Family communication and the efficacy of family focused therapy in individuals at clinical high risk for psychosis with comorbid anxiety.
Family communication and the efficacy of family focused therapy in individuals at clinical high risk for psychosis with comorbid anxiety.
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DOI：
10.1111/eip.13326
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发表时间：
2023-03
影响因子：
2
通讯作者：
Cannon TD
中科院分区：
文献类型：
--
作者：
O'Brien Cannon AC;Caporino NE;O'Brien MP;Miklowitz DJ;Addington JM;Cannon TD
共病焦虑障碍与精神病临床高风险个体的疾病严重程度有关，但其在调节对家庭焦点治疗（FFT）的反应方面的潜在作用尚未得到研究。我们调查了在家庭解决问题的互动过程中，焦虑症患者的共病是否与建设性沟通不足有关，他们的沟通技巧是否在FFT后有不同程度的改善，以及FFT是否能有效降低这一人群的焦虑。招募到第二阶段的8个站点的北美前驱症状纵向研究（NAPLS 2）的个人参加（N = 129）。他们被随机分配到18个FFT-BACK或三个增强护理（EC）会议。参与者在治疗前完成了诊断性访谈，在治疗前和6个月完成了家庭互动任务，在治疗前、6个月和12个月完成了自我报告的焦虑测量。在治疗前的家庭问题解决互动中，患有共病焦虑的个体比没有共病焦虑的个体参与更多的消极行为和更少的积极行为。焦虑症诊断与干预行为评分时间之间存在显著的相互作用，因此，无论治疗条件如何，与无焦虑症的患者相比，焦虑症诊断患者在干预后6个月内的消极行为减少更多，积极行为增加更多。然而，无论焦虑诊断如何，从治疗前到12个月随访，FFT-CHR中个人自我报告的焦虑症状比EC中减少得更多。患有焦虑症状的自闭症患者可以从家庭干预中受益，从而减少焦虑并改善家庭沟通。
Comorbid anxiety disorder is related to greater illness severity among individuals at clinical high risk (CHR) for psychosis, but its potential role in moderating response to Family Focused Therapy (FFT) for CHR is unexamined. We investigated whether comorbid anxiety disorder in CHR individuals is associated with less constructive communication during family problem-solving interactions, whether their communication skills differentially improve after FFT, and whether FFT is effective in reducing anxiety in this population. Individuals recruited into the second phase of the 8-site North American Prodrome Longitudinal Study (NAPLS2) participated (N = 129). They were randomly assigned to 18-sessions of FFT-CHR or three-sessions of Enhanced Care (EC). Participants completed a diagnostic interview at pre-treatment, a family interaction task at pre-treatment and 6-months, and a self-report anxiety measure at pretreatment, 6 and 12-months. Individuals at CHR with comorbid anxiety engaged in more negative and fewer positive behaviours during family problem-solving interactions at pre-treatment than did those without comorbid anxiety. There was a significant interaction between anxiety diagnosis and time on interactional behaviour scores, such that individuals at CHR with an anxiety diagnosis showed a greater decrease in negative behaviours and increase in positive behaviours from baseline to 6-months than those without anxiety disorder(s) regardless of treatment condition. However, individuals’ self-reported anxiety symptoms decreased more in FFT-CHR than in EC from pre-treatment to 12-month follow-up, regardless of anxiety diagnoses. Individuals at CHR with symptoms of anxiety benefit from family interventions in showing reductions in anxiety and improvements in family communication.
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影响因子：
4.5
作者：
Addington J;Cadenhead KS;Cornblatt BA;Mathalon DH;McGlashan TH;Perkins DO;Seidman LJ;Tsuang MT;Walker EF;Woods SW;Addington JA;Cannon TD
通讯作者：
Cannon TD
影响因子：
5.9
作者：
Barrett, PM;Dadds, MR;Rapee, RM
通讯作者：
Rapee, RM
影响因子：
5.4
作者：
Addington J;Farris M;Devoe D;Metzak P
通讯作者：
Metzak P
影响因子：
2.3
作者：
JEGEDE, RO
通讯作者：
JEGEDE, RO
影响因子：
2
作者：
McAusland, Laina;Buchy, Lisa;Addington, Jean
通讯作者：
Addington, Jean