Internet-based psychoeducation and support programme for relatives of young people with early psychosis: results of the first German-language intervention.

Background: International clinical guidelines recommend Family Interventions (FIs) especially for families of people at early stages of psychosis. The German S3 treatment guideline for schizophrenia gives FIs the highest level of clinical recommendation. However, some family relatives have limited access to these services due to health system constrains. Digital interventions have emerged as a solution to overcome this hindered access to evidence-based family interventions. Objective: The present pilot study evaluates the feasibility and potential efficacy of the first German moderated online psychoeducation and support programme (ePSP) for relatives of people with early psychosis, with the additional purpose to improve accessibility and reduce waiting times. Methods: A pre-post study was performed. A brief recruitment period was pre-established (10 weeks) to test potential improvement of regular therapy waiting times in Germany. A total of 25 relatives of people with early psychosis were recruited and received the 12-week moderated online intervention. Assessments were conducted at baseline and at post intervention. Acceptance of the intervention and the user's experience were also evaluated at post intervention. Results: Recruitment, retention rates and qualitative data support the feasibility and acceptability of the ePSP. Significant positive effects of the interventions were found on key therapeutic targets, including both primary outcomes (i.e., perceived stress and beliefs about the illness). Twenty-one participants also completed the open-ended questions of the user experience questionnaire, which yielded three main themes: most important modules, difficulties in using the programme and ways to improve ePSP. Discussion: These results provide preliminary efficacy estimates for a fully powered RCT to investigate superiority (or equipoise) effects of the ePSP in comparison to the routine face-to-face family therapy groups. This future RCT will also allow further exploration of ePSP to improve access to psychological therapy for relatives of young people with psychosis, also in relation to the new ground-breaking Digital Healthcare Act in Germany.

Fatigue as a key human factor in complex sociotechnical systems: Vessel Traffic Services.

Background: Vessel Traffic Services (VTS) are considered a subsystem of people, whose mission is to improve the effectiveness and efficiency of maritime transport within the maritime system. VTS operate as a control system where Vessel Traffic Services Operators (VTSOs) must cope with a complex environment to make up for safe and efficient maritime transport, so it is essential to understand how these operators maintain control through adapting to the uncertain and dynamic environment of maritime traffic. This multidisciplinary study explores how human factors within this complex sociotechnical system, means VTS, play a role in maritime safety, specifically focusing on fatigue, which is considered a key variable for VTSOs' performance. In this context, the research has focused on the assessment of fatigue with psychological and operational instruments to highlight the importance of the human element in CSSs. Objective: To study the intra and inter-individual differences in fatigue ratings and their relationships with other personal and environmental variables: mental workload, work shifts, reaction time, and hours of usual sleep. Methods: The study was conducted in two of the 19 Spanish Maritime Rescue Coordination Centers (MRCCs) with a sample of 23 active VTSOs (82.14% of the staff). Both objective and standardized subjective measures were used to assess fatigue and associated sleepiness (Borg RPE, Nasa-TLX, Stanford Sleepiness Scale, and Self-Assessment Manikin Scale). Results: A significant positive correlation between fatigue and mental workload was found, being more prevalent in the night shift, which shows a bigger variation in these variables. A significant difference was found in the increase in fatigue experienced throughout the shift depending on the hours of usual sleep, being smaller in the group of subjects reporting to sleep more. Conclusion: The human element is key to maritime safety related to Vessel Traffic Services, so it is of paramount importance to consider certain measures to counteract the negative effects of fatigue. A proper organization of duties on/off periods, assessment of work and rest schedules, and the implementation of fatigue management programs based on sleep education are recommended.

Experiences of Self-Stigma in People with Chronic Psychosis: A Qualitative Study.

We present the results of a phenomenological study understanding the personal meaning of self-stigma in people with chronic psychosis. Self-stigma is a frequent phenomenon in the lives of people with psychosis and their families and it functions as a barrier to recovery. Semi-structured in-depth interviews were conducted with fourteen outpatients that suffer from chronic psychosis during January 2020. Data analysis was carried out using an inductive approach as described by Graneheim and Lundman through the MAXQDA 2022 program. The themes observed were: "Contextual Stigma", "Components of Self-Stigma", "Skills Loss" and "Coping with Self-Stigma". The main categories and subcategories were avoidance and escape behaviours from their social environment, labelling, loss of social relationships, negative impact and self-concealment of the diagnosis. Our results revealed influence on each other, forming a looping effect that explains and amplifies the lived experience of self-stigma. These findings highlight the need to implement strategies in nursing practice aimed at training the acceptance and distancing necessary to minimize the impact of self-stigma on people with chronic psychosis. This study adheres to the EQUATOR guidelines for the Consolidated Criteria for Reporting Qualitative Research (COREQ).

A new Algorithm for Detecting Clinical High Risk of Psychosis in Adolescents.

BACKGROUND: The delimitation of the clinical high risk of psychosis (CHRp) is characterized by the wide variety of symptoms assessed from different approaches from the onset of psychosis. This study aimed to create a systematic procedure for an effective and accurate earlydetection of CHRp in educational settings. METHOD: A representative sample of 1,824 adolescents (average age, 15.79; 53.8%, women) was used to develop an online assessment system and a new 3-track, 3-level algorithm that combines symptoms of the main risk approaches: ultra-high risk (UHR), basic symptoms (BS), and anomalies in the subjective self-experience (ASE) with functional deficit. RESULTS: The acceptability and feasibility of the online screening system were confirmed by the data. Of the total participants, 68 (3.7%) were identified as high-risk and 417 (22.9%) were identified as moderate, which also supports the functionality of the proposed algorithm. CONCLUSIONS: The system indicates a dynamic model of progression of the different symptoms in the early stages of psychosis, and it may constitute a first line of identification for severe mental disorders in young people in the earliest stages, allowing application of initial preventive measures.

A new Algorithm for Detecting Clinical High Risk of Psychosis in Adolescents / Un Nuevo Algoritmo para la Detección del Alto Riesgo Clínico de Psicosis en Adolescentes

Background: The delimitation of the clinical high risk of psychosis (CHRp) is characterized by the wide variety of symptoms assessed from different approaches from the onset of psychosis. This study aimed to create a systematic procedure for an effective and accurate earlydetection of CHRp in educational settings. Method: A representative sample of 1,824 adolescents (average age, 15.79; 53.8%, women) was used to develop an online assessment system and a new 3-track, 3-level algorithm that combines symptoms of the main risk approaches: ultra-high risk (UHR), basic symptoms (BS), and anomalies in the subjective self-experience (ASE) with functional deficit. Results: The acceptability and feasibility of the online screening system were confirmed by the data. Of the total participants, 68 (3.7%) were identified as high-risk and 417 (22.9%) were identified as moderate, which also supports the functionality of the proposed algorithm. Conclusions: The system indicates a dynamic model of progression of the different symptoms in the early stages of psychosis, and it may constitute a first line of identification for severe mental disorders in young people in the earliest stages, allowing application of initial preventive measures.(AU)

Antecedentes: La delimitación del alto riesgo clínico de psicosis (CHRp, por sus siglas en inglés) se caracteriza por la gran variedad de síntomas evaluados desde diferentes enfoques y la dificultad que existe para detectar los estadios clínicos más alejados del inicio de la psicosis. Este estudio tiene como objetivo la creación de un procedimiento sistemático para una detección temprana eficaz y precisa del CHRp en entornos educativos. Método: A partir de una muestra representativa de 1.824 adolescentes (edad, media= 15,79 años; 53,8%, mujeres) se ha desarrollado un sistema de evaluación online y un algoritmo de tres vías y tres niveles de riesgo que combina los síntomas de los principales enfoques de riesgo: ultra-alto riesgo (UHR), síntomas básicos (SB) y anomalías en la autoexperiencia subjetiva (ASE), además del déficit funcional. Resultados: A la luz de los datos obtenidos se han confirmado la aceptabilidad y viabilidad del sistema de cribado online. Del total de participantes, 68 (3,7%) fueron identificados como de alto riesgo y 417 (22,9%) como de riesgo moderado, lo que también avala la funcionalidad del algoritmo propuesto. Conclusiones: El sistema apoya la existencia de un modelo dinámico de progresión de los diferentes síntomas en las primeras etapas de la psicosis, y puede constituir una primera línea de identificación de los trastornos mentales graves en los jóvenes en las etapas más tempranas, de cara a la aplicación de las medidas preventivas iniciales.(AU)

Psychological Inflexibility in People with Chronic Psychosis: The Mediating Role of Self-Stigma and Social Functioning.

Psychosis is associated with self-stigmatization and loss of social functioning that increase the severity of the disorder. Psychological inflexibility (PI)-an individual's tendency to suppress undesirable private events-plays a fundamental role in the emergence and worst prognosis of psychosis. The main objective of this study was to analyze whether self-stigma and social functioning mediate the association of PI with the severity of psychosis in adults with chronic schizophrenia. The study was carried out with a sample of 103 outpatients. The Acceptance and Action Questionnaire, the Internalized Stigma of Mental Illness Scale, and the Social Functioning Scale were used for clinical assessments. Data analyses were performed by using the PROCESS macro for SPSS. Results showed that the link between PI and the severity of psychosis is not direct, but is better explained by mediation of the self-stigma and social functioning of those assessed. PI also predicts worse social functioning without the need to take self-stigma into account. Moreover, self-stigma alone does not predict the severity of psychotic symptoms; this relationship has to be mediated by social functioning. These findings suggest that interventions designed to increase psychological flexibility, such as Acceptance and Commitment Therapy (ACT), may offer an alternative to attenuate the negative impact of self-stigma and to improve the social functioning.

Mediation of the stigma in the influence of negative symptomatology over recovery in psychosis / Mediación del estigma en la influencia de la sintomatología negativa sobre la recuperación en psicosis

Background/Objective: The interest in recovery processes in psychotic disorders has boosted the necessity of knowledge about the factors that could influence in such recovery. Negative symptomatology and the stigma have been negatively linked to the recovery process in psychosis. The aim of this investigation is to improve the understanding of how the recovery process is affected by negative symptomatology based on the analysis of the mediating effects of the internalized stigma. Method: The sample was composed of 114 people that had experienced, at some point in their life, at least one clinically relevant psychotic episode. CAPE-42, STORI and ISMI were used for the evaluation. The macro PROCESS for SPSS was used. The indirect effect was calculated using 10.000 samples of bootstrap for the bootstrap confidence intervals (IC) corrected for bias. Results: The results show that the influence of negative symptomatology predicts the stigmatization of the person regarding his disorder. This predicts a negative influence in the recovery process of the psychosis. Conclusions: These results back the importance of adding the reduction of the stigma as a specific strategy to improve the recovery process in psychotic disorders. (AU)

Antecedentes/Objetivo: El interés por los procesos de recuperación en los trastornos psicóticos ha impulsado la necesidad de conocer los factores que podrían influir en dicha recuperación. La sintomatología negativa y el estigma se han relacionado negativamente con el proceso de recuperación de la psicosis. El objetivo de esta investigación es mejorar la comprensión sobre cómo el proceso de recuperación se ve afectado por la sintomatología negativa a partir del análisis de los efectos mediadores del estigma internalizado. Método: La muestra estuvo compuesta por 114 personas que habían experimentado, en algún momento de su vida, al menos un episodio psicótico clínicamente relevante. Para la evaluación se usaron el CAPE-42, STORI and e ISMI. Se utilizó el macro PROCESS para SPSS. El efecto indirecto se calculó utilizando 10.000 muestras de bootstrap para los intervalos de confianza (IC) de bootstrap corregidos por sesgo. Resultados: Los resultados muestran que la influencia de la sintomatología negativa predice la estigmatización de la persona con respecto a su trastorno, y esto predice una influencia negativa en el proceso de recuperación de la psicosis. Conclusiones: Estos resultados respaldan la importancia de sumar la reducción del estigma como estrategia específica para mejorar el proceso de recuperación en los trastornos psicóticos. (AU)

[Evidence-Based Psychological Treatments for Adults: A Selective Review]

Evidence-Based Psychological Treatments for Adults: A Selective Review. BACKGROUND: Psychological treatments have shown their efficacy, effectiveness, and efficiency in dealing with mental disorders. However, considering the scientific knowledge generated in recent years, in the Spanish context, there are no updating studies about empirically supported psychological treatments. The main goal was to carry out a selective review of the main empirically supported psychological treatments for mental disorders in adults. METHOD: Levels of evidence and degrees of recommendation were collected based on the criteria proposed by the Spanish National Health System (Clinical Practice Guidelines) for different psychological disorders. RESULTS: The results indicate that psychological treatments have empirical support for the approach to a wide range of psychological disorders. These levels of empirical evidence gathered range from low to high depending on the psychological disorder analysed. The review indicates the existence of certain fields of intervention that need further investigation. CONCLUSIONS: Based on this selective review, psychology professionals will be able to have rigorous, up-to-date information that allows them to make informed decisions when implementing empirically based psychotherapeutic procedures based on the characteristics of the people who require help.

Mediation of the stigma in the influence of negative symptomatology over recovery in psychosis.

Background/Objective: The interest in recovery processes in psychotic disorders has boosted the necessity of knowledge about the factors that could influence in such recovery. Negative symptomatology and the stigma have been negatively linked to the recovery process in psychosis. The aim of this investigation is to improve the understanding of how the recovery process is affected by negative symptomatology based on the analysis of the mediating effects of the internalized stigma. Method: The sample was composed of 114 people that had experienced, at some point in their life, at least one clinically relevant psychotic episode. CAPE-42, STORI and ISMI were used for the evaluation. The macro PROCESS for SPSS was used. The indirect effect was calculated using 10.000 samples of bootstrap for the bootstrap confidence intervals (IC) corrected for bias. Results: The results show that the influence of negative symptomatology predicts the stigmatization of the person regarding his disorder. This predicts a negative influence in the recovery process of the psychosis. Conclusions: These results back the importance of adding the reduction of the stigma as a specific strategy to improve the recovery process in psychotic disorders.

Antecedentes/Objetivo: El interés por los procesos de recuperación en los trastornos psicóticos ha impulsado la necesidad de conocer los factores que podrían influir en dicha recuperación. La sintomatología negativa y el estigma se han relacionado negativamente con el proceso de recuperación de la psicosis. El objetivo de esta investigación es mejorar la comprensión sobre cómo el proceso de recuperación se ve afectado por la sintomatología negativa a partir del análisis de los efectos mediadores del estigma internalizado. Método: La muestra estuvo compuesta por 114 personas que habían experimentado, en algún momento de su vida, al menos un episodio psicótico clínicamente relevante. Para la evaluación se usaron el CAPE-42, STORI and e ISMI. Se utilizó el macro PROCESS para SPSS. El efecto indirecto se calculó utilizando 10.000 muestras de bootstrap para los intervalos de confianza (IC) de bootstrap corregidos por sesgo. Resultados: Los resultados muestran que la influencia de la sintomatología negativa predice la estigmatización de la persona con respecto a su trastorno, y esto predice una influencia negativa en el proceso de recuperación de la psicosis. Conclusiones: Estos resultados respaldan la importancia de sumar la reducción del estigma como estrategia específica para mejorar el proceso de recuperación en los trastornos psicóticos.

Relationship between substance use and schizotypal traits in school-aged adolescents. / Relación entre consumo de sustancias y rasgos esquizotípicos en adolescentes escolarizados.

GOAL: The main goal of the present study was to analyze the relationship between substance use (tobacco, alcohol, cannabis) and schizotypal traits in a representative sample of school-aged adolescents from the general population. METHOD: cross-sectional, descriptive survey 1,588 students (M = 16.13 years, SD = 1.36), 739 male (46.5%), selected by random stratified cluster sampling, participated in the study. The instruments administered were the Oviedo Questionnaire for Schizotypy Assessment, the Modified Substance Use Questionnaire, the Strengths and Difficulties Questionnaire, the Penn Matrix Reasoning Test, the Family Affluence Scale-II, and the Oviedo Infrequency Scale. RESULTS: Controlling for the effects of multiple covariates (gender, age, IQ, socio-economic level, psychopathology and consumption), the results showed that compared with non-users, alcohol drinkers reported higher average scores in the Social Disorganization dimension. Cigarette smokers, differentiated by frequency, reported higher average scores in the Anhedonia and Social Disorganization dimensions than non-smokers. No statistically significant differences between users and non-users of cannabis were found in terms of schizotypal traits. CONCLUSION: controlling for the effects of multiple covariates, adolescents who use tobacco and alcohol reported higher scores - depending on frequency of use - in schizotypal traits. Future studies should continue to analyze the role of substance use in individuals at risk of psychosis and determine its role in the transition to serious mental disorders using new methodologies such as ambulatory assessment.

Objetivo: analizar la posible relación entre el consumo de sustancias psicoactivas (en concreto, tabaco, alcohol y cannabis) y los rasgos esquizotípicos en una muestra representativa de adolescentes escolarizados de la población general.  Método: diseño transversal descriptivo tipo encuesta. La muestra se compuso por 1.588 estudiantes (M = 16,13 años; DT = 1,36; 739 varones, 46,5%), seleccionados mediante muestreo aleatorio estratificado por conglomerados. Los instrumentos administrados fueron el Cuestionario Oviedo para la Evaluación de la Esquizotipia, el Cuestionario de Consumo de Sustancias Modificado, el Cuestionario de Capacidades y Dificultades, el Penn Matrix Reasoning Test, la Family Affluence Scale-II y la Escala Oviedo de Infrecuencia de Respuesta. Resultados: una vez controlado el efecto de múltiples covariables (género, edad, cociente intelectual, nivel socio-económico, psicopatología previa y consumo de sustancias), los consumidores de alcohol comparados con los no consumidores, informaron de mayores puntuaciones medias en la dimensión Desorganización Social. Los consumidores de tabaco comparados con los no consumidores, informaron de mayores puntuaciones medias en las dimensiones de esquizotipia de Anhedonia y Desorganización Social. Con respecto al consumo de cannabis, no se hallaron diferencias estadísticamente significativas entre consumidores y no consumidores en las dimensiones esquizotípicas. Conclusiones: controlando el efecto de múltiples variables de confundido, los adolescentes consumidores de tabaco y alcohol ­según su frecuencia­ informaron de mayores puntuaciones en rasgos esquizotípicos. Futuros estudios podrían continuar analizando el papel del consumo de sustancias en la aparición de trastornos mentales, como la psicosis, mediante nuevas metodologías como la evaluación ambulatoria.

Attitudes Toward Dating Violence in Early and Late Adolescents in Concepción, Chile.

This study compares attitudes toward teen relationship (or dating) violence (TRV) between early and late adolescents in the province of Concepción, Chile. The sample consisted of 770 adolescents, aged between 11 and 19 with an average age of 14.8 years old, of which 389 were female (50.5%) and 381 were male (49.5%). An adapted version of the Scale of Attitudes Towards Intimate Violence was used. Results found greater justifying attitudes toward violence in early adolescents than in late adolescents, in 6 of 12 items of the scale, with a statistical significance of p ≤ .001 in 4 items and in the overall score, and p ≤ .05 in 2 items. In the comparison according to sex, male adolescents tended to justify violence more than female adolescents did in one item (p ≤ .001). In dating/no dating comparison, statistically significant differences were found in just 2 items, in favor of those who are not in a relationship (p ≤ .05). These results are analyzed and discussed in relation to previous literature. Finally, orientations to future interventions are proposed, and it is suggested that aspects related to sampling and possible modulating variables such as cognitive development and moral development be considered for future investigations.

Relación entre consumo de sustancias y rasgos esquizotípicos en adolescentes escolarizados / Relationship between substance use and schizotypal traits in school-aged adolescents

OBJETIVO: analizar la posible relación entre el consumo de sustancias psicoactivas (en concreto, tabaco, alcohol y cannabis) y los rasgos esquizotípicos en una muestra representativa de adolescentes escolarizados de la población general. MÉTODO: diseño transversal descriptivo tipo encuesta. La muestra se compuso por 1.588 estudiantes (M = 16,13 años; DT = 1,36; 739 varones, 46,5%), seleccionados mediante muestreo aleatorio estratificado por conglomerados. Los instrumentos administrados fueron el Cuestionario Oviedo para la Evaluación de la Esquizotipia, el Cuestionario de Consumo de Sustancias Modificado, el Cuestionario de Capacidades y Dificultades, el Penn Matrix Reasoning Test, la Family Affluence Scale-II y la Escala Oviedo de Infrecuencia de Respuesta. RESULTADOS: una vez controlado el efecto de múltiples covariables (género, edad, cociente intelectual, nivel socio-económico, psicopatología previa y consumo de sustancias), los consumidores de alcohol comparados con los no consumidores, informaron de mayores puntuaciones medias en la dimensión Desorganización Social. Los consumidores de tabaco comparados con los no consumidores, informaron de mayores puntuaciones medias en las dimensiones de esquizotipia de Anhedonia y Desorganización Social. Con respecto al consumo de cannabis, no se hallaron diferencias estadísticamente significativas entre consumidores y no consumidores en las dimensiones esquizotípicas. CONCLUSIONES: controlando el efecto de múltiples variables de confundido, los adolescentes consumidores de tabaco y alcohol -según su frecuencia- informaron de mayores puntuaciones en rasgos esquizotípicos. Futuros estudios podrían continuar analizando el papel del consumo de sustancias en la aparición de trastornos mentales, como la psicosis, mediante nuevas metodologías como la evaluación ambulatoria

GOAL: The main goal of the present study was to analyze the relationship between substance use (tobacco, alcohol, cannabis) and schizotypal traits in a representative sample of school-aged adolescents from the general population. METHOD: cross-sectional, descriptive survey 1,588 students (M = 16.13 years, SD = 1.36), 739 male (46.5%), selected by random stratified cluster sampling, participated in the study. The instruments administered were the Oviedo Questionnaire for Schizotypy Assessment, the Modified Substance Use Questionnaire, the Strengths and Difficulties Questionnaire, the Penn Matrix Reasoning Test, the Family Affluence Scale-II, and the Oviedo Infrequency Scale. RESULTS: Controlling for the effects of multiple covariates (gender, age, IQ, socio-economic level, psychopathology and consumption), the results showed that compared with non-users, alcohol drinkers reported higher average scores in the Social Disorganization dimension. Cigarette smokers, differentiated by frequency, reported higher average scores in the Anhedonia and Social Disorganization dimensions than non-smokers. No statistically significant differences between users and non-users of cannabis were found in terms of schizotypal traits. CONCLUSION: controlling for the effects of multiple covariates, adolescents who use tobacco and alcohol reported higher scores - depending on frequency of use - in schizotypal traits. Future studies should continue to analyze the role of substance use in individuals at risk of psychosis and determine its role in the transition to serious mental disorders using new methodologies such as ambulatory assessment

Development and Validation of an Instrument for the Detection of Early Traumatic Experiences (ExpTra-S) in Patients With Psychosis.

The risk of the appearance of psychosis may reflect the existence of an underlying vulnerability, which may be influenced by environmental factors such as early traumatic experiences. This means that in clinical practice, the assessment of and approach to previous traumatic events is important in persons with psychotic disorders. The psychometric assessment of trauma has advanced considerably in recent years; however, there is no instrument that has been constructed and validated specifically for the evaluation of early traumatic experiences in the clinical population with psychosis. The main goal of this study was to present the construction and validation process of the Screening of Early Traumatic Experiences in Patients with Severe Mental Illness (ExpTra-S). The sample consisted of 114 patients who had experienced at least one psychotic episode (M = 35.5 years of age; SD = 9.26) and a comparison group of 153 young adults (M = 20.8 years of age; SD = 1.8). The factor analysis revealed an essentially one-dimensional structure. The ExpTra-S was associated with the positive dimension of the psychosis phenotype but not with the negative or affective dimensions, or subjective experiences. No items displayed differential functioning for sex and age. The ordinal alpha for the total score was 0.96. The patients with psychosis had a higher score for early traumatic experiences in comparison with the non-clinical group. The results obtained showed that the measuring instrument developed, the ExpTra-S, is a brief, simple, and useful measuring instrument for assessing the presence of early traumatic experiences in patients with severe mental illness.

Emotional and Behavioral Adjustment in a Spanish Sample of Adolescents.

Introducction. The purpose of this study was to analyze the relationship between emotional and behavioral difficulties and suicidal ideation, bullying and cyberbullying, and substance use in adolescents. METHOD: The sample consisted of a total of 1,664 participants (M=16.12 years, SD=1.36, range 14-19 years, 697 males), selected by stratified random sampling. The instruments used were the Strengths and Difficulties Questionnaire, the Paykel Suicide Scale, the Cyberbullying- Brief Questionnaire, the Modified Substance Consumption Questionnaire, and the Oviedo Infrequency Response Scale. RESULTS: The results showed that 7.7% of adolescents obtained risk scores of poor mental health, and 13.4% would be in the limit score range. In addition, the results indicated that adolescents who showed a possible risk of emotional and behavioral mental health problems also present greater suicidal ideation, behaviors related to bullying and cyberbullying (perception, victimization), and substance use, specifically tobacco and cannabis. CONCLUSIONS: These results increase awareness of the importance of adolescents’ mental health, improve the training of health professionals and guide the implementation of measures to promote health and reduce the risk factors for suicide, school bullying and of substance use and abuse.

Ajuste Emocional y Comportamental en una Muestra de Adolescentes Españoles / Emotional and Behavioral Adjustment in a Spanish Sample of Adolescents

Introducción. El propósito de este estudio fue analizar la relación entre las dificultades en el ajuste emocional y comportamental y la ideación suicida, el acoso escolar (bullying, ciberbullying) y el consumo de sustancias en adolescentes. Método. La muestra la formaron un total de 1.664 participantes (M=16,12 años; DT=1,36, rango 14-19 años, 697 varones), seleccionados mediante muestreo estratificado por conglomerados. Los instrumentos empleados fueron el Cuestionario de Capacidades y Dificultades, la Escala Paykel de Ideación Suicida, el Cuestionario de Ciberbullying-Breve, el Cuestionario de Consumo de Sustancias Modificado y la Escala Oviedo de Infrecuencia de Respuesta. Resultados. Los resultados mostraron que el 7,7% de los adolescentes obtuvo puntuaciones de riesgo de problemas de salud mental, mientras que el 13,4% estaría en la franja de puntuación límite. Además, los adolescentes que mostraron dificultades en el ajuste emocional y comportamental también presentaron mayor ideación suicida, conductas relacionadas con el acoso escolar y ciberacoso (percepción, victimización), y consumo de sustancias, concretamente tabaco y cannabis. Conclusiones. Estos resultados incrementan la concienciación sobre la importancia de la salud mental de los adolescentes, permiten mejorar la formación de los profesionales de la salud y guían la puesta en marcha de medidas para promocionar la salud y reducir los factores de riesgo suicida, de acoso escolar y de uso y abuso de sustancias

Introducction. The purpose of this study was to analyze the relationship between emotional and behavioral difficulties and suicidal ideation, bullying and cyberbullying, and substance use in adolescents. Method. The sample consisted of a total of 1,664 participants (M=16.12 years, SD=1.36, range 14-19 years,697 males), selected by stratified random sampling. The instruments used were the Strengths and Difficulties Questionnaire, the Paykel Suicide Scale, the Cyberbullying-Brief Questionnaire, the Modified Substance Consumption Questionnaire, and the Oviedo Infrequency Response Scale. Results. The results showed that 7.7% of adolescents obtained risk scores of poor mental health, and 13.4% would be in the limit score range. In addition, the results indicated that adolescents who showed a possible risk of emotional and behavioral mental health problems also present greater suicidal ideation, behaviors related to bullying and cyberbullying (perception, victimization), and substance use, specifically tobacco and cannabis. Conclusions. These results increase awareness of the importance of adolescents' mental health, improve the training of health professionals and guide the implementation of measures to promote health and reduce the risk factors for suicide, school bullying and of substance use and abuse

Predictors of functional recovery in first-episode psychosis: A systematic review and meta-analysis of longitudinal studies.

BACKGROUND: Three out of four first-episode psychosis (FEP) patients achieve clinical remission following treatment. Unfortunately, functional recovery lags behind symptomatic remission, and many individuals with FEP remain socially isolated with poor functional outcomes. AIMS: To systematically compile and analyse predictors of functional recovery in FEP. METHOD: Systematic review and meta-analysis of peer-reviewed, longitudinal studies reporting predictors of functioning, with a minimum 12-month follow-up and at least 80% of participants diagnosed with FEP. RESULTS: Out of 2205 citations, 274 articles were retrieved for detailed evaluation resulting in 50 eligible studies (N=6669). Sociodemographic, clinical, physical and neuroimaging variables had little impact on long-term functioning. Conversely duration of untreated psychosis (DUP), most cognitive variables, and concurrent remission of positive and negative symptoms were independently related to functional recovery. CONCLUSIONS: These findings strongly support the rationale for early intervention in FEP. Novel treatments targeting cognitive deficits may improve functional outcomes in FEP.

Classifying risk status of non-clinical adolescents using psychometric indicators for psychosis spectrum disorders.

This study is an attempt to evaluate extant psychometric indicators using latent profile analysis for classifying community-derived individuals based on a set of clinical, behavioural, and personality traits considered risk markers for psychosis spectrum disorders. The present investigation included four hundred and forty-nine high-school students between the ages of 12 and 19. We used the following to assess risk: the Prodromal Questionnaire-Brief (PQ-B), Oviedo Schizotypy Assessment Questionnaire (ESQUIZO-Q), Anticipatory and Consummatory Interpersonal Pleasure Scale-Adolescent version (ACIPS-A), and General Health Questionnaire 12 (GHQ-12). Using Latent profile analysis six latent classes (LC) were identified: participants in class 1 (LC1) displayed little or no symptoms and accounted for 38.53% of the sample; class 2 (LC2), who accounted for 28.06%, also produced low mean scores across most measures though they expressed somewhat higher levels of subjective distress; LC3, a positive schizotypy group (10.24%); LC4 (13.36%), a psychosis high-risk group; LC5, a high positive and negative schizotypy group (4.45%); and LC6, a very high distress, severe clinical high-risk group, comprised 5.34% of the sample. The current research indicates that different latent classes of early individuals at risk can be empirically defined in adolescent community samples using psychometric indicators for psychosis spectrum disorders. These findings may have implications for early detection and prevention strategies in psychosis spectrum disorders.

Psychotic-like Experiences and Substance Use in College Students. / Experiencias psicóticas atenuadas y consumo de sustancias en universitarios.

Psychotic disorders, as well as psychotic-like experiences and substance use, have been found to be associated. The main goal of the present study was to analyse the relationship between psychoticlike experiences and substance use in college students. The simple comprised a total of 660 participants (M = 20.3 years, SD = 2.6). The results showed that 96% of the sample reported some delusional experience, while 20.3% reported at least one positive psychotic-like experience. Some substance use was reported by 41.1% of the sample, differing in terms of gender. Substance users reported more psychoticlike experiences than non-users, especially in the positive dimension. Also, alcohol consumption predicted in most cases extreme scores on measures of delusional ideation and psychotic experiences. The association between these two variables showed a differentiated pattern, with a stronger relationship between substance use and cognitive-perceptual psychotic-like experiences. To some extent, these findings support the dimensional models of the psychosis phenotype and contribute a better understanding of the links between psychoticlike experiences and substance use in young adults. Future studies should further explore the role of different risk factors for psychotic disorders and include models of the gene-environment interaction.

Los trastornos del espectro esquizofrénico, así como las experiencias psicóticas, se han asociado con un mayor consumo de sustancias. El objetivo de este trabajo fue analizar la relación entre las experiencias psicóticas atenuadas y el consumo de sustancias en adultos jóvenes. La muestra la formaron un total de 660 participantes universitarios (M = 20,3 años; DT = 2,6). Los resultados mostraron que un 96% de la muestra informó de alguna experiencia de ideación delirante, mientras que el 20,3% informó de, al menos, una experiencia atenuada de tipo cognitivo-perceptual. El 41,1% de la muestra refirió algún consumo de sustancias, encontrándose diferencias en función del género. Los participantes consumidores informaron de un mayor número de experiencias psicóticas, sobre todo de tipo positivo. Asimismo, el consumo de alcohol predijo, en la mayoría de los casos, las puntuaciones extremas en las medidas de ideación delirante y experiencias pseudopsicóticas. La asociación entre estas dos variables parece mostrar un patrón diferenciado, encontrándose el consumo de sustancias más relacionado con las experiencias pseudo-psicóticas de tipo cognitivoperceptual. Estos hallazgos parecen apoyar los modelos dimensionales del fenotipo psicótico y permiten mejorar la comprensión de la relación entre las experiencias psicóticas atenuadas y el consumo de sustancias en adultos jóvenes. Futuros estudios deberían seguir analizando el papel de los factores de riesgo a los trastornos psicóticos, así como incorporar modelos de interacción gen x ambiente.

Adaptación española de la versión para adultos de la Escala de Placer Interpersonal Anticipatorio y Consumatorio / Spanish adaptation of the adult version of the Anticipatory and Consummatory Interpersonal Pleasure Scale

Introducción. Hasta la fecha hay una relativa escasez de medidas centradas en la evaluación de la anhedonia social que sean útiles para su uso, tanto en pacientes como en población general, y que al mismo tiempo sean adecuadas en cuanto a su contenido y brevedad. El objetivo de la presente investigación fue validar la adaptación española de la Anticipatory and Consummatory Interpersonal Pleasure Scale (ACIPS, «Escala de Placer Interpersonal Anticipatorio y Consumatorio»)-versión para adultos. Método. La muestra total incluyó 387 participantes no clínicos (128 hombres). La media de edad fue de 21,86 años (DT = 5,11; rango 18-46 años). Se utilizaron la ACIPS y el Inventario de Depresión de Beck-II como instrumentos de medida. Resultados. El análisis factorial exploratorio arrojó una solución de 3 factores que explicó el 79,1% de la varianza total (interacciones sociales íntimas, vinculación social en el contexto de los medios de comunicación y socialización informal). El alfa ordinal para la puntuación total de la ACIPS fue de 0,92, oscilando entre 0,76 y 0,84 para las subescalas. Los participantes que informaron de bajos niveles de síntomas depresivos tenían significativamente mayores puntuaciones en la ACIPS, en comparación con aquellos que presentaban niveles moderados-graves. La puntuación total de la ACIPS se asoció negativamente con las puntuaciones del Inventario de Depresión de Beck-II (r = −0,22; p ≤ 0,001). Los participantes con historia familiar previa de esquizofrenia mostraron puntuaciones significativamente más bajas en la ACIPS, en comparación con aquellos que no tenían antecedentes familiares. Conclusiones. Los resultados parecen mostrar que la versión española de la ACIPS presenta unas propiedades psicométricas adecuadas. La ACIPS podría ser una herramienta útil para analizar las distintas formas en que las diferencias individuales en la capacidad hedónica de las relaciones interpersonales se relacionan con el riesgo de padecer psicopatología (AU)

Introduction. To date, there is a relative dearth of measures focusing on social anhedonia that are suitable for both patient and non-patient samples, up to date in terms of their content, and relatively brief. The goal of the present investigation was to validate the Spanish translation of the Anticipatory and Consummatory Interpersonal Pleasure Scale (ACIPS)-Adult version for use with Spanish-speaking populations. Method. The total sample included 387 nonclinical individuals from Spain (128 males). The mean age was 21.86 years (SD = 5.11; range 18-46 years). The ACIPS and the Beck Depression Inventory-II were used. Results. Exploratory factor analysis yielded a 3-factor solution which explained 79.1% of the variance (intimate social interactions, social bonding in the context of media/communications, and casual socialization). The total ACIPS showed good internal consistency, estimated with ordinal alpha; it was 0.92, ranging from 0.76 to 0.84 for the subscales. The participants who reported a minimal to low level of depressive symptoms had significantly higher total ACIPS scores than the participants who reported experiencing moderate to severe levels of depressive symptoms. Total scores on the ACIPS were negatively associated with scores on the Beck Depression Inventory-II (r = −0.22, p ≤ .001). Participants with a family history reported significantly lower total ACIPS scores than those without a family history of schizophrenia. Conclusions. The present results showed that the Spanish version of the ACIPS scores had adequate psychometric properties. The ACIPS may be useful in terms of helping to elucidate the ways in which individual differences in hedonic capacity for social and interpersonal relationships relates meaningfully to risk for various forms of psychopathology (AU)