Related Concept Videos
Self-Evaluation: Self-Enhancement and Self-Verification
Erikson's Theory on Socioemotional Development during Adolescence
Psychosis: Goals of Pharmacotherapy
Psychological and Sociocultural Causes of Schizophrenia
Erikson's Theory on Socioemotional Development during Childhood
The first four of Erikson's eight...
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
You might also read
Related Articles
Articles linked to this work by shared authors, journal, and citation graph.
Eye Movement Measures of Word-Level and Text-Level Fluency in Disordered Reading: A Comparison of Schizophrenia and Dyslexia.
A Comparison of Regularization, Alignment, and a Traditional Method for Estimating Structural Relationships Across Two Groups.
Related Experiment Video
Updated: Mar 23, 2026

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
Published on: November 21, 2013
Autonomy Support from Healthcare Professionals Improves Functioning in Early Psychosis Through Psychological Growth.
Helen Thai1,2,3, Gillian A O'Driscoll1, Richard Koestner1
1Department of Psychology, McGill University, Montréal QC H3A 1G1, Canada.
Autonomy support in early psychosis treatment improves functioning by fostering psychological growth. This finding highlights the importance of Self-Determination Theory (SDT) in clinical settings for better patient outcomes.
Area of Science:
- Psychiatry
- Psychology
Background:
- Early psychosis and schizophrenia-spectrum disorders significantly impair functioning.
- Existing interventions show variable outcomes, necessitating further research into mediating factors.
- Self-Determination Theory (SDT) suggests autonomy support enhances positive outcomes, but its role in psychosis treatment is understudied.
Purpose of the Study:
- To investigate if perceived autonomy support from healthcare providers predicts functional outcomes in early psychosis treatment.
- To examine the mediating role of recovery-oriented psychological growth in the relationship between autonomy support and functioning.
- To compare these effects within an SDT-informed intervention (NAVIGATE) versus community care (CC).
Main Methods:
- Utilized data from the Recovery After an Initial Schizophrenia Episode-Early Treatment Program study, a multisite cluster-randomized trial.
- Employed structural equation modeling to test indirect effects of autonomy support on functioning via psychological growth.
- Analyzed data separately for the NAVIGATE intervention (n=223) and community care (CC) group (n=180), adjusting for baseline differences.
Main Results:
- Perceived autonomy support at 3 months significantly predicted functioning at 12 months through psychological growth at 6 months in the NAVIGATE group (abps=0.063, 95%CI [0.32-3.05]).
- This indirect effect was significant at Year 2, indicating sustained impact.
- No significant indirect effects were found in the community care (CC) group, suggesting the intervention's specific impact.
Conclusions:
- Autonomy-supportive treatment programs, like NAVIGATE, enhance functional outcomes by promoting recovery-oriented psychological growth.
- Findings underscore the clinical relevance of Self-Determination Theory (SDT) in optimizing treatment for early psychosis.
- Cultivating autonomy-supportive environments is a key strategy for improving functional recovery in this population.

