Relationships between the affective measure and real-world functioning and psychotic symptoms in clinical high-risk for developing psychosis (CHR, purple) and adolescent-onset psychosis (AOP, blue) over time (1–5 visits). Within the combined CHR and AOP groups, (a) greater impairments in emotion regulation (DERS total score) are associated with lower social functioning (global social functioning). (b) Greater emotion regulation impairments (DERS total score) are associated with greater severity in negative symptoms. (c) More engagement in cognitive reappraisal (ERQ cognitive reappraisal) is associated with less severity in negative symptoms. DERS, Difficulties in Emotion Regulation Scale; ERQ, Emotion Regulation Questionnaire; ERS, Emotion Reactivity Scale