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Does a parent-report measure of behavioral problems enhance prediction of conversion to psychosis in clinical high-risk adolescents?

ABSTRACT: Recent research on risk for psychosis has focused on youth who manifest subclinical signs that are often associated with the prodrome to psychosis. Standardized measures of prodromal symptoms have been shown to significantly enhance prediction of risk for conversion to an Axis I psychotic disorder. In the present study, a widely used parent-report measure of behavioral problems, the Child Behavior Checklist (CBCL) was administered to examine the clinical and diagnostic utility of the measure as an adjunctive screening instrument in the identification of at-risk youth. The CBCL, the Structured Interview for Prodromal Syndromes (SIPS), and other diagnostic measures were administered at baseline and at one year follow-up assessments to adolescents (n=41) at clinical high-risk for the development of a psychotic disorder. Analyses were conducted to compare the 14 at-risk adolescents who subsequently converted to psychosis to the 27 who did not. Conversion to psychosis was defined as conversion to an Axis I psychotic disorder or affective disorder with psychotic features. Consistent with expectations, at one year follow-up, compared to the Non-Converted participants, the Converted participants manifested significantly higher scores on the prodromal symptom scales of the SIPS. There were, however, no differences in CBCL social and behavioral ratings as a function of conversion status. It is concluded that the CBCL does not show promise as an alternative or adjunctive predictor of conversion to psychosis in at-risk adolescents.

SUBMITTER: Simeonova DI

PROVIDER: S-EPMC3139757 | biostudies-literature | 2011 Aug

REPOSITORIES: biostudies-literature

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Does a parent-report measure of behavioral problems enhance prediction of conversion to psychosis in clinical high-risk adolescents?

Simeonova Diana I DI Attalla Ashraf A Trotman Hanan H Esterberg Michelle M Walker Elaine F EF

Schizophrenia research 20110427 1-3

Recent research on risk for psychosis has focused on youth who manifest subclinical signs that are often associated with the prodrome to psychosis. Standardized measures of prodromal symptoms have been shown to significantly enhance prediction of risk for conversion to an Axis I psychotic disorder. In the present study, a widely used parent-report measure of behavioral problems, the Child Behavior Checklist (CBCL) was administered to examine the clinical and diagnostic utility of the measure as ...[more]

PMID: 21521630

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Project description:Background Since the 1990s, families from the ecologically hostile mountainous southern areas of Ningxia Province, China, have been migrating to the northern areas of the province. This study compared the prevalence of behavioral problems among migrant adolescents to those among host adolescents (adolescents from the northern areas) and adolescents in the region of origin (adolescents from the southern areas), to determine whether ecological migration is related to adolescent behavioral problems, and possible changes in such problems over time. Methods We used the Children and Adolescents Ecological Migration Survey on Mental Health, administered to 4805 students aged 12–16?years and their parents between 2012 and 2014 (W1), of whom 1753 students and their parents completed the follow-up between 2014 and 2017 (W2). Parents answered questions related to adolescent behavioral problems, main source of family income, parents’ desire to reverse migrate, improved standard of living, and parents’ educational attainment, while children completed the Eysenck Personality Questionnaire and a classroom environment questionnaire. Results The prevalence of behavioral problems among the migrant adolescents (28.04%) was significantly higher than among host adolescents (21.59%) or adolescents in the region of origin (24.37%; p?<?0.001) at W1. After adjusting for gender and age, parents’ work outside the home was the main source of family income (OR?=?1.42, 95% CI?=?1.13–1.78), and adolescents’ learning burden (OR?=?1.04, 95% CI?=?1.01–1.06) in school negatively influenced behavioral problems. Strong student-teacher relationships (OR?=?0.97,95% CI?=?0.94–0.99) and parents who had no intention to move back to the original residence (OR?=?0.70, 95% CI?=?0.52–0.94) exerted a protective effect at W1; at W2, a protective effect was associated with improved living conditions (OR?=?0.39–0.55, 95% CI?=?0.25–0.84). The extent of behavioral problems among migrant adolescents significantly decreased after two years. Conclusion Ecological migration will increase children’s behavioral problems in the early stage, with various factors influencing the extent of these problems.

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Does a parent-report measure of behavioral problems enhance prediction of conversion to psychosis in clinical high-risk adolescents?

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Does a parent-report measure of behavioral problems enhance prediction of conversion to psychosis in clinical high-risk adolescents?

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