PMID- 34138610 OWN - NLM STAT- MEDLINE DCOM- 20220302 LR - 20230708 IS - 1559-3126 (Electronic) IS - 1095-158X (Print) IS - 1095-158X (Linking) VI - 45 IP - 1 DP - 2022 Mar TI - A qualitative study on identity in individuals at clinical high risk for psychosis: " ... Why does it have to be one thing?". PG - 44-53 LID - 10.1037/prj0000492 [doi] AB - OBJECTIVE: Qualitative research can shed light on the subjective experiences of individuals at clinical high risk (CHR) for psychosis, complement quantitative research, broaden our understanding of experiencing CHR, and inform intervention development. The aim of this study was to explore life experiences of individuals at CHR through qualitative research. METHOD: Participants were 37 individuals at CHR (20 male, 17 female) aged 16-34 (M(age) = 23.32 +/- 5.26), and 16 healthy controls (HCs; 7 male, 9 female) aged 18-34 (M(age) = 25.37 +/- 4.05). Qualitative data were obtained through open-ended interviews (30-45 min). No a priori hypotheses were made, and thematic analyses were used to develop themes. RESULTS: Four major themes and one subtheme related to identity were identified through the iterative thematic analysis: defining a self-concept (with a subtheme of creativity), identity development/formation, feeling different from others, and change from a former self. Over 80% of the CHR cohort spontaneously discussed topics related to their identity, compared to 38% of HCs. HCs only reported content within the defining a self-concept theme, while the CHR group reported content within all themes. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The present study demonstrates that identity formation is a major process for youth in general and that psychosis experiences can make this process more challenging. CHR participants spontaneously brought up multiple themes related to identity in open-ended interviews, suggesting the relevance of this topic in this population. Clinicians should continue to probe identity-related concerns on an individual basis and research should focus on integrating this framework into the conceptualization and treatment of CHR. (PsycInfo Database Record (c) 2022 APA, all rights reserved). FAU - Sarac, Cansu AU - Sarac C AUID- ORCID: 0000-0003-3819-5918 AD - Department of Psychiatry. FAU - DeLuca, Joseph S AU - DeLuca JS AUID- ORCID: 0000-0002-5958-7219 AD - Department of Psychiatry. FAU - Bilgrami, Zarina R AU - Bilgrami ZR AUID- ORCID: 0000-0002-5996-415X AD - Department of Psychiatry. FAU - Herrera, Shaynna N AU - Herrera SN AUID- ORCID: 0000-0002-8295-4515 AD - Department of Psychiatry. FAU - Myers, Jonathan J AU - Myers JJ AD - Department of Psychiatry. FAU - Dobbs, Matthew F AU - Dobbs MF AD - Department of Psychiatry. FAU - Haas, Shalaila S AU - Haas SS AUID- ORCID: 0000-0003-1385-1050 AD - Department of Psychiatry. FAU - Todd, Therese L AU - Todd TL AUID- ORCID: 0000-0002-1021-290X AD - Department of Psychiatry. FAU - Srivastava, Agrima AU - Srivastava A AD - Department of Psychiatry. FAU - Jespersen, Rachel AU - Jespersen R AD - Department of Psychiatry. FAU - Shaik, Riaz B AU - Shaik RB AD - Department of Psychiatry. FAU - Landa, Yulia AU - Landa Y AD - Department of Psychiatry. FAU - Davidson, Larry AU - Davidson L AD - Department of Psychiatry. FAU - Pavlo, Anthony J AU - Pavlo AJ AD - Department of Psychiatry. FAU - Corcoran, Cheryl M AU - Corcoran CM AD - Department of Psychiatry. LA - eng GR - R01 MH107558/MH/NIMH NIH HHS/United States GR - R01 MH115332/MH/NIMH NIH HHS/United States GR - T32 MH122394/MH/NIMH NIH HHS/United States PT - Journal Article DEP - 20210617 PL - United States TA - Psychiatr Rehabil J JT - Psychiatric rehabilitation journal JID - 9601800 SB - IM MH - Adolescent MH - Adult MH - Emotions MH - Female MH - Humans MH - Male MH - *Psychotic Disorders/therapy MH - Qualitative Research MH - *Self Concept MH - Young Adult PMC - PMC8678395 MID - NIHMS1732585 EDAT- 2021/06/18 06:00 MHDA- 2022/03/03 06:00 PMCR- 2023/03/01 CRDT- 2021/06/17 17:14 PHST- 2021/06/18 06:00 [pubmed] PHST- 2022/03/03 06:00 [medline] PHST- 2021/06/17 17:14 [entrez] PHST- 2023/03/01 00:00 [pmc-release] AID - 2021-56336-001 [pii] AID - 10.1037/prj0000492 [doi] PST - ppublish SO - Psychiatr Rehabil J. 2022 Mar;45(1):44-53. doi: 10.1037/prj0000492. Epub 2021 Jun 17.