Family functioning moderates the impact of psychosis-risk symptoms on social and role functioning.
Family functioning moderates the impact of psychosis-risk symptoms on social and role functioning.
复制标题
家庭功能调节精神病风险症状对社会和角色功能的影响。
DOI：
10.1016/j.schres.2018.08.035
复制
发表时间：
2019
影响因子：
4.5
通讯作者：
Schiffman,Jason
中科院分区：
文献类型：
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作者：
Thompson,Elizabeth;Rakhshan,Pamela;Pitts,StevenC;Demro,Caroline;Millman,ZacharyB;Bussell,Kristin;DeVylder,Jordan;Kline,Emily;Reeves,GloriaM;Schiffman,Jason
背景精神错乱的临床高危青少年通常在社会和角色功能方面遇到困难。有证据表明，家庭压力和支持可以影响精神病风险症状，以及个人履行社会和角色功能的能力，假设家庭动态可以缓和精神病风险症状对功能的影响。方法CHR的参与者(N= 52)完成了临床医生管理的结构化精神病风险综合征访谈(SIPS)和家庭评估工具(FAD)一般功能量表，这是一种自我报告的测量家庭功能的工具，包括凝聚力和支持。面试者使用全球功能：社会和角色量表对参与者目前的社会和角色功能进行评级。结果回归结果表明，积极的症状，而不是家庭功能的评级，在统计上预测了社会和角色功能。然而，感知的家庭功能缓和了症状对社会/角色功能的影响。对于感觉到家庭功能水平较低的个体，症状与社会和角色功能中等相关(分别为f2= 0.17和f2= 0.23)。相比之下，对于认为家庭功能水平较高的个人来说，精神病风险症状与社会/角色功能没有显著关联。值得注意的是，阳性症状和感知的家庭功能并不相互关联，这表明感知的家庭功能并不直接影响症状严重程度，反之亦然。结论研究结果支持家庭功能可能是慢性阻塞性肺疾病患者临床上有意义的因素的概念。虽然这些横断面数据限制了我们对潜在机制的讨论，但结果表明，家庭支持可能对有精神病风险的个人有利。
BackgroundYouth at clinical high-risk (CHR) for psychosis often experience difficulties in social and role functioning. Given evidence that family stress and support can impact psychosis-risk symptoms, as well as an individual's ability to fulfill social and role functions, family dynamics are hypothesized to moderate the effect of psychosis-risk symptoms on functioning.MethodsParticipants at CHR (N= 52) completed the clinician-administered Structured Interview for Psychosis-risk Syndromes (SIPS) and the Family Assessment Device (FAD) General Functioning Scale, a self-report measure of family functioning including cohesion and support. Interviewers rated participants' current social and role functioning using the Global Functioning: Social and Role Scales.ResultsRegression results indicated that positive symptoms, but not ratings of family functioning, statistically predicted social and role functioning. Perceived family functioning, however, moderated the effect of symptoms on social/role functioning. For individuals who perceived lower levels of family functioning, symptoms were moderately associated with social and role functioning (f2= 0.17 andf2= 0.23, respectively). In contrast, psychosis-risk symptoms were not significantly associated with social/role functioning for individuals with higher levels of perceived family functioning. Notably, positive symptoms and perceived family functioning were not associated with one another, suggesting that perceived family functioning did not directly impact symptom severity, or vice versa.ConclusionsFindings support the notion that family functioning may be a clinically meaningful factor for individuals at CHR. Although this cross-sectional data limits our discussion of potential mechanisms underlying the pattern of findings, results suggest that familial support may be beneficial for individuals at risk for psychosis.