Personality traits and transition to psychosis one year after the first assessment

IntroductionSeveral studies have identified ultra-high-risk criteria that may characterize an at-risk mental state and predict the transition of psychotic evolution. Personality traits may play a crucial role in this process.AimsThe current study aims to: (a) explore the evolution of an initial diag...

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Main Authors: Francesca De Salve, Chiara Rossi, Cesare Cavalera, Lara Malvini, Simona Barbera, Sofia Tagliabue, Mauro Percudani, Osmano Oasi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1096626/full
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author Francesca De Salve
Chiara Rossi
Cesare Cavalera
Lara Malvini
Simona Barbera
Sofia Tagliabue
Mauro Percudani
Osmano Oasi
author_facet Francesca De Salve
Chiara Rossi
Cesare Cavalera
Lara Malvini
Simona Barbera
Sofia Tagliabue
Mauro Percudani
Osmano Oasi
author_sort Francesca De Salve
collection DOAJ
description IntroductionSeveral studies have identified ultra-high-risk criteria that may characterize an at-risk mental state and predict the transition of psychotic evolution. Personality traits may play a crucial role in this process.AimsThe current study aims to: (a) explore the evolution of an initial diagnosis over 12 months; (b) assess differences in social and occupational functioning; (c) identify common (trans-diagnostic) personality traits of psychotic risk.MethodsThe sample includes 97 (44 males and 53 females) young adults. They completed an assessment that consists of socio-demographic data, the Social and Occupational Functioning Scale, the Early Recognition Inventory-retrospective assessment onset of schizophrenia, and the Personality Inventory for DSM-5 (PID-5). According to the tests’ assessment, the sample was divided into three different groups: Ultra-High Risk (UHR), At-Risk, and Not at risk. One year after the first evaluation, psychiatrists administered the QuickSCID-5 to verify the diagnostic trajectories of the sample.ResultsOverall, the most prevalent category diagnoses were anxiety/depression, personality disorders, and psychosis. Specifically, the most common diagnosis in the UHR group was psychosis. Moreover, in the UHR group, the social and occupational functioning score was the lowest. In terms of differences in PID-5 personality traits, the At-risk and UHR groups scored highest in detachment and disinhibition. No statistically significant differences were found between the groups for negative affectivity, antagonism, and psychoticism traits.ConclusionResults obtained by the current study should be considered an attempt to better understand the diagnostic trajectories and trans-diagnostic personality traits in a group of young help-seekers, specifically in UHR. Findings highlight both the importance of diagnosis and personality traits evaluation to customize a specific intervention based on the level of psychotic risk. Clinical suggestions are reported.
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spelling doaj.art-fdb72b0dda674e489c22a8b53c31f6f62023-05-18T10:23:39ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-01-011410.3389/fpsyg.2023.10966261096626Personality traits and transition to psychosis one year after the first assessmentFrancesca De Salve0Chiara Rossi1Cesare Cavalera2Lara Malvini3Simona Barbera4Sofia Tagliabue5Mauro Percudani6Osmano Oasi7Department of Psychology, Catholic University of Milan, Milan, ItalyDepartment of Psychology, Catholic University of Milan, Milan, ItalyDepartment of Psychology, Catholic University of Milan, Milan, ItalyDepartment of Mental Health and Addiction Services, Niguarda Hospital, Milan, ItalyDepartment of Mental Health and Addiction Services, Niguarda Hospital, Milan, ItalyDepartment of Mental Health and Addiction Services, Niguarda Hospital, Milan, ItalyDepartment of Mental Health and Addiction Services, Niguarda Hospital, Milan, ItalyDepartment of Psychology, Catholic University of Milan, Milan, ItalyIntroductionSeveral studies have identified ultra-high-risk criteria that may characterize an at-risk mental state and predict the transition of psychotic evolution. Personality traits may play a crucial role in this process.AimsThe current study aims to: (a) explore the evolution of an initial diagnosis over 12 months; (b) assess differences in social and occupational functioning; (c) identify common (trans-diagnostic) personality traits of psychotic risk.MethodsThe sample includes 97 (44 males and 53 females) young adults. They completed an assessment that consists of socio-demographic data, the Social and Occupational Functioning Scale, the Early Recognition Inventory-retrospective assessment onset of schizophrenia, and the Personality Inventory for DSM-5 (PID-5). According to the tests’ assessment, the sample was divided into three different groups: Ultra-High Risk (UHR), At-Risk, and Not at risk. One year after the first evaluation, psychiatrists administered the QuickSCID-5 to verify the diagnostic trajectories of the sample.ResultsOverall, the most prevalent category diagnoses were anxiety/depression, personality disorders, and psychosis. Specifically, the most common diagnosis in the UHR group was psychosis. Moreover, in the UHR group, the social and occupational functioning score was the lowest. In terms of differences in PID-5 personality traits, the At-risk and UHR groups scored highest in detachment and disinhibition. No statistically significant differences were found between the groups for negative affectivity, antagonism, and psychoticism traits.ConclusionResults obtained by the current study should be considered an attempt to better understand the diagnostic trajectories and trans-diagnostic personality traits in a group of young help-seekers, specifically in UHR. Findings highlight both the importance of diagnosis and personality traits evaluation to customize a specific intervention based on the level of psychotic risk. Clinical suggestions are reported.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1096626/fullat-risk mental statesultra high riskpsychosispersonality traitsPID-5social and occupational functioning
spellingShingle Francesca De Salve
Chiara Rossi
Cesare Cavalera
Lara Malvini
Simona Barbera
Sofia Tagliabue
Mauro Percudani
Osmano Oasi
Personality traits and transition to psychosis one year after the first assessment
Frontiers in Psychology
at-risk mental states
ultra high risk
psychosis
personality traits
PID-5
social and occupational functioning
title Personality traits and transition to psychosis one year after the first assessment
title_full Personality traits and transition to psychosis one year after the first assessment
title_fullStr Personality traits and transition to psychosis one year after the first assessment
title_full_unstemmed Personality traits and transition to psychosis one year after the first assessment
title_short Personality traits and transition to psychosis one year after the first assessment
title_sort personality traits and transition to psychosis one year after the first assessment
topic at-risk mental states
ultra high risk
psychosis
personality traits
PID-5
social and occupational functioning
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1096626/full
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