ArticleEarly intervention in psychiatry2023
Social network size in adolescents at clinical high risk for psychosis.
Article in Early intervention in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 9 citations in OpenAlex.
- Life events and their subjective appraisal by children and adolescents in clinical high-risk states of psychosis: a cross-sectional comparison with inpatients with non-psychotic disorders and community subjects.European child & adolescent psychiatry · 2026Article
- Disrupted physiological coregulation in youth at clinical high risk for psychosis: Insights from a dyadic interaction study.Emotion (Washington, D.C.) · 2026Article
- Youth-Nominated Support Teams for Youth at Clinical High Risk for Psychosis (YST-CHR): A Novel Approach to Suicide Prevention in Early Psychosis.Early intervention in psychiatry · 2025Article
- Cognition as a predictor of social network size and early communication in clinically high risk for psychosis individuals.Schizophrenia research. Cognition · 2025Review
- Are Sociodemographic Characteristics Associated with Course of High Risk for Psychosis Symptoms at 12-Month Follow-Up?Psychology research and behavior management · 2025Article
- Exploring causal mechanisms of psychosis risk.Neuroscience and biobehavioral reviews · 2024Review
- Associations between social engagement, internalizing symptoms, and delusional ideation in the general population.Social psychiatry and psychiatric epidemiology · 2024Article
- Temporal Interactions Between Social Motivation and Behavior In Daily Life Among Individuals at Clinical High-Risk for Psychosis.Schizophrenia bulletin · 2023Article
- [Depressive disorders and olfactory dysfunction].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciencesReview
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
aimsAdolescents and young adults at clinical high risk (CHR) for psychosis report few close friends. Social support has been linked to conversion to psychosis and psychosis relapse in CHR individuals. Expanding earlier research on loneliness and friendships at a single timepoint, this study described composition and changes in social network and its association with clinical and cognitive symptoms among CHR adolescents.
methodsNinety five individuals (46 CHR individuals, 49 healthy volunteers) completed baseline and 1-year follow-up Social Network Index (SNI) evaluations and clinical interviews. Analyses first examined SNI size and composition across 10 categories (e.g., family, close friends, coworkers, classmates) between groups. Then, the relationship between SNI size and baseline social symptoms (i.e., paranoia, social anhedonia, social anxiety, social cognition), social function, and changes in symptoms and social networks over 1-year were examined within the CHR group.
resultsCHR individuals showed smaller social networks overall, driven by fewer friendships and family relationships. Social cognition and social anxiety significantly related to SNI size at baseline, but social anhedonia and paranoia did not. SNI size related to social function, but with a modest effect size (r's = .45 and .56). Surprisingly, an increase in positive symptom severity related to an increase in familial but a decrease in coworker social network size.
conclusionsThe social support deficits in the CHR group were specific to relatives and friendships, with social anxiety and social cognition as implicated symptoms. Social relationships may serve as a promising early intervention target in individuals at CHR for psychosis.
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