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The current study examined the role of self\u2010reported family perceptions in the context of adolescents with an <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>t\u2010<jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>isk <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ental <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tate (<jats:styled-content style=\"fixed-case\">ARMS<\/jats:styled-content>) for psychosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Family perceptions were obtained using the Family Perceptions Scale (<jats:styled-content style=\"fixed-case\">FPS<\/jats:styled-content>) and compared across three groups; an <jats:styled-content style=\"fixed-case\">ARMS<\/jats:styled-content> for psychosis group (<jats:italic>n<\/jats:italic>\u2009=\u200944), a first\u2010episode affective\/non\u2010affective psychosis group (<jats:italic>n<\/jats:italic>\u2009=\u200926) and a control group (<jats:italic>n<\/jats:italic>\u2009=\u2009140) drawn from a community population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Scores on the <jats:styled-content style=\"fixed-case\">FPS<\/jats:styled-content>\u2005<jats:italic>Expressed Emotion<\/jats:italic> subscale were significantly higher in the psychosis and <jats:styled-content style=\"fixed-case\">ARMS<\/jats:styled-content> groups, compared to controls (<jats:italic>P<\/jats:italic>\u2009=\u20090.039 and <jats:italic>P<\/jats:italic>\u2009=\u20090.041, respectively). In contrast, participants in the <jats:styled-content style=\"fixed-case\">ARMS<\/jats:styled-content> group reported poorer perceived <jats:italic>problem solving<\/jats:italic> and lower levels of <jats:italic>nurturing<\/jats:italic> behaviour in their families compared to controls (<jats:italic>P<\/jats:italic>\u2009=\u20090.032 and <jats:italic>P<\/jats:italic>\u2009=\u20090.027). Overall, family perceptions were not related to symptom severity in both the <jats:styled-content style=\"fixed-case\">ARMS<\/jats:styled-content> and psychosis groups (except for manic symptomatology and <jats:italic>Expressed Emotion<\/jats:italic>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings highlight that <jats:styled-content style=\"fixed-case\">ARMS<\/jats:styled-content> patients are likely to report higher levels of perceived family dysfunction compared to a community sample of young people. However, the mechanisms by which family perceptions may contribute to the development of distressing psychotic symptoms remain unclear and require further study. Family work, with a focus upon improving perceived expressed emotion, nurturing behaviours and hostility may at this stage represent a feasible adjunct therapy for those with <jats:styled-content style=\"fixed-case\">ARMS<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.12115","type":"journal-article","created":{"date-parts":[[2013,11,29]],"date-time":"2013-11-29T10:06:59Z","timestamp":1385719619000},"page":"316-323","source":"Crossref","is-referenced-by-count":10,"title":["Adolescent family perceptions in the <scp>A<\/scp>t\u2010<scp>R<\/scp>isk <scp>M<\/scp>ental <scp>S<\/scp>tate for psychosis"],"prefix":"10.1111","volume":"9","author":[{"given":"Patrick","family":"Welsh","sequence":"first","affiliation":[{"name":"School for Medicine, Pharmacy &amp; Health The Wolfson Research Institute Durham University  Stockton\u2010on\u2010Tees UK"},{"name":"Early Intervention in Psychosis Service Tees, Esk and Wear Valleys NHS Foundation Trust  Bishop Auckland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul A.","family":"Tiffin","sequence":"additional","affiliation":[{"name":"School for Medicine, Pharmacy &amp; 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