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. 2021 Dec 3;10(12):e27462. doi: 10.2196/27462

Table 1.

Inclusion criteria and transdiagnostic sample characteristics based on a modified version of the clinical staging model by Hartmann et al [16].

Stage and criteria Measure
1a (distressed individuals)

  • Psychological distress (K10a score ≥20) but not fulfilling criteria of stage 1b or 2

  • K10

1b (CHARMSb)

Psychosis trait vulnerability


  • First degree relative with psychosis and SOFASc < 50 in the last 12 months or

  • Or SOFAS 30% below the past level

  • Family risk

  • SOFAS


Psychosis trait vulnerability


  • Schizotypal personality and SOFAS <50 in the last 12 months or

  • Or SOFAS 30% below the past level

  • SCID IId

  • SOFAS


Bipolar trait vulnerability


  • Depressed mood or diminished interest or pleasure for at least 1 week as well as two additional criteria of depression: weight loss, sleep disorder, psychomotor disturbances, loss of energy, feelings of worthlessness or guilt, diminished ability to think or concentrate or indecisiveness, suicidality

  • And mood swings for at least 6 months in the lifetime (not symptom-free for a longer period than 2 months consecutively) and at least three symptoms: decreased need for sleep, increased energy, inflated self-esteem or grandiosity, increase in goal-directed activity, restlessness, increased talkativeness, unusual ideas, risky behavior, inappropriate humor (does not have to equal loss of function!)

  • Or first degree relative with bipolar disorder

  • SCID-5e

  • Family risk


Attenuated psychotic symptoms


  • CAARMSf global rating score of 3-6 and frequency of 3-6 on the subscales: unusual thought content, nonbizarre ideas, perceptual abnormalities, disorganized speech

  • Or global rating score of 6 and frequency of 3 on the subscales: unusual thought content, nonbizarre ideas, perceptual abnormalities, disorganized speech

  • CAARMS


Attenuated hypomanic symptoms


  • Elevated, expansive or unusually irritable mood on at least 2 consecutive days

  • And 2 (or in case of only irritable mood 3) additional criteria: inflated self-esteem or grandiosity, decreased need for sleep, increased talkativeness, flight of ideas or subjective experience that thoughts are racing, distractibility, increase in goal-directed activity or psychomotor agitation, unusual ideas, increased involvement in activities that are pleasurable in short time but have a high potential for long-term damage

  • For a duration of 3 days maximum if 3 or more (or in case of only irritable mood 4 or more) additional criteria are met and there are functional disturbances or others notice the mood or functional disturbances

  • For a duration of 6 days maximum if 3 or more (or in case of only irritable mood 4 or more) additional criteria are met or there are functional disturbances or others notice the mood or functional disturbances

  • Exclusion: hospitalization, severe impairment in social or professional functioning, no psychotic elements

  • CAARMS


Moderate (attenuated) depression


  • Mild or moderate depression (current or lifetime), that is, at least 1 cardinal symptom, 5 additional symptoms

  • And HAM-Dg>17 (cutoff)

  • SCID-5

  • HAM-D


BLIPSh


  • Global rating of 6 on the subscales: unusual thought content or nonbizarre ideas

  • Or global rating of 5 or 6 on the subscale perceptual abnormalities

  • And/or global rating of 6 on the subscale disorganized speech present for less than a week

  • And frequency of 4-6 on all above mentioned scales

  • CAARMS


Anxiety


  • Mild or moderate panic disorder /agoraphobia (current or lifetime)

  • Or not fully meeting criteria for GADi, that is, symptoms for less than 6 months or less than four symptoms met

  • Or mild or moderate social phobia (current or lifetime)

  • And HAM-Aj>9 (cutoff)

  • SCID-5

  • HAM-A

2 (first treated episode)

Psychosis CAARMS

Severe major depression (current or lifetime) SCID-5

Mania or hypomania SCID-5

Severe anxiety disorder (current or lifetime); eg, agoraphobia, GAD SCID-5

aK10: Kessler Distress Scale [81].

bCHARMS: Clinical High At-Risk Mental State.

cSOFAS: Social and Occupational Functioning Assessment Scale [84].

dSCID II: Structured Clinical Interview for DSM-IV Axis II Personality Disorders,

eSCID-5: Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) [79].

fCAARMS: Comprehensive Assessment of At-Risk Mental State [80].

gHAM-D: Hamilton Depression Rating Scale [85].

hBLIPS: brief limited intermittent psychotic symptoms.

iGAD: Generalized Anxiety Disorder.

jHAM-A: Hamilton Anxiety Rating Scale [86].