychological ; Female ; Humans ; Interpersonal Relations ; Male ; Psychiatric Status Rating Scales ; Psychotic Disorders/diagnosis ; Psychotic Disorders/psychology* ; Quality of Life ; Resilience, Psychological* ; Risk Factors ; Schizophrenia/diagnosis ; Schizophrenic Psychology* ; Social Adjustment* ; Social Support
Keywords
Psychosocial function ; negative symptoms ; resilience ; ultra-high risk for psychosis
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.
Full Text
http://anp.sagepub.com/content/47/8/762.long
DOI
10.1177/0004867413488218
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Jee In(강지인) ORCID logo https://orcid.org/0000-0002-2818-7183
Kim, Kyung Ran(김경란) ORCID logo https://orcid.org/0000-0001-8375-1851
Park, Jin Young(박진영) ORCID logo https://orcid.org/0000-0002-5351-9549
Song, Yun Young(송윤영)
An, Suk Kyoon(안석균) ORCID logo https://orcid.org/0000-0003-4576-6184
Lee, Eun(이은) ORCID logo https://orcid.org/0000-0002-7462-0144
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87321
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