PMID- 37156496
OWN - NLM
STAT- MEDLINE
DCOM- 20230510
LR  - 20240502
IS  - 1751-7893 (Electronic)
IS  - 1751-7885 (Print)
IS  - 1751-7885 (Linking)
VI  - 17
IP  - 5
DP  - 2023 May
TI  - Social network size in adolescents at clinical high risk for psychosis.
PG  - 462-469
LID - 10.1111/eip.13341 [doi]
AB  - AIMS: Adolescents and young adults at clinical high risk (CHR) for psychosis 
      report few close friends. Social support has been linked to conversion to 
      psychosis and psychosis relapse in CHR individuals. Expanding earlier research on 
      loneliness and friendships at a single timepoint, this study described 
      composition and changes in social network and its association with clinical and 
      cognitive symptoms among CHR adolescents. METHODS: Ninety five individuals (46 
      CHR individuals, 49 healthy volunteers) completed baseline and 1-year follow-up 
      Social Network Index (SNI) evaluations and clinical interviews. Analyses first 
      examined SNI size and composition across 10 categories (e.g., family, close 
      friends, coworkers, classmates) between groups. Then, the relationship between 
      SNI size and baseline social symptoms (i.e., paranoia, social anhedonia, social 
      anxiety, social cognition), social function, and changes in symptoms and social 
      networks over 1-year were examined within the CHR group. RESULTS: CHR individuals 
      showed smaller social networks overall, driven by fewer friendships and family 
      relationships. Social cognition and social anxiety significantly related to SNI 
      size at baseline, but social anhedonia and paranoia did not. SNI size related to 
      social function, but with a modest effect size (r's = .45 and .56). Surprisingly, 
      an increase in positive symptom severity related to an increase in familial but a 
      decrease in coworker social network size. CONCLUSIONS: The social support 
      deficits in the CHR group were specific to relatives and friendships, with social 
      anxiety and social cognition as implicated symptoms. Social relationships may 
      serve as a promising early intervention target in individuals at CHR for 
      psychosis.
CI  - (c) 2022 The Authors. Early Intervention in Psychiatry published by John Wiley & 
      Sons Australia, Ltd.
FAU - Ryan, Patrick C
AU  - Ryan PC
AD  - National Institute of Mental Health, Bethesda, Maryland, USA.
FAU - Damme, Katherine S F
AU  - Damme KSF
AUID- ORCID: 0000-0003-4260-1528
AD  - Department of Psychology, Northwestern University, Evanston, Illinois, USA.
AD  - Institute for Innovations in Developmental Sciences (DevSci), Northwestern 
      University, Evanston, Illinois, USA.
FAU - Kuhney, Franchesca S
AU  - Kuhney FS
AD  - Department of Psychology, University of Illinois at Chicago, Chicago, Illinois, 
      USA.
FAU - Mittal, Vijay A
AU  - Mittal VA
AD  - Department of Psychology, Northwestern University, Evanston, Illinois, USA.
AD  - Institute for Innovations in Developmental Sciences (DevSci), Northwestern 
      University, Evanston, Illinois, USA.
AD  - Department of Psychiatry, Northwestern University, Chicago, Illinois, USA.
AD  - Medical Social Sciences, Northwestern University, Chicago, Illinois, USA.
AD  - Institute for Policy Research (IPR), Northwestern University, Chicago, Illinois, 
      USA.
LA  - eng
GR  - R33 MH103231/MH/NIMH NIH HHS/United States
GR  - T32 MH126368/MH/NIMH NIH HHS/United States
GR  - R01 MH112545/MH/NIMH NIH HHS/United States
GR  - R01 MH094650/MH/NIMH NIH HHS/United States
GR  - L30 MH124234/MH/NIMH NIH HHS/United States
GR  - R21 MH103231/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20220812
PL  - Australia
TA  - Early Interv Psychiatry
JT  - Early intervention in psychiatry
JID - 101320027
SB  - IM
MH  - Young Adult
MH  - Humans
MH  - Adolescent
MH  - *Psychotic Disorders/psychology
MH  - Social Adjustment
MH  - Prodromal Symptoms
PMC - PMC10167376
MID - NIHMS1826979
OTO - NOTNLM
OT  - psychosis risk
OT  - social anxiety
OT  - social cognition
OT  - social networks
OT  - social support
EDAT- 2023/05/09 00:42
MHDA- 2023/05/10 06:42
PMCR- 2024/05/01
CRDT- 2023/05/08 19:43
PHST- 2022/05/12 00:00 [revised]
PHST- 2022/01/17 00:00 [received]
PHST- 2022/07/05 00:00 [accepted]
PHST- 2023/05/10 06:42 [medline]
PHST- 2023/05/09 00:42 [pubmed]
PHST- 2023/05/08 19:43 [entrez]
PHST- 2024/05/01 00:00 [pmc-release]
AID - 10.1111/eip.13341 [doi]
PST - ppublish
SO  - Early Interv Psychiatry. 2023 May;17(5):462-469. doi: 10.1111/eip.13341. Epub 
      2022 Aug 12.