A positive-psychological intervention reduces acute psychosis-proneness

2018 
Abstract Background While individuals at ultra-risk for schizophrenia are characterized by high negative/disorganised but low positive schizotypy, schizophrenia patients are usually high in all three schizotypy facets. Thus, avoiding increases in positive schizotypy in ultra-high risk individuals may constitute of form of schizophrenia-prevention. A possible method of reducing positive schizotypy could be Positive-Psychological intervention (PI). Methods We present results from 2 independent studies, including a 12-month follow-up from study 1, using an easy-to-perform intervention based on Positive Psychology to reduce positive schizotypy. Results A PI can significantly and sustainably reduce positive schizotypy compared to a placebo-condition. Furthermore, our results show very high response-rates to said intervention, with responsiveness to the intervention increasing significantly with disorganised schizotypic traits. Conclusions As especially disorganised schizotypy is of relevance for the risk of transition from high benign schizotypy to schizophrenia and is found most closely associated to familial schizophrenia-risk and highly elevated in at-risk mental states, our results are encouraging. We suggest, thus, that positive psychology can not only reduce positive schizotypy, but may be increasingly useful with rising schizophrenia-risk and, thus, be worthy of further investigation regarding it potential in schizophrenia-prevention.
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