The impact of psychotic experiences in the early stages of mental health problems in young people

Kareen Heinze, Ashleigh Lin, Barnaby Nelson, Renate L.E.P. Reniers, Rachel Upthegrove, Latoya Clarke, Ayesha Roche, Angelique Lowrie, Stephen J. Wood

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Anxiety and depressive symptoms and psychotic experiences constitute common features of emerging mental disorders in young people. Psychotic experiences and the ultra-high risk (UHR) state for psychosis appear to have a particular importance for clinical presentation, progression of symptomatology, quality of life and functioning, but the impact of psychotic experiences in individuals seeking help at non-UHR services, compared to UHR services, is under-researched. Methods: Sixty-nine young people (Mage ± SD at baseline = 20.8 ± 2.6, range 16-26 years, 48 females) presenting to mental health services were grouped according to UHR and non-UHR status. They were assessed at baseline for anxiety and depressive symptoms, psychological distress, psychosocial functioning and quality of life. They were followed up at three, six, and 12 months. Data were analysed using mixed linear modelling. Results: UHR individuals reported higher levels of depressive symptoms and psychological distress, and lower levels of role functioning and quality of life compared to non-UHR individuals. No differences were reported for anxiety symptoms or social functioning. Decline in psychosocial functioning was not associated with clinical deterioration or reduction of quality of life. Conclusions: Psychotic experiences appear to be particularly associated with depressive symptoms and psychological distress, impaired role functioning and quality of life in help-seeking young people in the medium-term. It is therefore important to pay special attention to psychotic experiences in the early stages of mental health problems even if psychotic symptoms are not the main motivation for help-seeking.

Original languageEnglish
Article number214
JournalBMC Psychiatry
Volume18
Issue number1
DOIs
Publication statusPublished - 28 Jun 2018

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Mental Health
Quality of Life
Depression
Anxiety
Psychology
Mental Health Services
Mental Disorders
Psychotic Disorders
Motivation

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Heinze, K., Lin, A., Nelson, B., Reniers, R. L. E. P., Upthegrove, R., Clarke, L., ... Wood, S. J. (2018). The impact of psychotic experiences in the early stages of mental health problems in young people. BMC Psychiatry, 18(1), [214]. https://doi.org/10.1186/s12888-018-1767-y
Heinze, Kareen ; Lin, Ashleigh ; Nelson, Barnaby ; Reniers, Renate L.E.P. ; Upthegrove, Rachel ; Clarke, Latoya ; Roche, Ayesha ; Lowrie, Angelique ; Wood, Stephen J. / The impact of psychotic experiences in the early stages of mental health problems in young people. In: BMC Psychiatry. 2018 ; Vol. 18, No. 1.
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Heinze, K, Lin, A, Nelson, B, Reniers, RLEP, Upthegrove, R, Clarke, L, Roche, A, Lowrie, A & Wood, SJ 2018, 'The impact of psychotic experiences in the early stages of mental health problems in young people' BMC Psychiatry, vol. 18, no. 1, 214. https://doi.org/10.1186/s12888-018-1767-y

The impact of psychotic experiences in the early stages of mental health problems in young people. / Heinze, Kareen; Lin, Ashleigh; Nelson, Barnaby; Reniers, Renate L.E.P.; Upthegrove, Rachel; Clarke, Latoya; Roche, Ayesha; Lowrie, Angelique; Wood, Stephen J.

In: BMC Psychiatry, Vol. 18, No. 1, 214, 28.06.2018.

Research output: Contribution to journalArticle

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T1 - The impact of psychotic experiences in the early stages of mental health problems in young people

AU - Heinze, Kareen

AU - Lin, Ashleigh

AU - Nelson, Barnaby

AU - Reniers, Renate L.E.P.

AU - Upthegrove, Rachel

AU - Clarke, Latoya

AU - Roche, Ayesha

AU - Lowrie, Angelique

AU - Wood, Stephen J.

PY - 2018/6/28

Y1 - 2018/6/28

N2 - Background: Anxiety and depressive symptoms and psychotic experiences constitute common features of emerging mental disorders in young people. Psychotic experiences and the ultra-high risk (UHR) state for psychosis appear to have a particular importance for clinical presentation, progression of symptomatology, quality of life and functioning, but the impact of psychotic experiences in individuals seeking help at non-UHR services, compared to UHR services, is under-researched. Methods: Sixty-nine young people (Mage ± SD at baseline = 20.8 ± 2.6, range 16-26 years, 48 females) presenting to mental health services were grouped according to UHR and non-UHR status. They were assessed at baseline for anxiety and depressive symptoms, psychological distress, psychosocial functioning and quality of life. They were followed up at three, six, and 12 months. Data were analysed using mixed linear modelling. Results: UHR individuals reported higher levels of depressive symptoms and psychological distress, and lower levels of role functioning and quality of life compared to non-UHR individuals. No differences were reported for anxiety symptoms or social functioning. Decline in psychosocial functioning was not associated with clinical deterioration or reduction of quality of life. Conclusions: Psychotic experiences appear to be particularly associated with depressive symptoms and psychological distress, impaired role functioning and quality of life in help-seeking young people in the medium-term. It is therefore important to pay special attention to psychotic experiences in the early stages of mental health problems even if psychotic symptoms are not the main motivation for help-seeking.

AB - Background: Anxiety and depressive symptoms and psychotic experiences constitute common features of emerging mental disorders in young people. Psychotic experiences and the ultra-high risk (UHR) state for psychosis appear to have a particular importance for clinical presentation, progression of symptomatology, quality of life and functioning, but the impact of psychotic experiences in individuals seeking help at non-UHR services, compared to UHR services, is under-researched. Methods: Sixty-nine young people (Mage ± SD at baseline = 20.8 ± 2.6, range 16-26 years, 48 females) presenting to mental health services were grouped according to UHR and non-UHR status. They were assessed at baseline for anxiety and depressive symptoms, psychological distress, psychosocial functioning and quality of life. They were followed up at three, six, and 12 months. Data were analysed using mixed linear modelling. Results: UHR individuals reported higher levels of depressive symptoms and psychological distress, and lower levels of role functioning and quality of life compared to non-UHR individuals. No differences were reported for anxiety symptoms or social functioning. Decline in psychosocial functioning was not associated with clinical deterioration or reduction of quality of life. Conclusions: Psychotic experiences appear to be particularly associated with depressive symptoms and psychological distress, impaired role functioning and quality of life in help-seeking young people in the medium-term. It is therefore important to pay special attention to psychotic experiences in the early stages of mental health problems even if psychotic symptoms are not the main motivation for help-seeking.

KW - Clinical staging

KW - Psychotic experiences

KW - Ultra-high risk

KW - Youth mental health

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U2 - 10.1186/s12888-018-1767-y

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JO - BMC Psychiatry

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SN - 1471-244X

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