Trial reportEarly intervention in psychiatry2025
Positive Reframing of Psychosis Risk is Perceived as Less Frightening and Stigmatising Than Negative Framing by Adolescents With and Without Prodromal Symptoms: An Experimental Simulated Feedback Study.
Trial report in Early intervention in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- Positive Reframing of Psychosis Risk Reduces Social Stigma and Desire for Social Distance Among Adolescents: Moderating Roles of Prodromal Experiences, Sex, and Culture.Early intervention in psychiatry · 2026Trial
- Positive Reframing of Psychosis Risk is Perceived as Less Frightening and Stigmatising Than Negative Framing by Adolescents With and Without Prodromal Symptoms: An Experimental Simulated Feedback Study.Early intervention in psychiatry · 2025Trial
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
aimsRecent studies have shown that communicating and psycho-educating young individuals and their families about high-risk psychosis can offer benefits, like validation and access to specialised care. However, it can also negatively impact self-perception, distress and help-seeking behaviour. In a recent study (Sol-Nottes et al.), we demonstrated that clinicians view positive reframing as a way to mitigate these concerns. This study aimed to extend those findings to community-dwelling adolescents with high versus low levels of distressing 'prodromal' experiences. An additional goal was to explore the moderating role of sex and culture.
methodsThe study replicated the design from Sol-Nottes et al. Exactly 108 adolescents were randomly assigned to view either negatively or positively framed simulated feedback sessions, followed by questions about the session's impact. Prior to viewing the simulated session, all participants completed the brief version of the Prodromal Questionnaire (PQ-B).
resultsAs hypothesised, positive framing significantly reduced fear and stigma. However, contrary to our secondary hypothesis, these effects were not moderated by the level of prodromal symptoms. Finally, exploratory analyses revealed a moderating effect of sex and culture, with a stronger effect of positive reframing on stigma, mobilisation to seek help and hopefulness, among male and Arab adolescents.
conclusionsThese findings provide further support for the potential beneficial effect of positive reframing in the context of at-risk mental states and highlight the importance of cultural factors. Together, these results lay the groundwork for clinical trials on positive framing in real-world settings.
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