Group Psychotherapy Focused on the Domain in the Emotional and Personality Domain in Adolescents with Schizophrenic Spectrum Disorders

Britova V.S.; Koval-Zaytsev A.A.; Goryunov A.V.; Barkhatova A.N.

doi:https://doi.org/10.17116/jnevro202512510221

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Abstract:

The narrative review describes modern ideas about the structural and dynamic features and disorders of the emotional and personal sphere in adolescents with schizophrenic spectrum disorders, and proves the therapeutic potential of group psychotherapy in the treatment of these disorders. The relevance of addressing emotional and personal deficits in adolescents is due to their impact on their social adjustment, the development of coping strategies, and the overall quality of life. The complexity of psychotherapy is due to a combination of immaturity and vulnerability of the emotional and personal sphere, specific to adolescents, combined with the actual age-related tasks of self-knowledge, implemented within the interpersonal interaction. The emotional and personal sphere of adolescents with schizophrenic spectrum disorders is characterized by a complex structure of disorders, including a decrease in the ability to perceive and express complex emotions, a deficit of mentalization and difficulties in interpreting social interactions, instability of self-esteem, hurtful experience of otherness, alienation from society and, as a result, fear of rejection, negative assessment, etc. These disorders, refracted through actual age-related tasks, are enhanced by social factors (isolation, stigmatization) and develop a specific pattern of social dysfunction, due to the close connection between clinical manifestations and normative phenomena of age-related development. Group psychotherapy is considered an effective method of complex treatment in various conditions and combinations of symptoms, due to the potent effect of nonspecific therapeutic mechanisms via processes of group dynamics and creating a supportive environment. The possibilities of various directions of group work are analyzed: psychoeducation, cognitive-behavioral approach, art therapy, and integrative methods. Promising directions for further research of group psychotherapy targeted for the emotional and personal sphere of adolescents with schizophrenic spectrum disorders are provided.

Keywords:

schizophrenic spectrum disorders

emotional and personal sphere

social maladjustment

adolescence

group psychotherapy

Authors:

Britova V.S.

Mental Health Research Cente

ORCID: 0000-0003-0001-3576

Koval-Zaytsev A.A.

Mental Health Research Center

SPIN RSCI: 5430-4202
Scopus AuthorID: 51461586400
ResearcherID: H-7116-2017
ORCID: 0000-0001-5736-5519

Goryunov A.V.

Mental Health Research Center

SPIN RSCI: 6932-3880
Scopus AuthorID: 35773220700
ResearcherID: B-9476-2017
ORCID: 0000-0002-2851-8843

Barkhatova A.N.

Mental Health Research Center

ORCID: 0000-0003-3805-332X

Received:

07.09.2025

Accepted:

14.10.2025

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References:

Makushkin EV, Demcheva NK. Structural features of the brain in amnestic mild cognitive impairment and their correlation with mild behavioral impairment. Rossiiskii psikhiatricheskii zhurnal. 2019;(4):4-15. (In Russ.).
Attaeva LZh, Makarov IV. Regional features of the frequency and dynamics of the prevalence of schizophrenia, schizotypal disorder and autism in children and adolescents In Russia (statistical data for 2021-2022). Sibirskii nauchnyi meditsinskii zhurnal. 2024;44(3):191-198. (In Russ.). https://doi.org/10.18699/SSMJ20240321
Pankova OF, Kazin NM, Ivanova SM. Schizophrenia spectrum disorders in children and adolescents: prevalence and diagnostics. Vestnik Rossiiskogo gosudarstvennogo meditsinskogo universiteta. 2021;(3):82-86. (In Russ.). https://doi.org/10.24075/vrgmu.2021.022
Goryunov AV, Zvereva NV, Simonov AN, Kaleda VG. Clinical features of schizotypal disorder in childhood and adolescence. S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(9-2):5-13. (In Russ.). https://doi.org/10.17116/jnevro20221220925
Goryunov AV. Controversial issues of diagnosis and theoretical concepts of schizophrenia in childhood. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(7):17-24. (In Russ.). https://doi.org/10.17116/jnevro202412407117
Zvereva NV, Goryunov AV, Zvereva MV. Clinical and psychological assessment of the variability of schizotypal personality disorder in children and adolescents. S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(7):88-93. (In Russ.). https://doi.org/10.17116/jnevro202212207188
Arribas M, Barnby JM, Patel R, et al. Longitudinal evolution of the transdiagnostic prodrome to severe mental disorders: a dynamic temporal network analysis informed by natural language processing and electronic health records. Molecular Psychiatry. 2025;30(7):2931-2942. https://doi.org/10.1038/s41380-025-02896-3
Uhlhaas PJ, Davey CG, Mehta UM, et al. Towards a youth mental health paradigm: a perspective and roadmap. Molecular Psychiatry. 2023;28(8):3171-3181. https://doi.org/10.1038/s41380-023-02202-z
Diagnostika i lechenie psikhicheskikh i narkologicheskikh rasstroistv: sovremennye podkhody. Sbornik metodicheskikh rekomendatsii. Pod red. Neznanova N.G. SPb.: Izdatel’sko-poligraficheskaya kompaniya «KOSTA»; 2022:145-168. (In Russ.).
Minichino A, Davies C, Karpenko O, et al. Preventing psychosis in people at clinical high risk: an updated meta-analysis by the World Psychiatric Association Preventive Psychiatry section. Molecular Psychiatry. 2025;30(6):2773-2782. https://doi.org/10.1038/s41380-025-02902-8
Bocharov VV, Shishkova AM, Dubinina EA, Shchelkova OYu, Neznanov NG. The role of clinical psychologist in modern healthcare system. Natsional’noe zdravookhranenie. 2023;4(1):12-22. (In Russ.). https://doi.org/10.47093/2713-069X.2023.4.1.12-22
Zvereva NV, Goryacheva TG, Koval-Zaitsev AA. Diagnostics in children’s clinical psychology: a dialogue between a psychologist and a doctor. Meditsinskaya psikhologiya v Rossii. 2023;15(1):3. Accessed: July 26, 2025. (In Russ.). https://medpsy.ru/mprj/archiv_global/2023_1_78/nomer02.php
Schultze-Lutter F, Michel C, Schmidt SJ, et al. EPA guidance on the early detection of clinical high risk states of psychoses. European Psychiatry. 2015;30(3):405-416. https://doi.org/10.1016/j.eurpsy.2015.01.010
Diagnostika i lechenie psikhicheskikh i narkologicheskikh rasstroistv: sovremennye podkhody. Sbornik metodicheskikh rekomendatsii. Pod red. Neznanova N.G. SPb.: Izdatel’sko-poligraficheskaya kompaniya «KOSTA»; 2023:124-138. (In Russ.).
Zvereva NV, Zvereva MV. Clinical and age features of the application of the method of recognition of emotional and expressive movements (poses and gestures) in children and adolescents (based on the materials of the report at the 2020 conference). Meditsinskaya psikhologiya v Rossii. 2022;14(5). Accessed: July 26, 2025. (In Russ.). https://medpsy.ru/mprj/archiv_global/2022_5_76/nomer06.php
Zvereva NV, Kutyreva YaS, Kazakova MV. The perception and expression of emotions in normative teenagers and those who suffer from schizophrenia. Klinicheskaya i spetsial’naya psikhologiya. 2016;5(4):76-92. (In Russ.). https://doi.org/10.17759/cpse.2016050406
Veshchikova MI. Pathopsychological study of danger perception. Meditsinskaya psikhologiya v Rossii. 2021;13(3):5. (In Russ.). https://doi.org/10.24412/2219-8245-2021-3-5
Levikova E. Social competence in adolescents with schizophrenia. Part 2: An empirical study. Psikhologicheskie issledovaniya. 2010;3(12). (In Russ.). https://doi.org/10.54359/ps.v3i12.910
Diagnostika i lechenie psikhicheskikh i narkologicheskikh rasstroistv: sovremennye podkhody. Sbornik metodicheskikh rekomendatsii. Pod red. Neznanova N.G. SPb.: Izdatel’sko-poligraficheskaya kompaniya «KOSTA»; 2024:5-31. (In Russ.).
Strauss GP, Raugh I, Visser K, et al. Deconstructing the nature of emotion regulation impairments at the identification, selection, and implementation stages in individuals at clinical high-risk for psychosis. Psychological Medicine. 2025;55:e22. https://doi.org/10.1017/S0033291724003155
Riehle M, Brauer S, Lincoln TM, et al. Interpersonal emotion regulation in young adults with low and high psychosis proneness: a diary study. Cognitive Therapy and Research. 2025;49:273-290. https://doi.org/10.1007/s10608-024-10525-6
Pugovkina OD, Malyukova DA. Research model of social cognition for the base of psychological help planning for adolescents with interpersonal dysfunction. Konsul’tativnaya psikhologiya i psikhoterapiya. 2014;22(4):168-181. Accessed July 26, 2025. (In Russ.). https://psyjournals.ru/journals/cpp/archive/2014_n4/74188
Pluzhnikov IV. Key approaches to the problem of personality in neuropsychology. Vestnik Moskovskogo universiteta. Seriya 14: Psikhologiya. 2014;(3):8-17. Accessed: July 26, 2025. (In Russ.). https://msupsyj.ru/articles/article/5154/
Williams TF, Conley RE, Mittal VA. The relevance of social anxiety for understanding social functioning and facial emotion recognition in individuals at clinical high-risk for psychosis. Early Intervention in Psychiatry. 2023;17(10):1021-1027. https://doi.org/10.1111/eip.13396
Kobzova MP. Dynamics of cognitive functions and social adaptation in patients with schizotypal disorder (STD). Meditsinskaya psikhologiya v Rossii. 2015;7(1):9. Accessed: July 26, 2025. (In Russ., in Eng.). https://medpsy.ru/mprj/archiv_global/2015_1_30/nomer08.php
Poletti M, Raballo A. Childhood schizotypal features vs. high-functioning autism spectrum disorder: developmental overlaps and phenomenological differences. Schizophrenia Research. 2020;223:53-58. https://doi.org/10.1016/j.schres.2020.09.027
Shadura YuV, Makushkin EV. The main trends of differentiated prevention of socially dangerous actions in adolescents suffering from schizophrenia spectrum disorders. Rossiiskii psikhiatricheskii zhurnal. 2014;(4):77-83. Accessed: July 26, 2025. (In Russ.). https://cyberleninka.ru/article/n/osnovnye-napravleniya-differentsirovannoy-profilaktiki-obschestvenno-opasnyh-deystviy-u-podrostkov-stradayuschih-rasstroystvami
Kholomogorova AB. Significance of Cultural-Historical Theory of Psychological Development of L.S. Vygotsky for the Development of Modern Models of Social Cognition and Psychotherapy. Kul’turno-istoricheskaya psikhologiya. 2016;12(3):58-92. (In Russ.). https://doi.org/10.17759/chp.2016120305
Carrión RE, Ku BS, Dorvil S, et al. Neurocognition in adolescents and young adults at clinical high risk for psychosis: Predictive stability for social and role functioning. Schizophrenia Research. 2024;271:129-137. https://doi.org/10.1016/j.schres.2024.06.054
Karcher NR, Sotiras A, Niendam TA, et al. Examining the most important risk factors for predicting youth persistent and distressing psychotic-like experiences. Biological Psychiatry Cognitive Neuroscience and Neuroimaging. 2024;9(9):939-947. https://doi.org/10.1016/j.bpsc.2024.05.009
Bailey A, Bauer BW, Mittal VA, et al. Interpersonal difficulties and suicidal ideation in young people at clinical high-risk for psychosis and help-seeking clinical controls. Psychiatry Research. 2025;348:116467. https://doi.org/10.1016/j.psychres.2025.116467
Teigset CM, Mohn C, Mohn-Haugen CR, et al. Psychological and social difficulties in young non-help-seeking adolescents at risk for psychosis: insights from a large cohort study. Frontiers in Psychology. 2024;15:1430805. https://doi.org/10.3389/fpsyg.2024.1430805
Ku BS, Ren J, Compton MT, et al. The association between neighborhood-level social fragmentation and distressing psychotic-like experiences in early adolescence: the moderating role of close friends. Psychological Medicine. 2024;54(9):2172-2180. https://doi.org/10.1017/S0033291724000278
Ku BS, Addington J, Bearden CE, et al. Associations between childhood area-level social fragmentation, maladaptation to school, and social functioning among healthy youth and those at clinical high risk for psychosis. Schizophrenia Bulletin. 2023;49(6):1437-1446. https://doi.org/10.1093/schbul/sbad093
Diomino A, Yuan Q, Cadenhead KS, et al. The role of childhood social fragmentation and perceived discrimination on maladaptive core schemas later in life among young adults at clinical high risk for psychosis and healthy comparisons. Schizophrenia Research. 2025;279:71-78. https://doi.org/10.1016/j.schres.2025.03.023
Filia K, Teo SM, Brennan N, et al. Interrelationships between social exclusion, mental health and wellbeing in adolescents: insights from a national Youth Survey. Epidemiology and Psychiatric Sciences. 2025;34:e5. https://doi.org/10.1017/S2045796024000878
Hemager N, Gregersen M, Christiani CJ, et al. Development of social functioning in preadolescent children at familial high-risk of schizophrenia or bipolar disorder — a 4-year follow-up study from age 7 to 11. Psychiatry Research. 2023;327:115397. https://doi.org/10.1016/j.psychres.2023.115397
Karambelas GJ, Byrne LK, Allott KA, et al. Early maladaptive schemas and depression in caregivers of individuals with schizophrenia spectrum and bipolar disorders. Clinical Psychology and Psychotherapy. 2024;31(3):e3000. https://doi.org/10.1002/cpp.3000
Jayasinghe A, Wrobel A, Filia K, et al. Distress, burden, and wellbeing in siblings of people with mental illness: a mixed studies systematic review and meta-analysis. Psychological Medicine. 2023;53(15):6945-6964. https://doi.org/10.1017/S0033291723001733
Jayasinghe A, Filia K, Wrobel A, et al. The role of schemas in the experience of distress, burden, and wellbeing in parents and siblings of people with serious mental health difficulties. Psychiatry Research. 2025;348:116448. https://doi.org/10.1016/j.psychres.2025.116448
Voronkova VB, Popov YV. Elaboration of the psychosocial rehabilitation program in adolescents with schizotypal disorder. Obozrenie psikhiatrii i meditsinskoi psikhologii imeni V.M. Bekhtereva. 2014;(1):66-69. Accessed: July 26, 2025. (In Russ.). https://psychiatr.ru/magazine/obozr/41/765
Diagnostika i lechenie psikhicheskikh i narkologicheskikh rasstroistv: sovremennye podkhody. Sbornik metodicheskikh rekomendatsii. Pod red. Neznanova N.G. SPb.: Izdatel’sko-poligraficheskaya kompaniya «KOSTA»; 2024:32-49. (In Russ.).
Calvo A, Moreno M, Ruiz-Sancho A, et al. Psychoeducational group intervention for adolescents with psychosis and their families: a two-year follow-up. Journal of the American Academy of Child & Adolescent Psychiatry. 2015;54(12):984-990. https://doi.org/10.1016/j.jaac.2015.09.018
Morrison AP, Hutton P, Wardle M, et al. Cognitive therapy for people with a schizophrenia spectrum diagnosis not taking antipsychotic medication: an exploratory trial. Psychological Medicine. 2012;42(5):1049-1056. https://doi.org/10.1017/S0033291711001899
Berendsen S, Berendse S, van der Torren J, et al. Cognitive behavioural therapy for the treatment of schizophrenia spectrum disorders: an umbrella review of meta-analyses of randomised controlled trials. EClinicalMedicine. 2024;67:102392. https://doi.org/10.1016/j.eclinm.2023.102392
Weintraub MJ, Zinberg J, Bearden CE, et al. Applying a transdiagnostic cognitive-behavioral treatment to adolescents at high risk for serious mental illness: rationale and preliminary findings. Cognitive and Behavioral Practice. 2020;27(2):202-214. https://doi.org/10.1016/j.cbpra.2019.07.007
Weintraub MJ, Ichinose MC, Zinberg JL, et al. A randomized trial of an app-enhanced group cognitive behavioral therapy for adolescents with mood or psychotic spectrum disorders. Journal of Consulting and Clinical Psychology. 2025;93(3):131-143. https://doi.org/10.1037/ccp0000946
Strogova SE, Kuznetsova SO. Analysis of art in art-therapy for children and adolescents with mental pathology. Meditsinskaya psikhologiya v Rossii. 2021;13(4):5. (In Russ.). https://doi.org/10.24412/2219-8245-2021-4-5
Parkinson S, Cole B, Trevelyan C. Art and mentalizing in early intervention psychosis: rationale and therapist insights on a new psychoeducational course. Frontiers in Psychiatry. 2024;15:1243990. https://doi.org/10.3389/fpsyt.2024.1243990
Hu J, Zhang J, Hu L, et al. Art therapy: a complementary treatment for mental disorders. Frontiers in Psychology. 2021;12:686005. https://doi.org/10.3389/fpsyg.2021.686005
Shabanova VA, Safonova MV. Visual arts in short-term inpatient therapy for schizophrenic spectrum disorders. Mezhdunarodnyi nauchno-issledovatel’skii zhurnal. 2023;(9):13. (In Russ.). https://doi.org/10.23670/IRJ.2023.135.50
Shevchenko IuS, Levkovskaya OB. The creative therapy by M. Burno in the psychotherapy of adolescents. S.S. Korsakov Journal of Neurology and Psychiatry. 2016;116(4-2):57-61. (In Russ.). https://doi.org/10.17116/jnevro20161163257-61
Psikhosotsial’naya i kognitivnaya terapiya i reabilitatsiya psikhicheski bol’nykh: Prakticheskoe rukovodstvo: kollektivnaya monografiya. Pod red. Gurovicha I.Ya., Shmuklera A.B. M.: Izdatel’skii dom «Medpraktika-M»; 2015:225-249. (In Russ.).
Takkueva EV, Sisneva ME, Kholmogorova AB. Restorative possibilities of constructive activity and self-efficacies by means of motivational training of those who suffers from schizophrenia in conditions of psychoneurological boarding schools. Sovremennaya terapiya psikhicheskikh rasstroistv. 2019;(4):38-46. (In Russ.). https://doi.org/10.21265/PSYPH.2019.14.42.005
She P, Zeng H, Yang B. Effect of self-consistency group intervention for adolescents with schizophrenia: an inpatient randomized controlled trial. Journal of Psychiatric Research. 2016;73:63-70. https://doi.org/10.1016/j.jpsychires.2015.11.006
Solokhina T, Oshevsky D, Barkhatova A, et al. Self-stigma in patients with endogenous mental disorders: a cross-sectional comparative study. Consortium Psychiatricum. 2024;5(1):13-26. https://doi.org/10.17816/CP15485
Klein T, Kösters M, Corrigan PW, et al. Does the peer-led Honest, Open, Proud program reduce stigma’s impact for everyone? An individual participant data meta-regression analysis. Social Psychiatry and Psychiatric Epidemiology. 2023;58(11):1675-1685. https://doi.org/10.1007/s00127-023-02491-3
Koren’ EV, Stepunina NE. Influence of psychosocial therapy on funcioning of adolescents with schizophrenia spectrum disorders (a pilot study). S.S. Korsakov Journal of Neurology and Psychiatry. 2013;113(9):54-58. (In Russ.).
Koren EV, Koupriyanova TA, Soukhotina NK. Group psychosocial multifamily therapy with parents of children and adolescents with schizophrenia spectrum disorders. Sotsial’naya i klinicheskaya psikhiatriya. 2012;22(1):71-76. (In Russ.).
Rivkina NM. Group psychosocial work with families in the system of comprehensive care for patients with first psychotic episode. Sotsial’naya i klinicheskaya psikhiatriya. 2010;20(3):42-49. (In Russ.).