PMID- 37840805 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231020 IS - 1664-0640 (Print) IS - 1664-0640 (Electronic) IS - 1664-0640 (Linking) VI - 14 DP - 2023 TI - The effect of stressful life events on the risk for psychosis: differences between Mexican at clinical and familial high risk. PG - 1254993 LID - 10.3389/fpsyt.2023.1254993 [doi] LID - 1254993 AB - BACKGROUND: Stressful life events (SLEs) in the development of early psychosis have been little studied in low-income countries. This study examines differences in the prevalence of SLEs in Mexican at clinical high risk (CHR) and those with familial high risk for psychosis who do not meet CHR criteria (non-CHR FHR). We also analyze the association between SLEs and CHR. METHODS: Participants included 43 persons with CHR and 35 with non-CHR FHR. CHR criteria were assessed with the Comprehensive Assessment of At-Risk Mental State. SLEs were assessed using the Questionnaire of Stressful Life Events. RESULTS: Participants with CHR reported more SLEs associated with negative academic experiences than those in the non-CHR FHR group. Bullying (OR = 7.77, 95% CI [1.81, 33.32]) and low educational level (OR = 21.25, 95% CI [5.19, 46.90]) were the strongest predictors of CHR, while starting to live with a partner (OR = 0.26, 95% CI [0.10, 0.84]) was associated with a lower risk of CHR. CONCLUSION: Negative school experiences increase the risk of psychosis, particularly bullying, suggesting that schools may be ideal settings for implementing individual preventive strategies to reduce risk factors and increase protective factors to improve the prognosis of those at risk of developing psychosis. In Latin America, there are multiple barriers to early intervention in psychosis. It is thus crucial to identify risk and protective factors at the onset and in the course of psychosis in order to design effective preventive interventions. CI - Copyright (c) 2023 Nieto, Dominguez-Martinez, Navarrete, Rosel-Vales, Saracco-Alvarez, Celada-Borja, Rascon-Gasca and Moncayo Samperio. FAU - Nieto, Lourdes AU - Nieto L AD - Centro de Investigacion en Salud Mental Global, Direccion de Investigaciones Epidemiologicas y Psicosociales, Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz-UNAM, Mexico City, Mexico. FAU - Dominguez-Martinez, Tecelli AU - Dominguez-Martinez T AD - Centro de Investigacion en Salud Mental Global, Direccion de Investigaciones Epidemiologicas y Psicosociales, Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz-UNAM, Mexico City, Mexico. FAU - Navarrete, Laura AU - Navarrete L AD - Departamento de Estudios Psicosociales en Poblaciones Especificas, Direccion de Investigaciones Epidemiologicas y Psicosociales, Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz, Mexico City, Mexico. FAU - Rosel-Vales, Mauricio AU - Rosel-Vales M AD - Clinica de Esquizofrenia, Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz, Mexico City, Mexico. FAU - Saracco-Alvarez, Ricardo AU - Saracco-Alvarez R AD - Subdireccion de Investigaciones Clinicas, Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz, Mexico City, Mexico. FAU - Celada-Borja, Cesar AU - Celada-Borja C AD - Clinica de Esquizofrenia, Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz, Mexico City, Mexico. FAU - Rascon-Gasca, Maria Luisa AU - Rascon-Gasca ML AD - Departamento de Ciencias Sociales en Salud, Direccion de Investigaciones Epidemiologicas y Psicosociales, Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz, Mexico City, Mexico. FAU - Samperio, Luis Gerardo Moncayo AU - Samperio LGM AD - Direccion de Servicios Clinicos, Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz, Mexico City, Mexico. LA - eng PT - Journal Article DEP - 20230929 PL - Switzerland TA - Front Psychiatry JT - Frontiers in psychiatry JID - 101545006 PMC - PMC10570822 OTO - NOTNLM OT - bullying OT - clinical high risk OT - developing countries OT - familial high risk OT - psychosis OT - stressful life events COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/10/16 06:48 MHDA- 2023/10/16 06:49 PMCR- 2023/09/29 CRDT- 2023/10/16 04:22 PHST- 2023/07/08 00:00 [received] PHST- 2023/09/18 00:00 [accepted] PHST- 2023/10/16 06:49 [medline] PHST- 2023/10/16 06:48 [pubmed] PHST- 2023/10/16 04:22 [entrez] PHST- 2023/09/29 00:00 [pmc-release] AID - 10.3389/fpsyt.2023.1254993 [doi] PST - epublish SO - Front Psychiatry. 2023 Sep 29;14:1254993. doi: 10.3389/fpsyt.2023.1254993. eCollection 2023.