The impact of age on the validity of psychosis-risk screening in a sample of help-seeking youth

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dc.contributor.authorRouhakhtar, Pamela Rakhshan
dc.contributor.authorPitts, Steven C.
dc.contributor.authorMillman, Zachary B.
dc.contributor.authorAndorko, Nicole D.
dc.contributor.authorRedman, Samantha
dc.contributor.authorWilson, Camille
dc.contributor.authorDemro, Caroline
dc.contributor.authorPhalen, Peter L.
dc.contributor.authorWalsh, Barbara
dc.contributor.authorWoods, Scott
dc.contributor.authorReeves, Gloria M.
dc.contributor.authorSchiffman, Jason
dc.date.accessioned2019-03-15T16:03:52Z
dc.date.available2019-03-15T16:03:52Z
dc.date.issued2019-04
dc.description.abstractSelf-report screening instruments offer promise in furthering early identification of at-risk youth, yet current efforts are limited by false positive rates. Identifying moderators of accuracy is a potential step towards improving identification and prevention efforts. We investigated the moderating effect of age on self-reported attenuated positive symptoms from the Prime Screen and clinician diagnosed clinical high-risk/early psychosis (CHR/EP) status. Participants (N = 134) were racially diverse, lower-income, help-seeking adolescents and young adults from a primarily urban community. The overall model predicting CHR/EP status was significant, with results suggesting the presence of a trending interaction between age and Prime Screen symptoms. Analyses indicated that number of items endorsed to predict CHR/EP decreased with age (youngest group [M = 12.99] cut off = 6 items; middle age group [M = 14.97] cut off = 3; oldest age group [M = 18.40] cut off = 1). Although younger participants endorsed more risk items on average, follow up analyses suggested that the Prime Screen was a more accurate predictor of clinician-diagnosed-risk among older participants relative to their younger peers. The current study builds on the literature identifying moderators of psychosis-risk screening measure accuracy, highlighting potential limitations of CHR/EP screening tools in younger populations.en_US
dc.description.sponsorshipThis work was supported by the National Institute of Mental Health (grants R01MH112612 and R34MH110506) and the Maryland Department of Health and Mental Hygiene, Behavioral Health Administration through the Center for Excellence on Early Intervention for Serious Mental Illness (OPASS# 14-13717G/M00B4400241). The funding sources did not have a role in the writing of this manuscript.en_US
dc.description.urihttps://www.sciencedirect.com/science/article/pii/S0165178118311788?via%3Dihuben_US
dc.format.extent6 pagesen_US
dc.genrejournal articlesen_US
dc.genrepostprints
dc.identifierdoi:10.13016/m2lx6h-jbec
dc.identifier.citationP.J. Rakhshan Rouhakhtar , Steven C. Pitts , Zachary B. Millman ,et.al, The impact of age on the validity of psychosis-risk screening in a sample of help-seeking youth, Psychiatry Research Volume 274, April 2019, Pages 30-35, https://doi.org/10.1016/j.psychres.2019.02.020en_US
dc.identifier.urihttps://doi.org/10.1016/j.psychres.2019.02.020
dc.identifier.urihttp://hdl.handle.net/11603/13072
dc.language.isoen_USen_US
dc.publisherElsevier B.V.en_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Psychology Department Collection
dc.relation.ispartofUMBC Faculty Collection
dc.relation.ispartofUMBC Student Collection
dc.relation.ispartofUMBC Staff Collection
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/3.0/us/
dc.rights.uriAccess to this item will begin on April 30, 2020*
dc.subjectPrime Screen and clinician diagnosed clinical high-risk/early psychosis (CHR/EP)en_US
dc.subjectpsychosis-risk syndromesen_US
dc.subjectstructured interview for psychosis-risk syndromes (SIPS)en_US
dc.subjectprime screen scoringen_US
dc.titleThe impact of age on the validity of psychosis-risk screening in a sample of help-seeking youthen_US
dc.typeTexten_US
dcterms.creatorhttps://orcid.org/0000-0001-8008-3552

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