BRIEF RESEARCH REPORT article
Front. Behav. Neurosci.
Sec. Pathological Conditions
Volume 19 - 2025 | doi: 10.3389/fnbeh.2025.1614730
This article is part of the Research TopicPsychopathological and behavioral trajectories in transitional-age youth: Innovative approaches and paradigmsView all 7 articles
Multi-Domain Destructuring in the Early Phases of Psychosis: A multicentric Phenomenological and Psychometric case-control study
Provisionally accepted
Ottone Baccaredda Boy1,2*
Giuseppe Pierpaolo Merola1
Andrea Patti3,4Bernardo Bozza1Dario Flaccomio1Marco Faldi1Giulia Pitt1Luca Papini1
Vincenzo Pecoraro1Ilaria Noschese1,5*Elisa Di Matteo1Dario Brugnolo1Camilla Ricci1,6Andrea Ballerini1Francesco Mauceri1,5Simone Tavano1,5Giulio Peroni1,5
Sara Ciabattini1,5
Sara Gori5
Tiziana Pisano5Francesco De Cesaris1
David Cohen7
Valdo Ricca1- 1University of Florence, Florence, Italy
- 2Hospital of Prato, Prato, Italy
- 3Eating Disorder Clinic 'Residenza Gruber', Bologna, Emilia-Romagna, Italy
- 4Santagostino Medical Center, Bologna, Italy
- 5Azienda Ospedaliera Universitaria Meyer IRCCS - Firenze, Florence, Tuscany, Italy
- 6University of Bologna, Bologna, Emilia-Romagna, Italy
- 7Child and Adolescent Psychiatry Unit, Institute IDEAL, APHP.Sorbonne Univesity, Hôpital Pitié-Salpêtrière, Paris, France
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Introduction: the study aims to evaluate symptomatic differences through psychometric tools comparing patients in the early stages of psychotic development with those exhibiting a more established symptomatology. Our hypothesis was that the early phase in adolescent patients is accompanied by quantitatively and qualitatively distinct symptomatology compared to adults.Methods: we assessed 116 participants -consisting of 14 to 65 years old patients with psychotic or mood symptoms -using psychometric tools and a clinical interview. The tools explored psychotic, depressive and anxiety dimensions, to provide a multifaceted assessment of the recruited individuals and help at categorizing them into diagnostic subclasses.Results: we compared patients with psychotic symptoms (early-onset and lifetime) to patients with mood disorders (unipolar depression or bipolar disorder without psychotic symptoms). Psychotic symptoms intensity was significantly higher in the early-onset group compared to the lifetime group and was markedly greater than in the two other groups. It was also observed that the intensity of anxiety and depressive symptoms in the psychosis group were significantly higher in the early-onset subgroup.Conclusions: our findings suggest that the clinical presentation of early-onset patients, typically striking in its symptomatology, is reflected by elevated scores on scales not routinely used for psychotic symptoms. This may be attributed to the pervasive destructuring of personality and reality characteristic of early psychotic experiences.
Keywords: salience, psychosis, FEP, Anxiety, Depression, Cannabis
Received: 19 Apr 2025; Accepted: 30 Jun 2025.
Copyright: © 2025 Baccaredda Boy, Merola, Patti, Bozza, Flaccomio, Faldi, Pitt, Papini, Pecoraro, Noschese, Di Matteo, Brugnolo, Ricci, Ballerini, Mauceri, Tavano, Peroni, Ciabattini, Gori, Pisano, De Cesaris, Cohen and Ricca. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Ottone Baccaredda Boy, University of Florence, Florence, Italy
Ilaria Noschese, University of Florence, Florence, Italy
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.