PMID- 28412612 OWN - NLM STAT- MEDLINE DCOM- 20180119 LR - 20191210 IS - 1872-7123 (Electronic) IS - 0165-1781 (Linking) VI - 253 DP - 2017 Jul TI - Impairment in Social Functioning differentiates youth meeting Ultra-High Risk for psychosis criteria from other mental health help-seekers: A validation of the Italian version of the Global Functioning: Social and Global Functioning: Role scales. PG - 296-302 LID - S0165-1781(16)31520-7 [pii] LID - 10.1016/j.psychres.2017.04.008 [doi] AB - Social and occupational impairments are present in the schizophrenia prodrome, and poor social functioning predicts transition to psychosis in Ultra-High Risk (UHR) individuals. We aimed to: 1) validate the Italian version of the Global Functioning: Social (GF: S) and Global Functioning: Role (GF: S) scales; 2) evaluate their association with UHR criteria. Participants were 12-21-years-old (age, mean=15.2, standard deviation=2.1, male/female ratio=117/120) nonpsychotic help-seekers, meeting (N=39) or not (N=198) UHR criteria. Inter-rater reliability was excellent for both scales, which also showed good to excellent concurrent validity, as measured by correlation with Global Assessment of Functioning (GAF) scores. Furthermore, GF:S and GF: R were able to discriminate between UHRs and non-UHRs, with UHRs having lower current scores. After adjusting for current GAF scores, only current GF:S scores independently differentiated UHR from non-UHR (OR=1.33, 95%CI: 1.02-1.75, p=0.033). Finally, UHR participants showed a steeper decrease from highest GF:S and GF: R scores in the past year to their respective current scores, but not from highest past year GAF scores to current scores. GF:S/GS: R scores were not affected by age or sex. GF:S/GF: R are useful functional level and outcome measures, having the advantage over the GAF to not confound functioning with symptom severity. Additionally, the GF:S may be helpful in identifying UHR individuals. CI - Copyright (c) 2017. Published by Elsevier B.V. FAU - Lo Cascio, Nella AU - Lo Cascio N AD - Department of Neurology and Psychiatry, School of Medicine and Dentistry, Sapienza University, Rome, Italy; Department of Neurosciences and Neurorehabilitation, Bambino Gesu Children's Hospital, Rome, Italy. Electronic address: nellalocascio@gmail.com. FAU - Curto, Martina AU - Curto M AD - Department of Neurology and Psychiatry, School of Medicine and Dentistry, Sapienza University, Rome, Italy. FAU - Pasqualetti, Patrizio AU - Pasqualetti P AD - Department of Neurosciences and Neurorehabilitation, Bambino Gesu Children's Hospital, Rome, Italy; Service of Medical Statistics and Information Technology, Fatebenefratelli Foundation for Health Research and Education, AFaR Division, Rome, Italy. FAU - Lindau, Juliana Fortes AU - Lindau JF AD - Neurosciences, Mental Health and Sensory Functions (NESMOS) Department, School of Medicine and Psychology, Sapienza University - Rome, Acute Psychiatric Care Unit, Sant'Andrea Hospital, Rome, Italy. FAU - Girardi, Nicoletta AU - Girardi N AD - Department of Neurology and Psychiatry, School of Medicine and Dentistry, Sapienza University, Rome, Italy. FAU - Saba, Riccardo AU - Saba R AD - Department of Neurology and Psychiatry, School of Medicine and Dentistry, Sapienza University, Rome, Italy. FAU - Brandizzi, Martina AU - Brandizzi M AD - Department of Neurology and Psychiatry, School of Medicine and Dentistry, Sapienza University, Rome, Italy. FAU - Monducci, Elena AU - Monducci E AD - Department of Neurosciences and Neurorehabilitation, Bambino Gesu Children's Hospital, Rome, Italy. FAU - Masillo, Alice AU - Masillo A AD - Department of Neurology and Psychiatry, School of Medicine and Dentistry, Sapienza University, Rome, Italy. FAU - Colafrancesco, Giada AU - Colafrancesco G AD - Pediatrics and Pediatric Neuropsychiatry Department, School of Medicine and Dentistry, Sapienza University, Rome, Italy. FAU - Solfanelli, Andrea AU - Solfanelli A AD - Neurosciences, Mental Health and Sensory Functions (NESMOS) Department, School of Medicine and Psychology, Sapienza University - Rome, Acute Psychiatric Care Unit, Sant'Andrea Hospital, Rome, Italy. FAU - De Crescenzo, Franco AU - De Crescenzo F AD - Department of Neurosciences and Neurorehabilitation, Bambino Gesu Children's Hospital, Rome, Italy; Institute of Psychiatry and Psychology, Catholic University Medical School, Agostino Gemelli Hospital, Rome, Italy. FAU - Kotzalidis, Georgios D AU - Kotzalidis GD AD - Neurosciences, Mental Health and Sensory Functions (NESMOS) Department, School of Medicine and Psychology, Sapienza University - Rome, Acute Psychiatric Care Unit, Sant'Andrea Hospital, Rome, Italy. FAU - Dario, Claudia AU - Dario C AD - Department of Neurology and Psychiatry, School of Medicine and Dentistry, Sapienza University, Rome, Italy. FAU - Ferrara, Mauro AU - Ferrara M AD - Pediatrics and Pediatric Neuropsychiatry Department, School of Medicine and Dentistry, Sapienza University, Rome, Italy. FAU - Vicari, Stefano AU - Vicari S AD - Department of Neurosciences and Neurorehabilitation, Bambino Gesu Children's Hospital, Rome, Italy. FAU - Girardi, Paolo AU - Girardi P AD - Neurosciences, Mental Health and Sensory Functions (NESMOS) Department, School of Medicine and Psychology, Sapienza University - Rome, Acute Psychiatric Care Unit, Sant'Andrea Hospital, Rome, Italy. FAU - Auther, Andrea M AU - Auther AM AD - The Zucker Hillside Hospital Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA; Hofstra Northwell School of Medicine, Hofstra University, Hempstead, NY, USA. FAU - Cornblatt, Barbara A AU - Cornblatt BA AD - The Zucker Hillside Hospital Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA; Hofstra Northwell School of Medicine, Hofstra University, Hempstead, NY, USA; The Feinstein Institute for Medical Research, Manhasset, NY, USA. FAU - Correll, Christoph U AU - Correll CU AD - The Zucker Hillside Hospital Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA; Hofstra Northwell School of Medicine, Hofstra University, Hempstead, NY, USA; The Feinstein Institute for Medical Research, Manhasset, NY, USA. FAU - Fiori Nastro, Paolo AU - Fiori Nastro P AD - Department of Neurology and Psychiatry, School of Medicine and Dentistry, Sapienza University, Rome, Italy. LA - eng GR - P30 MH090590/MH/NIMH NIH HHS/United States PT - Journal Article PT - Validation Study DEP - 20170406 PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 SB - IM MH - Adolescent MH - Adult MH - Diagnosis, Differential MH - Female MH - Humans MH - Italy MH - Language MH - Male MH - Mental Disorders/*diagnosis/psychology MH - Psychiatric Status Rating Scales/*standards MH - Psychotic Disorders/*diagnosis/psychology MH - Reproducibility of Results MH - Risk Assessment MH - *Social Adjustment MH - Translations MH - Young Adult OTO - NOTNLM OT - Adolescents OT - Psychosis OT - Rating scales OT - Reliability OT - Social functioning OT - Validation EDAT- 2017/04/17 06:00 MHDA- 2018/01/20 06:00 CRDT- 2017/04/17 06:00 PHST- 2016/09/05 00:00 [received] PHST- 2017/02/26 00:00 [revised] PHST- 2017/04/02 00:00 [accepted] PHST- 2017/04/17 06:00 [pubmed] PHST- 2018/01/20 06:00 [medline] PHST- 2017/04/17 06:00 [entrez] AID - S0165-1781(16)31520-7 [pii] AID - 10.1016/j.psychres.2017.04.008 [doi] PST - ppublish SO - Psychiatry Res. 2017 Jul;253:296-302. doi: 10.1016/j.psychres.2017.04.008. Epub 2017 Apr 6.