PMID- 34307899 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240404 IS - 2398-385X (Electronic) IS - 2398-385X (Linking) VI - 6 IP - 3 DP - 2021 TI - Computerized Assessment of Psychosis Risk. LID - e210011 [pii] LID - 10.20900/jpbs.20210011 [doi] AB - Early detection and intervention with young people at clinical high risk (CHR) for psychosis is critical for prevention efforts focused on altering the trajectory of psychosis. Early CHR research largely focused on validating clinical interviews for detecting at-risk individuals; however, this approach has limitations related to: (1) specificity (i.e., only 20% of CHR individuals convert to psychosis) and (2) the expertise and training needed to administer these interviews is limited. The purpose of our study is to develop the computerized assessment of psychosis risk (CAPR) battery, consisting of behavioral tasks that require minimal training to administer, can be administered online, and are tied to the neurobiological systems and computational mechanisms implicated in psychosis. The aims of our study are as follows: (1A) to develop a psychosis-risk calculator through the application of machine learning (ML) methods to the measures from the CAPR battery, (1B) evaluate group differences on the risk calculator score and test the hypothesis that the risk calculator score of the CHR group will differ from help-seeking and healthy controls, (1C) evaluate how baseline CAPR battery performance relates to symptomatic outcome two years later (i.e., conversion and symptomatic worsening). These aims will be explored in 500 CHR participants, 500 help-seeking individuals, and 500 healthy controls across the study sites. This project will provide a next-generation CHR battery, tied to illness mechanisms and powered by cutting-edge computational methods that can be used to facilitate the earliest possible detection of psychosis risk. FAU - Mittal, Vijay A AU - Mittal VA AD - Institutes for Policy Research (IPR) and Innovations in Developmental Sciences (DevSci), Departments of Psychology, Psychiatry, Medical Social Sciences, Northwestern University, Evanston, IL 60208, USA. FAU - Ellman, Lauren M AU - Ellman LM AD - Department of Psychology, Temple University, Philadelphia, PA 19122, USA. FAU - Strauss, Gregory P AU - Strauss GP AD - Departments of Psychology and Neuroscience, University of Georgia, Athens, GA 30602, USA. FAU - Walker, Elaine F AU - Walker EF AD - Department of Psychology and Program in Neuroscience, Emory University, Atlanta, GA 30322, USA. FAU - Corlett, Philip R AU - Corlett PR AD - Department of Psychiatry, Yale University, New Haven, CT 06519, USA. FAU - Schiffman, Jason AU - Schiffman J AD - Department of Psychological Science, 4201 Social and Behavioral Sciences Gateway, University of California, Irvine, CA 92697, USA. FAU - Woods, Scott W AU - Woods SW AD - Department of Psychiatry, Yale University, New Haven, CT 06519, USA. FAU - Powers, Albert R AU - Powers AR AD - Department of Psychiatry, Yale University, New Haven, CT 06519, USA. FAU - Silverstein, Steven M AU - Silverstein SM AD - Center for Visual Science, Departments of Psychiatry, Neuroscience and Ophthalmology, University of Rochester Medical Center, Rochester, NY 14642, USA. FAU - Waltz, James A AU - Waltz JA AD - Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 21228, USA. FAU - Zinbarg, Richard AU - Zinbarg R AD - Department of Psychology, Northwestern University, Evanston, IL 60208, USA. AD - The Family Institute at Northwestern University, Evanston, IL 60208, USA. FAU - Chen, Shuo AU - Chen S AD - Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 21228, USA. FAU - Williams, Trevor AU - Williams T AD - Department of Psychology, Northwestern University, Evanston, IL 60208, USA. FAU - Kenney, Joshua AU - Kenney J AD - Department of Psychiatry, Yale University, New Haven, CT 06519, USA. FAU - Gold, James M AU - Gold JM AD - Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 21228, USA. LA - eng GR - R01 MH112613/MH/NIMH NIH HHS/United States GR - R01 MH112612/MH/NIMH NIH HHS/United States GR - UL1 TR001863/TR/NCATS NIH HHS/United States GR - R01 MH120089/MH/NIMH NIH HHS/United States GR - K23 MH115252/MH/NIMH NIH HHS/United States GR - R01 MH120090/MH/NIMH NIH HHS/United States GR - R01 MH112545/MH/NIMH NIH HHS/United States GR - R01 MH116039/MH/NIMH NIH HHS/United States GR - R21 MH119438/MH/NIMH NIH HHS/United States GR - R01 MH120091/MH/NIMH NIH HHS/United States GR - R01 MH120088/MH/NIMH NIH HHS/United States GR - R01 MH120092/MH/NIMH NIH HHS/United States GR - U01 MH081988/MH/NIMH NIH HHS/United States PT - Journal Article DEP - 20210629 PL - England TA - J Psychiatr Brain Sci JT - Journal of psychiatry and brain science JID - 101739159 PMC - PMC8302046 MID - NIHMS1720085 OTO - NOTNLM OT - behavioral tasks OT - clinical high-risk OT - computational psychiatry OT - computerized assessment OT - precision medicine OT - prodrome OT - psychosis OT - risk calculator OT - risk screening OT - schizophrenia COIS- CONFLICTS OF INTEREST The authors report no conflicts of interest. EDAT- 2021/07/27 06:00 MHDA- 2021/07/27 06:01 PMCR- 2021/07/23 CRDT- 2021/07/26 06:43 PHST- 2021/07/26 06:43 [entrez] PHST- 2021/07/27 06:00 [pubmed] PHST- 2021/07/27 06:01 [medline] PHST- 2021/07/23 00:00 [pmc-release] AID - e210011 [pii] AID - 10.20900/jpbs.20210011 [doi] PST - ppublish SO - J Psychiatr Brain Sci. 2021;6(3):e210011. doi: 10.20900/jpbs.20210011. Epub 2021 Jun 29.