Efficacy of PRIME, a Mobile App Intervention Designed to Improve Motivation in Young People With Schizophrenia

From Schizophrenia Bulletin:

The onset of schizophrenia occurs during a period critical for development of social relationships and functional independence. As such, interventions that target the early course of illness have the potential to stave off functional decline and restore functioning to pre-illness levels. In this entirely remote study, people with recent-onset schizophrenia spectrum disorders (SSDs) participated in a 12-week randomized controlled trial to determine the efficacy of PRIME (personalized real-time intervention for motivational enhancement), a mobile-based digital health intervention designed to improve motivation and quality of life. Participants were randomized into the PRIME (n = 22) or treatment-as-usual/waitlist (TAU/WL) condition (n = 21) and completed assessments at baseline, post-trial (12 wk), and for people in the PRIME condition, 3 months after the end of the trial. After 12-weeks, WL participants received PRIME, resulting in a total sample of 38 participants completing PRIME. In PRIME, participants worked towards self-identified goals with the support of a virtual community of age-matched peers with schizophrenia-spectrum disorders as well as motivation coaches. Compared to the WL condition, people in the PRIME condition had significantly greater improvements in self-reported depression, defeatist beliefs, self-efficacy, and a trend towards motivation/pleasure negative symptoms post-trial, and these improvements were maintained 3 months after the end of trial. We also found that people in the PRIME condition had significantly greater improvements in components of social motivation post-trial (anticipated pleasure and effort expenditure). Our results suggest that PRIME has the potential to be an effective mobile-based intervention for improving aspects of mood and motivation in young people with SSDs.

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Sleep disturbances in girls associated with more difficulties staying awake in and out of school

From Pedro de Bruyckere’s blog:

Sleep disturbances in girls associated with more difficulties staying awake in and out of school

We’ve known for some time now that we all sleep less than a decade ago and that our children often nowadays don’t sleep enough. This new study describes that there are maybedifferences related to gender. I wasn’t able to read the study because it’s something that was presented at a conference last week. From the […]

via Sleep disturbances in girls associated with more difficulties staying awake in and out of school — From experience to meaning…

Preliminary results of a recent study show that teen girls reported a higher degree of interference of daytime sleepiness on multiple aspects of their school and personal activities than boys.

The study examined whether teen boys and girls report similar negative impact of sleep disturbances on their daytime functioning.

“What was most surprising is the fact that teenage girls reported a higher degree of interference of daytime sleepiness than teenage boys on multiple aspects of their school and personal activities,” said co-author Pascale Gaudreault, who is completing her doctoral degree in clinical neuropsychology under the supervision of principal investigator Dr. Geneviève Forest at the Université du Québec en Outaouais in Gatineau, Québec, Canada. “For example, teenage girls have reported missing school significantly more often than teenage boys due to tiredness, as well as reported having lower motivation in school due to a poor sleep quality.”

The turtle menace – the peril of ICD-10 code W5922XD

Have you heard of the menace represented by ICD-10 code W5922XD?

If you don’t know what the hell I am on about, check it out here.

There’s also the menace of other species.

There’s fires in perhaps unexpected places.

Injuries can happen anywhere – such as here or here or here,

For those who may be offended by my tone, having survived multiple turtle and macaw attacks while being burnt while watersking in the prison pool en route to the library while singing arias, apologies.

At least you don’t have to face this. Repeatedly.