The self, neuroscience and psychosis study: Testing a neurophenomenological model of the onset of psychosis

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  • Marija Krcmar
  • Cassandra M.J. Wannan
  • Suzie Lavoie
  • Kelly Allott
  • Christopher G. Davey
  • Hok Pan Yuen
  • Thomas Whitford
  • Melanie Formica
  • Sarah Youn
  • Jashmina Shetty
  • Rebecca Beedham
  • Victoria Rayner
  • Graham Murray
  • Andrea Polari
  • Łukasz Gawęda
  • Dan Koren
  • Louis Sass
  • Andreas R. Rasmussen
  • Patrick McGorry
  • Jessica A. Hartmann
  • Barnaby Nelson
Aim
Basic self disturbance is a putative core vulnerability marker of schizophrenia spectrum disorders. The primary aims of the Self, Neuroscience and Psychosis (SNAP) study are to: (1) empirically test a previously described neurophenomenological self-disturbance model of psychosis by examining the relationship between specific clinical, neurocognitive, and neurophysiological variables in UHR patients, and (2) develop a prediction model using these neurophenomenological disturbances for persistence or deterioration of UHR symptoms at 12-month follow-up.

Methods
SNAP is a longitudinal observational study. Participants include 400 UHR individuals, 100 clinical controls with no attenuated psychotic symptoms, and 50 healthy controls. All participants complete baseline clinical and neurocognitive assessments and electroencephalography. The UHR sample are followed up for a total of 24 months, with clinical assessment completed every 6 months.

Results
This paper presents the protocol of the SNAP study, including background rationale, aims and hypotheses, design, and assessment procedures.

Conclusions
The SNAP study will test whether neurophenomenological disturbances associated with basic self-disturbance predict persistence or intensification of UHR symptomatology over a 2-year follow up period, and how specific these disturbances are to a clinical population with attenuated psychotic symptoms. This may ultimately inform clinical care and pathoaetiological models of psychosis.
OriginalsprogEngelsk
TidsskriftEarly Intervention in Psychiatry
Vol/bind18
Udgave nummer2
Sider (fra-til)153-164
Antal sider12
ISSN1751-7885
DOI
StatusUdgivet - 2024

Bibliografisk note

Funding Information:
This study is supported by a Wellcome Trust Flagship Award (UNS89574). BN was supported by an NHMRC Senior Research Fellowship (1137687) and a University of Melbourne Dame Kate Campbell Fellowship. KA is supported by a Dame Kate Campbell Fellowship from the University of Melbourne. AR was supported by an Independent Research Fund Denmark. Open access publishing facilitated by The University of Melbourne, as part of the Wiley ‐ The University of Melbourne agreement via the Council of Australian University Librarians.

Publisher Copyright:
© 2023 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd.

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