Interpersonal sensitivity and persistent attenuated psychotic symptoms in adolescence

Eur Child Adolesc Psychiatry. 2018 Mar;27(3):309-318. doi: 10.1007/s00787-017-1047-2. Epub 2017 Sep 16.

Abstract

Interpersonal sensitivity defines feelings of inner-fragility in the presence of others due to the expectation of criticism or rejection. Interpersonal sensitivity was found to be related to attenuated positive psychotic symptom during the prodromal phase of psychosis. The aims of this study were to examine if high level of interpersonal sensitivity at baseline are associated with the persistence of attenuated positive psychotic symptoms and general psychopathology at 18-month follow-up. A sample of 85 help-seeking individuals (mean age = 16.6, SD = 5.05) referred an Italian early detection project, completed the interpersonal sensitivity measure and the structured interview for prodromal symptoms (SIPS) at baseline and were assessed at 18-month follow-up using the SIPS. Results showed that individuals with high level of interpersonal sensitivity at baseline reported high level of attenuated positive psychotic symptoms (i.e., unusual thought content) and general symptoms (i.e., depression, irritability and low tolerance to daily stress) at follow-up. This study suggests that being "hypersensitive" to interpersonal interactions is a psychological feature associated with attenuated positive psychotic symptoms and general symptoms, such as depression and irritability, at 18-month follow-up. Assessing and treating inner-self fragilities may be an important step of early detection program to avoid the persistence of subtle but very distressing long-terms symptoms.

Keywords: Adolescents; Interpersonal sensitivity; Negative affective states; Psychosis; Ultra-high-risk.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Early Diagnosis
  • Female
  • Humans
  • Interpersonal Relations*
  • Male
  • Prodromal Symptoms
  • Psychotic Disorders / diagnosis*
  • Young Adult