PMID- 25919384 OWN - NLM STAT- MEDLINE DCOM- 20150629 LR - 20181202 IS - 1539-736X (Electronic) IS - 0022-3018 (Linking) VI - 203 IP - 5 DP - 2015 May TI - Evidence-based early interventions for individuals at clinical high risk for psychosis: a review of treatment components. PG - 342-51 LID - 10.1097/NMD.0000000000000287 [doi] AB - Youth and young adults at clinical high risk (CHR) for psychosis experience a broad range of difficulties, including attenuated psychotic symptoms, comorbid concerns, functional impairments, and family and interpersonal stress. Given emerging evidence that early interventions may improve functioning and reduce symptomatology while also lowering risk of transition to full-threshold psychosis, several randomized controlled trials have systematically evaluated the efficacy of CHR treatment approaches. This article describes and summarizes psychosocial intervention approaches that have demonstrated efficacy in treating people at CHR, with a focus on distilling individual components of these treatments. On the basis of the existing literature, we propose an empirically based, flexible, and comprehensive modularized approach to early intervention that meets the varying needs of individuals experiencing CHR-related distress and dysfunction, many of whom may be on a trajectory toward psychosis. FAU - Thompson, Elizabeth AU - Thompson E AD - *Department of Psychology, University of Maryland, Baltimore County; daggerDivision of Child and Adolescent Psychiatry, University of Maryland, Baltimore; double daggerDepartment of Psychology and Neuroscience, University of Colorado at Boulder; and section signSchool of Social Work and parallelMaryland Psychiatric Research Center, School of Medicine, University of Maryland, Baltimore. FAU - Millman, Zachary B AU - Millman ZB FAU - Okuzawa, Nana AU - Okuzawa N FAU - Mittal, Vijay AU - Mittal V FAU - DeVylder, Jordan AU - DeVylder J FAU - Skadberg, Travis AU - Skadberg T FAU - Buchanan, Robert W AU - Buchanan RW FAU - Reeves, Gloria M AU - Reeves GM FAU - Schiffman, Jason AU - Schiffman J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - J Nerv Ment Dis JT - The Journal of nervous and mental disease JID - 0375402 SB - IM MH - Adolescent MH - Caregivers/education MH - Cognitive Behavioral Therapy MH - Combined Modality Therapy MH - Disease Progression MH - *Early Medical Intervention MH - *Evidence-Based Medicine MH - Family Therapy MH - Genetic Predisposition to Disease MH - Humans MH - Patient Care Planning MH - *Prodromal Symptoms MH - Psychotherapy, Group MH - Psychotic Disorders/genetics/psychology/*therapy MH - Randomized Controlled Trials as Topic MH - Social Adjustment MH - Young Adult EDAT- 2015/04/29 06:00 MHDA- 2015/06/30 06:00 CRDT- 2015/04/29 06:00 PHST- 2015/04/29 06:00 [entrez] PHST- 2015/04/29 06:00 [pubmed] PHST- 2015/06/30 06:00 [medline] AID - 00005053-201505000-00007 [pii] AID - 10.1097/NMD.0000000000000287 [doi] PST - ppublish SO - J Nerv Ment Dis. 2015 May;203(5):342-51. doi: 10.1097/NMD.0000000000000287.