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Interpersonal sensitivity in the at-risk mental state for psychosis

Published online by Cambridge University Press:  09 January 2012

A. Masillo ,
F. Day ,
J. Laing ,
O. Howes ,
P. Fusar-Poli ,
M. Byrne ,
S. Bhattacharyya ,
P. Fiori Nastro ,
P. Girardi  and
P. K. McGuire
...Show all authors
A. Masillo
Affiliation:
Department of Psychosis Studies, King's College London, King's Health Partners, Institute of Psychiatry, UK Outreach and Support in South London (OASIS), South London and Maudsley NHS Trust, UK NESMOS Department (Neurosciences, Mental Health and Sensory Functions), ‘Sapienza’ University of Rome, 2nd Medical School, Sant'Andrea Hospital, Rome, Italy
F. Day
Affiliation:
Department of Psychosis Studies, King's College London, King's Health Partners, Institute of Psychiatry, UK Outreach and Support in South London (OASIS), South London and Maudsley NHS Trust, UK
J. Laing
Affiliation:
Department of Psychosis Studies, King's College London, King's Health Partners, Institute of Psychiatry, UK
O. Howes
Affiliation:
Department of Psychosis Studies, King's College London, King's Health Partners, Institute of Psychiatry, UK Outreach and Support in South London (OASIS), South London and Maudsley NHS Trust, UK
P. Fusar-Poli
Affiliation:
Department of Psychosis Studies, King's College London, King's Health Partners, Institute of Psychiatry, UK Outreach and Support in South London (OASIS), South London and Maudsley NHS Trust, UK
M. Byrne
Affiliation:
Department of Psychosis Studies, King's College London, King's Health Partners, Institute of Psychiatry, UK Outreach and Support in South London (OASIS), South London and Maudsley NHS Trust, UK
S. Bhattacharyya
Affiliation:
Department of Psychosis Studies, King's College London, King's Health Partners, Institute of Psychiatry, UK Outreach and Support in South London (OASIS), South London and Maudsley NHS Trust, UK
P. Fiori Nastro
Affiliation:
Department of Neurology and Psychiatry, ‘Sapienza’ University of Rome, 1st Medical School, Rome, Italy
P. Girardi
Affiliation:
NESMOS Department (Neurosciences, Mental Health and Sensory Functions), ‘Sapienza’ University of Rome, 2nd Medical School, Sant'Andrea Hospital, Rome, Italy Department of Neuropsychiatry, Villa Rosa, Suore Ospitaliere of the Sacred Heart of Jesus, Viterbo, Italy
P. K. McGuire
Affiliation:
Department of Psychosis Studies, King's College London, King's Health Partners, Institute of Psychiatry, UK Outreach and Support in South London (OASIS), South London and Maudsley NHS Trust, UK
L. R. Valmaggia*
Affiliation:
Department of Psychosis Studies, King's College London, King's Health Partners, Institute of Psychiatry, UK Outreach and Support in South London (OASIS), South London and Maudsley NHS Trust, UK Department of Psychiatry and Neuropsychology, Maastricht University, The Netherlands
*
*Address for correspondence: Dr L. R. Valmaggia, Department of Psychology and Psychosis Studies, King's College London, Institute of Psychiatry, 16 De Crespigny Park, PO box 67, London SE5 8AF, UK. (Email: [email protected])
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Abstract

Background

Interpersonal sensitivity is a personality trait described as excessive awareness of both the behaviour and feelings of others. Although interpersonal sensitivity has been found to be one of the vulnerability factors to depression, there has been little interest in its relationship with the prodromal phase of psychosis. The aims of this study were to examine the level of interpersonal sensitivity in a sample of individuals with an at-risk mental state (ARMS) for psychosis and its relationship with other psychopathological features.

Method

Method. Sixty-two individuals with an ARMS for psychosis and 39 control participants completed a series of self-report questionnaires, including the Interpersonal Sensitivity Measure (IPSM), the Prodromal Questionnaire (PQ), the Ways of Coping Questionnaire (WCQ) and the Depression and Anxiety Stress Scale (DASS).

Results

Individuals with an ARMS reported higher interpersonal sensitivity compared to controls. Associations between interpersonal sensitivity, positive psychotic symptoms (i.e. paranoid ideation), avoidant coping and symptoms of depression, anxiety and stress were also found.

Conclusions

This study suggests that being ‘hypersensitive’ to interpersonal interactions is a psychological feature of the putatively prodromal phase of psychosis. The relationship between interpersonal sensitivity, attenuated positive psychotic symptoms, avoidant coping and negative emotional states may contribute to long-term deficits in social functioning. We illustrate the importance, when assessing a young client with a possible ARMS, of examining more subtle and subjective symptoms in addition to attenuated positive symptoms.

Keywords

At-risk mental statecopingdepressionearly detectioninterpersonal sensitivityprodromal psychotic symptoms
Type
Original Articles
Information
Psychological Medicine , Volume 42 , Issue 9 , September 2012 , pp. 1835 - 1845
Copyright
Copyright © Cambridge University Press 2012

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