title: Lower functioning predicts identification of psychosis risk screening status in help-seeking adolescents.
abstract: OBJECTIVE
  There is some previous evidence suggesting that the risk state for psychosis is associated with decreased functioning ability, health-related quality of life (QoL), anxiety and depression. The aim of this study is to identify which factors predict psychosis risk screening status.
  
  
  METHODS
  The data were collected in Helsinki University Central Hospital, Finland, by an early intervention team. One hundred eighty-one help-seeking adolescents (mean age 15.3 years) completed questionnaires of QoL (16D), alcohol consumption (Alcohol Use Disorders Identification Test), anxiety (Beck Anxiety Inventory), hopelessness (BBeck Hopelessness Scale) and depression (Beck Depression Inventory II). Functioning ability was assessed by the Global Assessment of Functioning, whereas the PROD-screen was used to interview and assess risk symptoms for psychosis.
  
  
  RESULTS
  In a logistic regression analysis, a lower functioning ability explained independently (P = 0.006) psychosis risk screening status after age, gender, alcohol consumption, QoL, anxiety, hopelessness and depression symptoms were adjusted.
  
  
  CONCLUSIONS
  The present results suggest that lower functioning ability is associated independently with psychosis risk screening status. Hence, therapeutic input for those at risk should focus upon improving functioning.
authors.affiliation: Department of Psychiatry, Helsinki University Central Hospital, Jorvi Hospital, Espoo, Finland.
authors.forename: Niklas
authors.initials: N
authors.lastname: Granö
authors.affiliation: Department of Psychiatry, Helsinki University Central Hospital, Jorvi Hospital, Espoo, Finland.
authors.forename: Santeri
authors.initials: S
authors.lastname: Kallionpää
authors.affiliation: Department of Psychiatry, Helsinki University Central Hospital, Jorvi Hospital, Espoo, Finland.
authors.forename: Marjaana
authors.initials: M
authors.lastname: Karjalainen
authors.affiliation: Department of Psychiatry, Helsinki University Central Hospital, Jorvi Hospital, Espoo, Finland.
authors.forename: Virve
authors.initials: V
authors.lastname: Edlund
authors.affiliation: Department of Psychiatry, Helsinki University Central Hospital, Jorvi Hospital, Espoo, Finland.
authors.forename: Erkki
authors.initials: E
authors.lastname: Saari
authors.affiliation: Department of Psychiatry, Helsinki University Central Hospital, Jorvi Hospital, Espoo, Finland.
authors.forename: Arja
authors.initials: A
authors.lastname: Itkonen
authors.affiliation: Department of Psychiatry, Helsinki University Central Hospital, Jorvi Hospital, Espoo, Finland.
authors.forename: Jukka
authors.initials: J
authors.lastname: Anto
authors.affiliation: Department of Psychiatry, Helsinki University Central Hospital, Jorvi Hospital, Espoo, Finland.
authors.forename: Mikko
authors.initials: M
authors.lastname: Roine
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001007:Anxiety / Q000150:complications / Q000523:psychology; D003863:Depression / Q000150:complications / Q000523:psychology; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011237:Predictive Value of Tests; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000523:psychology; D011788:Quality of Life; D012307:Risk Factors
keywords: adolescents; functioning ability; psychosis risk screening status