Enhancing social functioning in young people at ultra high risk (UHR) for psychosis: a pilot study of a novel strengths and mindfulness-based online social therapy
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Background Psychological and pharmacological treatments have been shown to reduce rates of transition to psychosis in Ultra High Risk (UHR) young people. However, social functioning deficits have been unresponsive to current treatments. Aims The study aims were to: i) describe the theoretical basis and therapeutic targets of a novel intervention targeting social functioning in UHR young people; and ii) examine its acceptability, safety and preliminary effect on social functioning. Methods An international, multidisciplinary team developed a new intervention (MOMENTUM) to improve social functioning in UHR young people. MOMENTUM blends two novel approaches to social recovery: strengths and mindfulness-based intervention embedded within a social media environment, and application of the self-determination theory of motivation. The acceptability and safety of MOMENTUM were tested through a 2-month pilot study with 14 UHR participants. Results System usage was high, with over 70% of users being actively engaged over the trial. All participants reported a positive experience using MOMENTUM, considered it safe and would recommend it to others. 93% reported it to be helpful. There were large, reliable improvements in social functioning (d = 1.83, p Conclusion MOMENTUM is engaging and safe. MOMENTUM appeared to engage the hypothesized mechanisms and showed promise as a new avenue to improve social functioning in UHR young people.
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Virtual reality interventions improved social functioning in schizophrenia and clinical high risk compared to treatment-as-usual.
“Five studies found statistically significant improvements in social functioning in SZ/CHR compared to TAU (Alvarez‐Jimenez et al. 2018; Hoşgelen et al. 2023; Nijman et al. 2023; Rus‐Calafell et al. 2014; Shen et al. 2022).”
From Social Functioning Interventions in Psychosis: A Systematic Review. (2025) · cites this paper as Alvarez‐Jimenez et al. 2018
Results from several pilot studies and a clinical trial showed that MOST was engaging over prolonged periods of time, safe, non-stigmatising, endorsed and valued by young people, clinicians, and services, effective in improving vocational recovery and reducing use of hospital services in youth psychosis, cost-saving, and cost-effective.
“Results from several pilot studies and a clinical trial showed that MOST was engaging over prolonged periods of time; safe; nonstigmatising; endorsed and valued by young people, clinicians, and services; effective in improving vocational recovery and reducing use of hospital services in youth psychosis; cost-saving; and cost-effective, with four clinical trials underway.”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [368]
Use of digital environments with the interactive peer-to-peer features of social media can enhance social functioning and wellbeing in young people at high risk of psychosis.
“Other early efforts have demonstrated that use of digital environments with the interactive peer-to-peer features of social media can enhance social functioning and wellbeing in young people at high risk of psychosis (Alvarez-Jimenez et al., 2018).”
From Social Media and Mental Health: Benefits, Risks, and Opportunities for Research and Practice (2020) · cites this paper as Alvarez-Jimenez et al., 2018
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Self-citationEngel, L., Alvarez-Jimenez, M., Cagliarini, D., D’Alfonso, S., Faller, J., Valentine, L., Koval, P., Bendall, S., O’Sullivan, S., Rice, S., et al. (2024) · Schizophrenia Bulletin · doi:10.1093/schbul/sbad071 · Cited by 34 · see citing works
Self-citationMcEnery, C., Lim, M. H., Knowles, A. D., Rice, S., Gleeson, J., Howell, S., Russon, P., Miles, C., D’Alfonso, S., & Álvarez‐Jiménez, M. (2019) · Early Intervention in Psychiatry · doi:10.1111/eip.12912 · Cited by 34 · see citing works
Self-citationLal, S., Gleeson, J., Rivard, L., D’Alfonso, S., Joober, R., MALLA, A. K., & Álvarez‐Jiménez, M. (2020) · JMIR Formative Research · doi:10.2196/19887 · Cited by 34 · see citing works
Self-citationDigital technology for addressing cognitive impairment in recent-onset psychosis: A perspective
Bell, I. H., Pot-Kolder, R., Wood, S. J., Nelson, B., Acevedo, N., Stainton, A., Nicol, K., Kean, J. D., Bryce, S., Bartholomeusz, C. F., et al. (2022) · Schizophrenia Research Cognition · doi:10.1016/j.scog.2022.100247 · Cited by 33 · see citing works
Self-citationÁlvarez‐Jiménez, M., Nicholas, J., Valentine, L., Liu, P., Mangelsdorf, S. N., Baker, S., Gilbertson, T., O'Loughlin, G., McEnery, C., McGorry, P. D., et al. (2024) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13751 · Cited by 30 · see citing works
Self-citationImproving treatments for psychotic disorders: beyond cognitive behaviour therapy for psychosis
Nelson, B., Torregrossa, L. J., Thompson, A. D., Sass, L. A., Park, S., Hartmann, J., McGorry, P. D., & Álvarez‐Jiménez, M. (2020) · Psychosis · doi:10.1080/17522439.2020.1742200 · Cited by 30 · see citing works
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Valentine, L., McEnery, C., D’Alfonso, S., Phillips, J., Bailey, E., & Alvarez-Jimenez, M. (2019) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-019-00184-w · Cited by 26 · see citing works
Self-citationFekih-Romdhane, F., Sassi, H., & Cheour, M. (2021) · Psychosis · doi:10.1080/17522439.2020.1861074 · Cited by 28 · see citing works
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Self-citationDewa, L. H., Lawrance, E., Roberts, L. F., Brooks-Hall, E., Ashrafian, H., Fontana, G., & Aylin, P. P. (2021) · Journal of Medical Internet Research · doi:10.2196/26584 · Cited by 30 · see citing works
Digital Technology to Enhance Clinical Care of Early Psychosis
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O’Sullivan, S., Schmaal, L., D’Alfonso, S., Toenders, Y. J., Valentine, L., McEnery, C., Bendall, S., Nelson, B., Gleeson, J., & Álvarez‐Jiménez, M. (2022) · JMIR Mental Health · doi:10.2196/29211 · Cited by 22 · see citing works
Self-citationAdvances in clinical staging, early intervention, and the prevention of psychosis
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Development of a Moderated Online Intervention to Treat Social Anxiety in First-Episode Psychosis
McEnery, C., Lim, M. H., Knowles, A. D., Rice, S., Gleeson, J., Howell, S., Russon, P., Miles, C., D’Alfonso, S., & Álvarez‐Jiménez, M. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00581 · Cited by 21 · see citing works
Self-citationYoung people's experience of online therapy for first-episode psychosis: a qualitative study
Valentine, L., McEnery, C., O’Sullivan, S., D’Alfonso, S., Gleeson, J., Bendall, S., & Alvarez‐Jimenez, M. (2022) · Psychology and Psychotherapy: Theory, Research and Practice · doi:10.1111/papt.12356 · Cited by 19 · see citing works
Self-citationD’Alfonso, S., Phillips, J., Valentine, L., Gleeson, J., & Álvarez‐Jiménez, M. (2019) · JMIR Mental Health · doi:10.2196/14866 · Cited by 19 · see citing works
Self-citationBeneria, A., Santesteban‐Echarri, O., Daigre, C., Tremain, H., Ramos‐Quiroga, J. A., McGorry, P. D., & Álvarez‐Jiménez, M. (2021) · Early Intervention in Psychiatry · doi:10.1111/eip.13226 · Cited by 20 · see citing works
Self-citationToh, G., Pearce, E., Vines, J., Ikhtabi, S., Birken, M., Pitman, A., & Johnson, S. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03889-0 · Cited by 19 · see citing works
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Self-citationIntegrating digital interventions with clinical practice in youth mental health services
Cross, S. P., Nicholas, J., Bell, I. H., Mangelsdorf, S., Valentine, L., Thompson, A., Gleeson, J. F., & Alvarez-Jimenez, M. (2023) · Australasian Psychiatry · doi:10.1177/10398562231169365 · Cited by 16 · see citing works
Self-citationSedgwick, O., Hardy, A., Greer, B., Newbery, K., & Cella, M. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23193 · Cited by 15 · see citing works
Singh, S. P., Mohan, M., & Giacco, D. (2021) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000726 · Cited by 14 · see citing works
van Doorn, M., Nijhuis, L. A., Monsanto, A., van Amelsvoort, T., Popma, A., Jaspers, M., Noordzij, M. L., Öry, F. G., Álvarez‐Jiménez, M., & Nieman, D. H. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.871813 · Cited by 13 · see citing works
Reis, S. L., Matthews, E. L., & Grenyer, B. F. S. (2021) · Research in Psychotherapy Psychopathology Process and Outcome · doi:10.4081/ripppo.2020.488 · Cited by 14 · see citing works
Patient-Reported Outcome Measures in Clinical High Risk for Psychosis: A Systematic Review
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Self-citationO’Sullivan, S., McEnery, C., Cagliarini, D., Hinton, J. D. X., Valentine, L., Nicholas, J., Chen, N. A., Castagnini, E., Lester, J., Kanellopoulos, E., et al. (2024) · JMIR Mental Health · doi:10.2196/49217 · Cited by 13 · see citing works
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González‐Blanch, C., Medrano, L. A., Bendall, S., D’Alfonso, S., Cagliarini, D., McEnery, C., O’Sullivan, S., Valentine, L., Gleeson, J., & Álvarez‐Jiménez, M. (2020) · European Psychiatry · doi:10.1192/j.eurpsy.2020.90 · Cited by 13 · see citing works
Self-citationLal, S., Gleeson, J., D’Alfonso, S., Lee, H., Etienne, G., Joober, R., Lepage, M., & Álvarez‐Jiménez, M. (2023) · Schizophrenia · doi:10.1038/s41537-023-00352-1 · Cited by 13 · see citing works
Self-citationSocial media and schizophrenia: An update on clinical applications
Fonseka, L. N., & Woo, B. K. P. (2022) · World Journal of Psychiatry · doi:10.5498/wjp.v12.i7.897 · Cited by 12 · see citing works
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Self-citationMindfulness-based interventions in the early phase of affective and non-affective psychoses
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Development of a graphic medicine-enabled social media-based intervention for youth social anxiety
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Self-citationPokowitz, E. L., Stiles, B. J., Thomas, R., Bullard, K., Ludwig, K., Gleeson, J., Álvarez‐Jiménez, M., Perkins, D. O., & Penn, D. L. (2023) · Digital Health · doi:10.1177/20552076231176700 · Cited by 10 · see citing works
Self-citationSocial Functioning Interventions in Psychosis: A Systematic Review.
Vinu, M., & Georgiades, A. (2025) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.70090 · Cited by 9 · see citing works
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Stakeholder views on mindfulness for youth at risk for psychosis
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van Doorn, M., Monsanto, A., Boeschoten, C. M., van Amelsvoort, T., Popma, A., Öry, F. G., Álvarez‐Jiménez, M., Gleeson, J., Jaspers, M., & Nieman, D. H. (2023) · Frontiers in Digital Health · doi:10.3389/fdgth.2022.1020753 · Cited by 9 · see citing works
Self-citationWilliams, T. F., Conley, R. E., & Mittal, V. A. (2023) · Early Intervention in Psychiatry · doi:10.1111/eip.13396 · Cited by 8 · see citing works
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Self-citationO’Bree, B., Walton, C. C., Bendall, S., Wilson, M., Valentine, L., McEnery, C., D’Alfonso, S., Álvarez‐Jiménez, M., & Rice, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18062796 · Cited by 7 · see citing works
Self-citationde With, J., Korver‐Nieberg, N., de Haan, L., & Schirmbeck, F. N. (2023) · Schizophrenia Research · doi:10.1016/j.schres.2022.12.038 · Cited by 6 · see citing works
Simmons, M. B., Nicholas, J., Chinnery, G. L., O’Sullivan, S., D’Alfonso, S., Bendall, S., Cagliarini, D., Hamilton, M. P., Gleeson, J., Killackey, E. J., et al. (2021) · Early Intervention in Psychiatry · doi:10.1111/eip.13100 · Cited by 6 · see citing works
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Cognitive Strengths in First-Episode Psychosis: Perspectives of Cognition Experts
Bryce, S., Boyer, F., Phillips, L., Parrish, E. M., Álvarez‐Jiménez, M., & Allott, K. (2021) · Journal of Psychosocial Rehabilitation and Mental Health · doi:10.1007/s40737-021-00250-8 · Cited by 5 · see citing works
Bouws, J., Uyttebroek, L., Beames, J. R., de Koning, M. B., Schirmbeck, F. N., Henrard, A., Reininghaus, U., de Haan, L., & Myin‐Germeys, I. (2025) · Early Intervention in Psychiatry · doi:10.1111/eip.70073 · Cited by 5 · see citing works
Smith, A., Mangelsdorf, S. N., Baker, S. T. E., Jafari, J., Álvarez‐Jiménez, M., Hitchcock, C., & Cross, S. P. M. (2025) · Journal of Medical Internet Research · doi:10.2196/73793 · Cited by 4 · see citing works
Dwan-O'Reilly, M., Harrington, S. M., Gavin, C., Godfrey, E., Cowman, M., Gleeson, C., O’Mahony-Sinnott, A., McCormack, J., Frawley, E., Burke, T., et al. (2025) · Journal of Medical Internet Research · doi:10.2196/73269 · Cited by 5 · see citing works
Lal, S., Tobin, R., Tremblay, S. M., Gleeson, J., D’Alfonso, S., Etienne, G., Joober, R., Lepage, M., & Álvarez‐Jiménez, M. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20095745 · Cited by 5 · see citing works
Self-citationDevelopment of a graphic medicine‐enabled social media‐based intervention for youth social anxiety
Rice, S., O’Bree, B., Wilson, M., McEnery, C., Lim, M. H., Hamilton, M. P., Gleeson, J., Bendall, S., D’Alfonso, S., Russon, P., et al. (2020) · Clinical Psychologist · doi:10.1111/cp.12222 · Cited by 4 · see citing works
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Social Media and Early Psychosis Intervention: A Comprehensive Review of the Literature
Li, I., Estafanous, A., Choudhury, M. D., Álvarez‐Jiménez, M., & Birnbaum, M. L. (2024) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-024-00314-z · Cited by 4 · see citing works
Candidate Targets for Resilience Training to Reduce Transdiagnostic Risk for Mental Illness
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Self-citationThe Releationship Between Mindfulness and High-Risk Behaviors Mediated by Social-Virtual Networks
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"SCREAM" THE SOCIAL MEDIA NETWORK
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Technological Interventions for Psychosis
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- Authors
- Alvarez-Jimenez, M., Gleeson, J. F., Bendall, S., Penn, D. L., Yung, A. R., Ryan, R. M., Eleftheriadis, D., D'Alfonso, S., Rice, S., Miles, C., Russon, P., Lederman, R., Chambers, R., Gonzalez-Blanch, C., Lim, M. H., Killackey, E., McGorry, P. D., & Nelson, B.
- Affiliations
- Australian Catholic University (AU)
- The University of Melbourne (AU)
- University of North Carolina at Chapel Hill (US)
- Greater Manchester Mental Health NHS Foundation Trust (GB)
- University of Rochester (US)
- Monash University (AU)
- Swinburne University of Technology (AU)
- ORCID
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2018-12
- Volume
- 202
- Pages
- 369-377
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2826597715
- Cited by
- 118
- References
- 68
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 12 · 2023: 17 · 2022: 14 · 2021: 23 · 2020: 17 · 2019: 15
- FWCI
- 10.77
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, other-oa)
- Research Bank (Australian Catholic University) (submittedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- UNC Libraries
- Funders
- Victorian Government's Mental Illness Research Fund
- Telstra Foundation
- Colonial Foundation
- National Health and Medical Research Council (APP1082934)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- clinical high risk for psychosis, social functioning
- MeSH terms
- Adolescent, Adult, Female, Humans, Male, Outcome and Process Assessment, Health Care, Patient Acceptance of Health Care, Pilot Projects, Psychotic Disorders, Risk, Social Support, Socioenvironmental Therapy, Patient Satisfaction, Self Efficacy, Internet, Young Adult, Social Networking, Mindfulness
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