Cited by 460Schizophrenia research and treatmentPsychopathy, Forensic Psychiatry, Sexual OffendingPsychological Testing and Assessment

The Validity of the 16-Item Version of the Prodromal Questionnaire (PQ-16) to Screen for Ultra High Risk of Developing Psychosis in the General Help-Seeking Population

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Ising, H. K., Veling, W., Loewy, R. L., Rietveld, M. W., Rietdijk, J., Dragt, S., Klaassen, R. M. C., Nieman, D. H. +3 more·2012·Schizophrenia Bulletin

Abstract

In order to bring about implementation of routine screening for psychosis risk, a brief version of the Prodromal Questionnaire (PQ; Loewy et al., 2005) was developed and tested in a general help-seeking population. We assessed a consecutive patient sample of 3533 young adults who were help-seeking for nonpsychotic disorders at the secondary mental health services in The Hague with the PQ. We performed logistic regression analyses and CHi-squared Automatic Interaction Detector decision tree analysis to shorten the original 92 items. Receiver operating characteristic curves were used to examine the psychometric properties of the PQ-16. In the general help-seeking population, a cutoff score of 6 or more positively answered items on the 16-item version of the PQ produced correct classification of Comprehensive Assessment of At-Risk Mental State (Yung et al., 2005) psychosis risk/clinical psychosis in 44% of the cases, distinguishing Comprehensive Assessment of At-Risk Mental States (CAARMS) diagnosis from no CAARMS diagnosis with high sensitivity (87%) and specificity (87%). These results were comparable to the PQ-92. The PQ-16 is a good self-report screen for use in secondary mental health care services to select subjects for interviewing for psychosis risk. The low number of items makes it quite appropriate for screening large help-seeking populations, thus enhancing the feasibility of detection and treatment of ultra high-risk patients in routine mental health services.

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Research works printed but not linked: 19

  1. Nelson B, Yung AR. Should a risk syndrome for first episode psychosis be included in the DSM-5? Curr Opin Psychiatry. 2011;24:128-133.
  2. Carpenter WT, van Os J. Should attenuated psychosis syndrome be a DSM-5 diagnosis? Am J Psychiatry. 2011;168:460-463.
  3. Yung AR, Yuen HP, McGorry PD, et al. Mapping the onset of psychosis: the comprehensive assessment of at-risk mental states. Austr N Z J Psychiatry. 2005;39:964-971.
  4. Miller TJ, McGlashan TH, Woods SW, et al. Symptom as- sessment in schizophrenic prodromal states. Psychiatr Quart. 1999;70:273-287.
  5. Loewy RL, Bearden CE, Johnson JK, Raine A, Cannon TD. The prodromal questionnaire (PQ): preliminary validation of a self-report screening measure for prodromal and psychotic syndromes. Schizophr Res. 2005;79:117-125.
  6. Loewy RL, Pearson R, Vinogradov S, Bearden CE, Cannon TD. Psychosis risk screening with the Prodromal Questionnaire- Brief Version (PQ-B). Schizophr Res. 2011;129:42-46.
  7. Loewy RL, Johnson JK, Cannon TD. Self-report of attenu- ated psychotic experiences in a college population. Schizophr Res. 2007;93:144-151.
  8. Van Os J, Delespaul P. Toward a world consensus on preven- tion of schizophrenia. Dialogues Clin Neurosci. 2005;7:53-67.
  9. Yung AR, Phillips LJ, McGorry PD, et al. Prediction of psy- chosis: a step towards indicated prevention of schizophrenia. Br J Psychiatry. 1998;172:14-20.
  10. Rietdijk J, Dragt S, Klaassen RMC, et al. A single blind ran- domized controlled trial of cognitive behavioural therapy in a help-seeking population with an At Risk Mental State for psychosis: the Dutch Early Detection and Intervention Eval- uation (EDIE-NL) trial. Trials. 2010;11:30.
  11. Loewy RL, Therman S, Manninen M, Huttunen MO, Cannon TD. Prodromal psychosis screening in adolescent psychiatry clinics. Early Interv Psychiatry. August 31, 2011; doi: 10.1111/j.1751-7893.2011.00286.x. Accessed April 15, 2012. · DOI
  12. Goldman HH, Skodol AE, Lave TR. Revising axis V for DSM-IV: a review of measures of social functioning. Am J Psychiatry. 1992;149:1148-1156.
  13. Maher BA. Delusional thinking and perceptual disorder. J Individ Psychol. 1974;30:98-113.
  14. Tone EB, Goulding SM, Compton MT. Associations among perceptual anomalies, social anxiety, and paranoia in a college student sample. Psychiatry Res. 2011;188:258-263.
  15. Miettunen J, Veijola J, Isohanni M, et al. Identifying schizophrenia and other psychoses with psychological scales in the general population. J Nerv Mental Dis. 2011;199:230-238.
  16. Valmaggia LR, McCrone P, Knapp M, et al. Economic im- pact of early intervention in people at high risk of psychosis. Psychol Med. 2009;39:1617-1626.
  17. Boonstra N, Sterk B, Wunderink L, Sytema S, de Haan L, Wiersma D. Association of treatment delay, migration and urbanicity in psychosis. Eur Psychiatry. Jun 24, 2011; doi:10.1016/j.eurpsy.2011.05.001. Accessed April 15, 2012. · DOI
  18. Nieman DH, Rike WH, Becker HE, et al. Prescription of an- tipsychotic medication to patients at ultra high risk of devel- oping psychosis. Int Clin Psychopharmacol. 2009;24: 223-228.
  19. Marshall M, Lewis S, Lockwood A, Drake R, Jones P, Croudace T. Association between duration of untreated psychosis and outcome in cohorts of first-episode patients: a systematic review. Arch Gen Psychiatry. 2005;62:975-983.

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Authors
Ising, H. K., Veling, W., Loewy, R. L., Rietveld, M. W., Rietdijk, J., Dragt, S., Klaassen, R. M. C., Nieman, D. H., Wunderink, L., Linszen, D. H., & van der Gaag, M.
Affiliations
  • Parnassia Groep (NL)
  • University of California, San Francisco (US)
  • Amsterdam Public Health (NL)
  • Amsterdam UMC Location University of Amsterdam (NL)
  • GGZ Rivierduinen (NL)
  • GGZ Friesland (NL)
Corresponding author
Ising, H. K.
Venue
Schizophrenia Bulletin
Published
2012-04-19
Volume
38
Issue
6
Pages
1288-1296
ISSN
  • 0586-7614 (ISSN-L)
  • 1745-1701
OpenAlex
W2170372220
Cited by
460
References
0
Citations by year
2026: 40 · 2025: 62 · 2024: 56 · 2023: 57 · 2022: 41 · 2021: 43 · 2020: 34 · 2019: 39 · 2018: 22 · 2017: 26 · 2016: 11 · 2015: 12 · 2014: 12 · 2013: 5
FWCI
6.62
Type
journal article
Language
en
Open access
Locations
  • Schizophrenia Bulletin (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, other-oa)
  • VU Research Portal (publishedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
  • Pure Amsterdam UMC (submittedVersion)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Funders
  • Bristol-Myers Squibb
  • Eli Lilly and Company
  • ZonMw (120510001)
  • Genentech
  • Cilag
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
  • Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
Keywords
Prodromal Questionnaire
MeSH terms
Adolescent, Adult, Female, Humans, Male, Psychometrics, Psychotic Disorders, Surveys and Questionnaires, ROC Curve, Schizophrenia, Sensitivity and Specificity, Reproducibility of Results, Logistic Models, Risk Assessment, Early Diagnosis, Self Report, Prodromal Symptoms

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