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Reciprocal social behavior in youths with psychotic illness and those at clinical high risk

Published online by Cambridge University Press:  08 November 2013

Maria Jalbrzikowski ,
Kate E. Krasileva ,
Sarah Marvin ,
Jamie Zinberg ,
Angielette Andaya ,
Peter Bachman ,
Tyrone D. Cannon  and
Carrie E. Bearden
Maria Jalbrzikowski
Affiliation:
University of California, Los Angeles
Kate E. Krasileva
Affiliation:
University of California, Los Angeles
Sarah Marvin
Affiliation:
University of California, Los Angeles
Jamie Zinberg
Affiliation:
University of California, Los Angeles
Angielette Andaya
Affiliation:
University of California, Los Angeles
Peter Bachman
Affiliation:
University of California, Los Angeles
Tyrone D. Cannon
Affiliation:
University of California, Los Angeles
Carrie E. Bearden*
Affiliation:
University of California, Los Angeles
*
Address correspondence and reprint requests to: Carrie E. Bearden, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Box 956968, 300 Medical Plaza, Room 2267, Los Angeles, CA 90095-6968; E-mail: [email protected].
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Abstract

Youths at clinical high risk (CHR) for psychosis typically exhibit significant social dysfunction. However, the specific social behaviors associated with psychosis risk have not been well characterized. We administer the Social Responsiveness Scale (SRS), a measure of autistic traits that examines reciprocal social behavior, to the parents of 117 adolescents (61 CHR individuals, 20 age-matched adolescents with a psychotic disorder [AOP], and 36 healthy controls) participating in a longitudinal study of psychosis risk. AOP and CHR individuals have significantly elevated SRS scores relative to healthy controls, indicating more severe social deficits. Mean scores for AOP and CHR youths are typical of scores obtained in individuals with high functioning autism (Constantino & Gruber, 2005). SRS scores are significantly associated with concurrent real-world social functioning in both clinical groups. Finally, baseline SRS scores significantly predict social functioning at follow-up (an average of 7.2 months later) in CHR individuals, over and above baseline social functioning measures (p < .009). These findings provide novel information regarding impairments in domains critical for adolescent social development, because CHR individuals and those with overt psychosis show marked deficits in reciprocal social behavior. Further, the SRS predicts subsequent real-world social functioning in CHR youth, suggesting that this measure may be useful for identifying targets of treatment in psychosocial interventions.

Type
Regular Articles
Information
Development and Psychopathology , Volume 25 , Issue 4pt1 , November 2013 , pp. 1187 - 1197
Copyright
Copyright © Cambridge University Press 2013 

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