Relationship between jumping to conclusions and clinical outcomes in people at clinical high-risk for psychosis

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  • Ana Catalan
  • Stefania Tognin
  • Matthew J. Kempton
  • Daniel Stahl
  • Gonzalo Salazar de Pablo
  • Barnaby Nelson
  • Christos Pantelis
  • Anita Riecher-Rössler
  • Rodrigo Bressan
  • Neus Barrantes-Vidal
  • Marie Odile Krebs
  • Nordentoft, Merete
  • Stephan Ruhrmann
  • Gabriele Sachs
  • Bart P.F. Rutten
  • Jim van Os
  • Lieuwe de Haan
  • Mark van der Gaag
  • Lucia R. Valmaggia
  • Philip McGuire
  • EU-GEI High Risk Study

Background. Psychosis is associated with a reasoning bias, which manifests as a tendency to 'jump to conclusions'. We examined this bias in people at clinical high-risk for psychosis (CHR) and investigated its relationship with their clinical outcomes. Methods. In total, 303 CHR subjects and 57 healthy controls (HC) were included. Both groups were assessed at baseline, and after 1 and 2 years. A 'beads' task was used to assess reasoning bias. Symptoms and level of functioning were assessed using the Comprehensive Assessment of At-Risk Mental States scale (CAARMS) and the Global Assessment of Functioning (GAF), respectively. During follow up, 58 (16.1%) of the CHR group developed psychosis (CHR-T), and 245 did not (CHR-NT). Logistic regressions, multilevel mixed models, and Cox regression were used to analyse the relationship between reasoning bias and transition to psychosis and level of functioning, at each time point. Results. There was no association between reasoning bias at baseline and the subsequent onset of psychosis. However, when assessed after the transition to psychosis, CHR-T participants showed a greater tendency to jump to conclusions than CHR-NT and HC participants (55, 17, 17%; χ2 = 8.13, p = 0.012). There was a significant association between jumping to conclusions (JTC) at baseline and a reduced level of functioning at 2-year follow-up in the CHR group after adjusting for transition, gender, ethnicity, age, and IQ.

Original languageEnglish
JournalPsychological Medicine
Volume52
Issue number8
Pages (from-to)1569 - 1577
ISSN0033-2917
DOIs
Publication statusPublished - 2022

Bibliographical note

Publisher Copyright:
© The Author(s), 2020. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.

    Research areas

  • Functioning, Psychosis, Transition to psychosis, Ultra high-risk

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