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Brief Reports   |    
The Subjective Experience of Youths at Clinically High Risk of Psychosis: A Qualitative Study
Shelly Ben-David, M.S.W.; Michael L. Birnbaum, M.D.; Mara E. Eilenberg, M.S.W., L.C.S.W.; Jordan E. DeVylder, M.S., Ph.D.; Kelly E. Gill, M.A.; Jessica Schienle, M.S.; Neyra Azimov, B.A.; Ellen P. Lukens, Ph.D.; Larry Davidson, Ph.D.; Cheryl M. Corcoran, M.D., M.S.
Psychiatric Services 2014; doi: 10.1176/appi.ps.201300527
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Ms. Ben-David is with the Silver School of Social Work, New York University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, New York City. Ms. Eilenberg and Dr. Corcoran are with the Department of Psychiatry, Columbia University, and the New York State Psychiatric Institute, New York City. Dr. DeVylder is with the School of Social Work, University of Maryland, Baltimore. Ms. Gill is with the Department of Psychology, Catholic University of America, Washington, D.C. Ms. Schienle is with the Department of Psychology, Stanford University, Palo Alto, California. Ms. Azimov is a medical student at the Stony Brook University School of Medicine, Stony Brook, New York. Dr. Lukens is with the School of Social Work, Columbia University, New York City. Dr. Davidson is with the Department of Psychiatry, Yale University, New Haven, Connecticut. Send correspondence to Dr. Corcoran (e-mail: cc788@columbia.edu).

Copyright © 2014 by the American Psychiatric Association


Objective  Understanding the experience of individuals across stages of schizophrenia is important for development of services to promote recovery. As yet, little is known about the experience of individuals who exhibit prodromal symptoms of schizophrenia.

Methods  Audiotaped interviews were conducted with 27 participants of diverse racial-ethnic backgrounds who were at clinically high risk of psychosis (15 males and 12 females; mean age 21). Phenomenological qualitative research techniques of coding, consensus, and comparison were used.

Results  Emergent themes differed by gender. Themes for males were feeling abnormal or “broken,” focus on going “crazy,” fantasy and escapism, and alienation and despair, with a desire for relationships. Themes for females were psychotic illness among family members, personal trauma, struggle with intimate relationships, and career and personal development.

Conclusions  The finding of relative social engagement and future orientation of females identified as at risk for psychosis is novel and has implications for outreach and treatment.

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Shepherd  S;  Depp  CA;  Harris  G  et al:  Perspectives on schizophrenia over the lifespan: a qualitative study.  Schizophrenia Bulletin 38:295–303, 2012
[CrossRef] | [PubMed]
Judge  AM;  Estroff  SE;  Perkins  DO  et al:  Recognizing and responding to early psychosis: a qualitative analysis of individual narratives.  Psychiatric Services 59:96–99, 2008
[CrossRef] | [PubMed]
Davidson  L;  Ridgway  P;  Kidd  S  et al:  Using qualitative research to inform mental health policy.  Canadian Journal of Psychiatry 53:137–144, 2008
Byrne  R;  Morrison  AP:  Young people at risk of psychosis: a user-led exploration of interpersonal relationships and communication of psychological difficulties.  Early Intervention in Psychiatry 4:162–168, 2010
[CrossRef] | [PubMed]
Welsh  P;  Tiffin  PA:  Observations of a small sample of adolescents experiencing an at-risk mental state (ARMS) for psychosis.  Schizophrenia Bulletin 38:215–218, 2012
[CrossRef] | [PubMed]
Boydell  KM;  Volpe  T;  Gladstone  BM  et al:  Youth at ultra-high risk for psychosis: using the Revised Network Episode Model to examine pathways to mental health care.  Early Intervention in Psychiatry 7:170–186, 2013
[CrossRef] | [PubMed]
Miller  TJ;  McGlashan  TH;  Rosen  JL  et al:  Prodromal assessment with the Structured Interview for Prodromal Syndromes and the Scale of Prodromal Symptoms: predictive validity, interrater reliability, and training to reliability.  Schizophrenia Bulletin 29:703–715, 2003
[CrossRef] | [PubMed]
DeVylder  JE;  Ben-David  S;  Schobel  SA  et al:  Temporal association of stress sensitivity and symptoms in individuals at clinical high risk for psychosis.  Psychological Medicine 43:259–268, 2013
[CrossRef] | [PubMed]
Davidson  L:  Phenomenological research in schizophrenia: from philosophical anthropology to empirical science.  Journal of Phenomenological Psychology 25:104–130, 1994
Giorgi  A:  Psychology as a Human Science: A Phenomenologically Based Approach .  New York,  Harper and Row, 1970
Wertz  FJ:  From everyday to psychological description: analyzing the moments of a qualitative data analysis.  Journal of Phenomenological Psychology 13:197–241, 1983
Willhite  RK;  Niendam  TA;  Bearden  CE  et al:  Gender differences in symptoms, functioning and social support in patients at ultra-high risk for developing a psychotic disorder.  Schizophrenia Research 104:237–245, 2008
[CrossRef] | [PubMed]
Walder  DJ;  Holtzman  CW;  Addington  J  et al:  Sexual dimorphisms and prediction of conversion in the NAPLS psychosis prodrome.  Schizophrenia Research 144:43–50, 2013
[CrossRef] | [PubMed]
Preston  NJ;  Orr  KG;  Date  R  et al:  Gender differences in premorbid adjustment of patients with first episode psychosis.  Schizophrenia Research 55:285–290, 2002
[CrossRef] | [PubMed]
Carey  B: Finding purpose after living with delusion. New York Times, Nov 5, 2011
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