Trial reportJournal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)2015
Decreases in perceived maternal criticism predict improvement in subthreshold psychotic symptoms in a randomized trial of family-focused therapy for individuals at clinical high risk for psychosis.
Trial report in Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04338152 (Family-Focused Therapy for Individuals at High Clinical Risk for Psychosis), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Family-Focused Therapy for Individuals at High Clinical Risk for Psychosis: A Confirmatory Efficacy Trial
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Psychological interventions for people with psychotic experiences: A systematic review and meta-analysis of controlled and uncontrolled effectiveness and economic studies.The Australian and New Zealand journal of psychiatry · 2020Pooled it
- Interventions for prodromal stage of psychosis.The Cochrane database of systematic reviews · 2019Pooled it
- Trajectories of parent criticism across treatment for youth self-harm.Journal of child psychology and psychiatry, and allied disciplines · 2025Trial
- Adolescent and Family-Focused Cognitive-Behavioral Therapy for Pediatric Bipolar Disorders: An Open Trial and Individual Trajectories Study in Routine Psychiatric Care.Child psychiatry and human development · 2024Trial
- Family communication and the efficacy of family focused therapy in individuals at clinical high risk for psychosis with comorbid anxiety.Early intervention in psychiatry · 2023Trial
- Family-focused therapy for individuals at high clinical risk for psychosis: A confirmatory efficacy trial.Early intervention in psychiatry · 2022Trial
- Effects of Family-Focused Therapy vs Enhanced Usual Care for Symptomatic Youths at High Risk for Bipolar Disorder: A Randomized Clinical Trial.JAMA psychiatry · 2020Trial
- Family communication with teens at clinical high-risk for psychosis or bipolar disorder.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2018Trial
- Expressed emotions and caregiving appraisals among relatives of patients with psychotic disorders: a cross-sectional study.BMC psychiatry · 2026Article
- Synergistic pathways to psychosis: understanding developmental risk and resilience factors.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026Review
- Reimagining psychosis prevention: responding to the accessibility issues of At-Risk Mental State (ARMS) services through a selective public health approach.BJPsych bulletin · 2025Article
- Review of Major Social Determinants of Health in Schizophrenia-Spectrum Psychotic Disorders: I. Clinical Outcomes.Schizophrenia bulletin · 2023Review
- Psychoeducation for individuals at clinical high risk for psychosis: A scoping review.Schizophrenia research · 2023Article
- Predictors of criticism and emotional over-involvement in relatives of early psychosis patients.PloS one · 2020Article
- Family functioning moderates the impact of psychosis-risk symptoms on social and role functioning.Schizophrenia research · 2019Article
- Perceived Criticism in the Treatment of a High-Risk Adolescent.Journal of clinical psychology · 2017Article
- Social relationships in young adults at ultra high risk for psychosis.Psychiatry research · 2017Article
- Perceived criticism predicts outcome of psychotherapy for panic disorder: Replication and extension.Journal of consulting and clinical psychology · 2017Article
- Family-Focused Therapy for Bipolar Disorder: Reflections on 30 Years of Research.Family process · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Perceived criticism (PC) is a measure of how much criticism from 1 family member "gets through" to another. PC ratings have been found to predict the course of psychotic disorders, but questions remain regarding whether psychosocial treatment can effectively decrease PC, and whether reductions in PC predict symptom improvement. In a sample of individuals at high risk for psychosis, we examined a) whether Family Focused Therapy for Clinical High-Risk (FFT-CHR), an 18-session intervention that consists of psychoeducation and training in communication and problem solving, brought about greater reductions in perceived maternal criticism, compared to a 3-session family psychoeducational intervention; and b) whether reductions in PC from baseline to 6-month reassessment predicted decreases in subthreshold positive symptoms of psychosis at 12-month follow-up. This study was conducted within a randomized controlled trial across 8 sites. The perceived criticism scale was completed by 90 families prior to treatment and by 41 families at 6-month reassessment. Evaluators, blind to treatment condition, rated subthreshold symptoms of psychosis at baseline, 6- and 12-month assessments. Perceived maternal criticism decreased from pre- to posttreatment for both treatment groups, and this change in criticism predicted decreases in subthreshold positive symptoms at 12-month follow-up. This study offers evidence that participation in structured family treatment is associated with improvement in perceptions of the family environment. Further, a brief measure of perceived criticism may be useful in predicting the future course of attenuated symptoms of psychosis for CHR youth.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.