Race/ethnicity and socioeconomic status as predictors of outcome following family therapy in youth at clinical high risk for psychosis. 2024

Bernalyn Ruiz-Yu, and Thanh P Le, and Marc J Weintraub, and Jamie Zinberg, and Jean Addington, and Mary P O'Brien, and Barbara C Walsh, and Michelle Friedman-Yakoobian, and Andrea Auther, and Cornblatt, and Isabel Domingues, and Tyrone D Cannon, and David J Miklowitz, and Carrie E Bearden
Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, California, USA.

OBJECTIVE There is limited research on the effects of sociodemographic and socioeconomic factors on treatment outcomes in youth at clinical high risk for psychosis (CHRp). This study examined sociodemographic factors that may affect functional outcomes within this population. Specifically, we investigated the influence of race/ethnicity (dichotomized as non-Hispanic whites [NHW] vs. people of colour [POC]), socioeconomic status (SES; operationalized as parental years of education), and their interaction on change in psychosocial functioning and symptoms over 6 months in a randomized trial of family-focused therapy. METHODS CHRp youth (N = 128) participated in a randomized trial of family therapy (18 sessions of family therapy vs. 3 sessions of family psychoeducation). Sixty-four participants who self-identified as POC and 64 self-identified NHW participants completed baseline and 6-month follow-up measures of positive and negative symptoms and psychosocial (global, role, and social) functioning. Multiple regression models were conducted to test the main effect of race/ethnicity on changes in positive and negative symptoms and functioning, and whether this effect was moderated by parental education. RESULTS There was a significant interaction between race/ethnicity and parental education, such that higher parental education was associated with greater improvement in global functioning in NHW participants, but there was no relationship between parental education and global functioning in POC. Additionally, higher parental education was associated with a decrease in negative symptoms in NHW participants but not in POC. There were no significant effects of race/ethnicity or parental education on positive symptoms, nor on social or role functioning. CONCLUSIONS Clinicians may consider tailoring psychosocial treatments according to the needs of diverse families who vary in sociodemographic factors such as educational attainment and race/ethnicity.

UI MeSH Term Description Entries

Related Publications

Bernalyn Ruiz-Yu, and Thanh P Le, and Marc J Weintraub, and Jamie Zinberg, and Jean Addington, and Mary P O'Brien, and Barbara C Walsh, and Michelle Friedman-Yakoobian, and Andrea Auther, and Cornblatt, and Isabel Domingues, and Tyrone D Cannon, and David J Miklowitz, and Carrie E Bearden
July 2011, Journal of the American Academy of Child and Adolescent Psychiatry,
Bernalyn Ruiz-Yu, and Thanh P Le, and Marc J Weintraub, and Jamie Zinberg, and Jean Addington, and Mary P O'Brien, and Barbara C Walsh, and Michelle Friedman-Yakoobian, and Andrea Auther, and Cornblatt, and Isabel Domingues, and Tyrone D Cannon, and David J Miklowitz, and Carrie E Bearden
November 2013, American journal of respiratory and critical care medicine,
Bernalyn Ruiz-Yu, and Thanh P Le, and Marc J Weintraub, and Jamie Zinberg, and Jean Addington, and Mary P O'Brien, and Barbara C Walsh, and Michelle Friedman-Yakoobian, and Andrea Auther, and Cornblatt, and Isabel Domingues, and Tyrone D Cannon, and David J Miklowitz, and Carrie E Bearden
August 2006, Archives of neurology,
Bernalyn Ruiz-Yu, and Thanh P Le, and Marc J Weintraub, and Jamie Zinberg, and Jean Addington, and Mary P O'Brien, and Barbara C Walsh, and Michelle Friedman-Yakoobian, and Andrea Auther, and Cornblatt, and Isabel Domingues, and Tyrone D Cannon, and David J Miklowitz, and Carrie E Bearden
January 2020, Research in health science,
Bernalyn Ruiz-Yu, and Thanh P Le, and Marc J Weintraub, and Jamie Zinberg, and Jean Addington, and Mary P O'Brien, and Barbara C Walsh, and Michelle Friedman-Yakoobian, and Andrea Auther, and Cornblatt, and Isabel Domingues, and Tyrone D Cannon, and David J Miklowitz, and Carrie E Bearden
February 2010, Schizophrenia research,
Bernalyn Ruiz-Yu, and Thanh P Le, and Marc J Weintraub, and Jamie Zinberg, and Jean Addington, and Mary P O'Brien, and Barbara C Walsh, and Michelle Friedman-Yakoobian, and Andrea Auther, and Cornblatt, and Isabel Domingues, and Tyrone D Cannon, and David J Miklowitz, and Carrie E Bearden
August 2020, SSM - population health,
Bernalyn Ruiz-Yu, and Thanh P Le, and Marc J Weintraub, and Jamie Zinberg, and Jean Addington, and Mary P O'Brien, and Barbara C Walsh, and Michelle Friedman-Yakoobian, and Andrea Auther, and Cornblatt, and Isabel Domingues, and Tyrone D Cannon, and David J Miklowitz, and Carrie E Bearden
April 2019, Early intervention in psychiatry,
Bernalyn Ruiz-Yu, and Thanh P Le, and Marc J Weintraub, and Jamie Zinberg, and Jean Addington, and Mary P O'Brien, and Barbara C Walsh, and Michelle Friedman-Yakoobian, and Andrea Auther, and Cornblatt, and Isabel Domingues, and Tyrone D Cannon, and David J Miklowitz, and Carrie E Bearden
December 2017, Early intervention in psychiatry,
Bernalyn Ruiz-Yu, and Thanh P Le, and Marc J Weintraub, and Jamie Zinberg, and Jean Addington, and Mary P O'Brien, and Barbara C Walsh, and Michelle Friedman-Yakoobian, and Andrea Auther, and Cornblatt, and Isabel Domingues, and Tyrone D Cannon, and David J Miklowitz, and Carrie E Bearden
May 2022, Psychiatry research,
Bernalyn Ruiz-Yu, and Thanh P Le, and Marc J Weintraub, and Jamie Zinberg, and Jean Addington, and Mary P O'Brien, and Barbara C Walsh, and Michelle Friedman-Yakoobian, and Andrea Auther, and Cornblatt, and Isabel Domingues, and Tyrone D Cannon, and David J Miklowitz, and Carrie E Bearden
April 2023, Social psychiatry and psychiatric epidemiology,
Copied contents to your clipboard!