Detection of clinical high risk for psychosis in child and adolescent mental health services: Validation of the first step with the French versions of the Prodromal Questionnaire (fPQ-16) and scale of Perceptual and Cognitive Aberrations (fPCA).

AIM To validate the French versions of the 16-items Prodromal Questionnaire (PQ-16) and the 9-items scale of Perceptual and Cognitive Aberrations (PCA) to facilitate screening of psychosis risk in native French-speaking young individuals referred to Child and Adolescent Mental Health Services. METHOD Participants (N = 87, age range 10-18 years) were diagnosed with a non-psychotic disorder according to the Diagnostic and Statistical Manual of Mental Disorders. The French versions of the PQ-16 and PCA were developed using a forward-backward translation procedure. Psychometric properties were tested including (i) internal validity with Pearson correlations and Cronbach's coefficients, and (ii) external validity by correlations with each other's. RESULTS (i) Correlations between fPQ-16 and fPCA total scores and individual items were mostly >.4. Cronbach's coefficients were .80 for the fPQ-16 and .61 for the fPCA. (ii) The fPQ-16 and fPCA total scores were significantly correlated with a large effect size (rs  = 0.66). CONCLUSION The fPQ-16 and the fPCA are psychometrically acceptable instruments for the screening of potential psychotic symptoms in French-speaking children and young adolescents under 18 years old referred to Child and Adolescent Mental Health Services.

[1]  S. Woods,et al.  Prevalence of Individuals at Clinical High-Risk of Psychosis in the General Population and Clinical Samples: Systematic Review and Meta-Analysis , 2021, Brain sciences.

[2]  T. Bougerol,et al.  [Early intervention in bipolar affective disorders: Why, when and how]. , 2021, L'Encephale.

[3]  M. Krebs,et al.  [Validation of a French version of the 16-item Prodromal Questionnaire (fPQ16) in adolescents and young adults seeking help]. , 2021, L'Encephale.

[4]  J. Castro-Fornieles,et al.  Theory of mind performance and prefrontal connectivity in adolescents at clinical high risk for psychosis , 2021, Developmental Cognitive Neuroscience.

[5]  M. van der Gaag,et al.  Corrigendum to: Cross Validation of the Prodromal Questionnaire 16-Item Version in an Adolescent Help-Seeking Population , 2020, Schizophrenia bulletin open.

[6]  C. Correll,et al.  Annual Research Review: Prevention of psychosis in adolescents - systematic review and meta-analysis of advances in detection, prognosis and intervention. , 2020, Journal of child psychology and psychiatry, and allied disciplines.

[7]  A. Adewuya,et al.  Psychotic like experiences among Nigerian school adolescents: Findings from the Lagos Schools Emotional and Behavioral Health Survey , 2020, Early intervention in psychiatry.

[8]  J. Brunelin,et al.  Cognitive insight in individuals with an at‐risk mental state for psychosis: A meta‐analysis , 2020, Early intervention in psychiatry.

[9]  I. Baeza,et al.  Neuropsychological profile of children and adolescents with psychosis risk syndrome: the CAPRIS study , 2020, European Child & Adolescent Psychiatry.

[10]  M. Poletti,et al.  Screening for psychosis risk among help‐seeking adolescents: Application of the Italian version of the 16‐item prodromal questionnaire (iPQ‐16) in child and adolescent neuropsychiatry services , 2019, Early intervention in psychiatry.

[11]  M. Gaag,et al.  Screening for psychosis risk among adolescents in Child and Adolescent Mental Health Services: a description of the first step with the 16‐item version of the Prodromal Questionnaire (PQ‐16) , 2018, Early intervention in psychiatry.

[12]  S. Lawrie,et al.  Using Online Screening in the General Population to Detect Participants at Clinical High-Risk for Psychosis , 2018, Schizophrenia bulletin.

[13]  P. McGorry,et al.  Beyond the “at risk mental state” concept: transitioning to transdiagnostic psychiatry , 2018, World psychiatry : official journal of the World Psychiatric Association.

[14]  I. Baeza,et al.  Clinical high risk for psychosis in children and adolescents: a systematic review , 2018, European Child & Adolescent Psychiatry.

[15]  P. McGuire,et al.  Deconstructing Pretest Risk Enrichment to Optimize Prediction of Psychosis in Individuals at Clinical High Risk. , 2016, JAMA psychiatry.

[16]  F. Schultze-Lutter,et al.  Age matters in the prevalence and clinical significance of ultra‐high‐risk for psychosis symptoms and criteria in the general population: Findings from the BEAR and BEARS‐kid studies , 2015, World psychiatry : official journal of the World Psychiatric Association.

[17]  S. Wood,et al.  Outcomes of nontransitioned cases in a sample at ultra-high risk for psychosis. , 2015, The American journal of psychiatry.

[18]  M. Nordentoft,et al.  EPA guidance on the early detection of clinical high risk states of psychoses , 2015, European Psychiatry.

[19]  Jay N. Giedd,et al.  Adolescent mental health—Opportunity and obligation , 2014, Science.

[20]  Paolo Fusar-Poli,et al.  At risk for schizophrenic or affective psychoses? A meta-analysis of DSM/ICD diagnostic outcomes in individuals at high clinical risk. , 2013, Schizophrenia bulletin.

[21]  T. McGlashan,et al.  The psychosis high-risk state: a comprehensive state-of-the-art review. , 2013, JAMA psychiatry.

[22]  P. McGuire,et al.  Cognitive functioning in prodromal psychosis: a meta-analysis. , 2012, Archives of general psychiatry.

[23]  W. Veling,et al.  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. , 2012, Schizophrenia bulletin.

[24]  Matthew D. Lieberman,et al.  Altered age-related trajectories of amygdala-prefrontal circuitry in adolescents at clinical high risk for psychosis: A preliminary study , 2012, Schizophrenia Research.

[25]  M. Tavakol,et al.  Making sense of Cronbach's alpha , 2011, International journal of medical education.

[26]  C. Arango Attenuated psychotic symptoms syndrome: how it may affect child and adolescent psychiatry , 2011, European Child & Adolescent Psychiatry.

[27]  A. Yung,et al.  Clinical Staging: A Heuristic and Practical Strategy for New Research and Better Health and Social Outcomes for Psychotic and Related Mood Disorders , 2010, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[28]  Godfrey D Pearlson,et al.  Prodromal assessment with the structured interview for prodromal syndromes and the scale of prodromal symptoms: predictive validity, interrater reliability, and training to reliability. , 2003, Schizophrenia bulletin.

[29]  R. Carey,et al.  A Patient Survey System to Measure Quality Improvement: Questionnaire Reliability and Validity , 1993, Medical care.

[30]  L. Cronbach,et al.  Construct validity in psychological tests. , 1955, Psychological bulletin.