Factors associated with occupational and academic status in patients with first-episode psychosis with a particular focus on neurocognition

2012 ◽  
Vol 47 (11) ◽  
pp. 1763-1773 ◽  
Author(s):  
Marte Tandberg ◽  
Torill Ueland ◽  
Ole A. Andreassen ◽  
Kjetil Sundet ◽  
Ingrid Melle
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Academic Status ◽  
Factors Associated ◽  
Episode Psychosis

Risk factors associated with treatment-resistant schizophrenia in first-episode psychosis

2017 ◽  
Vol Ano 7 ◽  
pp. 8-12
Author(s):  
Ana Beatriz de Oliveira Assis ◽  
Jayse Gimenez Pereira Brandão ◽  
Pedro Otávio Piva Espósito ◽  
Osmar Tessari Junior ◽  
Bruno Berlucci Ortiz
Keyword(s):  
Risk Factors ◽  
First Episode Psychosis ◽  
First Episode ◽  
Treatment Resistant ◽  
Factors Associated ◽  
Syndrome Scale ◽  
Episode Psychosis ◽  
Negative Syndrome

Objetivo: Ainda não está claro quais são os fatores de risco para a esquizofrenia resistente ao tratamento (ERT) em primeiro episódio psicótico (PEP). O objetivo deste trabalho é investigar indicadores de risco para ERT em PEP. Métodos: Foram selecionados 53 pacientes em primeiro episódio psicótico, com diagnóstico de esquizofrenia, que deram entrada à enfermaria de psiquiatria do Hospital das Clínicas Luzia de Pinho Melo entre 2011 e 2015. Ao ser admitido na enfermaria, o paciente era avaliado com a Escala de Sintomas para as Síndromes Positiva e Negativa (Positive and Negative Syndrome Scale – PANSS) e recebia tratamento inicial por 4 semanas. Caso sua resposta fosse inferior a 40% de redução na PANSS, o antipsicótico era trocado, e as escalas eram aplicadas novamente após mais 4 semanas. Após a falha com dois antipsicóticos, em doses plenas, por 4 semanas cada, a clozapina era introduzida, e o paciente era considerado ERT. Uma regressão logística foi aplicada onde sexo, idade de início, tempo de doença não tratada, uso de substâncias, avaliação global do funcionamento inicial e PANSS inicial total foram inseridos como variáveis independentes, e ERT foi inserida como variável dependente. Resultados: Tempo de doença não tratada apresentou significância de p = 0,038 e Exp (B) = 4,29, enquanto que PANSS total apresentou p = 0,012 e Exp (B) = 1,06. Conclusão: Identificar os fatores associados à resistência precoce ao tratamento poderia permitir aos clínicos evitar o atraso na introdução da clozapina e prevenir um pior prognóstico para esses pacientes.

scholarly journals S101. CLINICAL FACTORS ASSOCIATED WITH CANNABIS USE IN A CHILEAN SAMPLE OF FIRST EPISODE PSYCHOSIS PATIENTS

2018 ◽  
Vol 44 (suppl_1) ◽  
pp. S364-S364
Author(s):  
Barbara Iruretagoyena ◽  
Nicolas Crossley ◽  
Alfonso Gonzalez-Valderrama ◽  
Cristian Mena ◽  
Carmen Castañeda ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
Cannabis Use ◽  
First Episode ◽  
Clinical Factors ◽  
Factors Associated ◽  
Episode Psychosis

scholarly journals Examining the Factors Associated with Paid Employment of Clients Enrolled in First Episode of Psychosis Programs

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Carolyn S. Dewa ◽  
Lucy Trojanowski ◽  
Chiachen Cheng ◽  
Desmond Loong
Keyword(s):  
Socioeconomic Factors ◽  
Employment Status ◽  
Educational Development ◽  
First Episode Psychosis ◽  
First Episode ◽  
Future Directions ◽  
Factors Associated ◽  
Paid Employment ◽  
Episode Psychosis ◽  
Psychosocial Programs

Schizophrenia is one of the most debilitating mental disorders. For a significant portion of individuals who suffer from this disorder, onset occurs in young adulthood, arresting important social and educational development that is necessary for future successful labor force participation. The purpose of this paper is to contribute to the literature about clients enrolled in first episode psychosis programs and psychosocial outcomes by examining the factors associated with paid employment among young adults who have experienced their first psychotic episodes. In this paper, we consider the association of socioeconomic factors to employment. Our results suggest that in addition to treatment, socioeconomic factors such as receipt of public disability benefits and educational attainment are associated with employment status. These results can help to inform future directions for the enhancement of psychosocial programs in FEP models to promote paid employment.

Characteristics of Hispanics Referred to Coordinated Specialty Care for First-Episode Psychosis and Factors Associated With Enrollment

2021 ◽  
pp. appi.ps.2020007
Author(s):  
Bess Rose Friedman ◽  
Danielle K. Durán ◽  
Anastasiya Nestsiarovich ◽  
Mauricio Tohen ◽  
Rhoshel K. Lenroot ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
Specialty Care ◽  
First Episode ◽  
Factors Associated ◽  
Episode Psychosis

scholarly journals Disparities in Access to Early Psychosis Intervention Services: Comparison of Service Users and Nonusers in Health Administrative Data

2018 ◽  
Vol 63 (6) ◽  
pp. 395-403 ◽  
Author(s):  
Kelly K. Anderson ◽  
Ross Norman ◽  
Arlene G. MacDougall ◽  
Jordan Edwards ◽  
Lena Palaniyappan ◽  
...  
Keyword(s):  
Administrative Data ◽  
First Episode Psychosis ◽  
Early Psychosis ◽  
Primary Data ◽  
First Episode ◽  
Health Administrative Data ◽  
Lower Odds ◽  
Factors Associated ◽  
Episode Psychosis ◽  
Incident Cases

Objective: There is a dearth of information on people with first-episode psychosis who do not access specialized early psychosis intervention (EPI) services. We sought to estimate the proportion of incident cases of nonaffective psychosis that do not access these services and to examine factors associated with EPI admission. Methods: Using health administrative data, we constructed a retrospective cohort of incident cases of nonaffective psychosis in the catchment area of the Prevention and Early Intervention Program for Psychoses (PEPP) in London, Ontario, between 1997 and 2013. This cohort was linked to primary data from PEPP to identify EPI users. We used multivariate logistic regression to model sociodemographic and service factors associated with EPI admission. Results: Over 50% of suspected cases of nonaffective psychosis did not have contact with EPI services for screening or admission. EPI users were significantly younger, more likely to be male (odds ratio [OR] 1.58; 95% confidence interval [CI] 1.24 to 2.01), and less likely to live in areas of socioeconomic deprivation (OR 0.51; 95% CI 0.36 to 0.73). EPI users also had higher odds of psychiatrist involvement at the index diagnosis (OR 7.35; 95% CI 5.43 to 10.00), had lower odds of receiving the index diagnosis in an outpatient setting (OR 0.50; 95% CI 0.38 to 0.65), and had lower odds of prior alcohol-related (OR 0.42; 95% CI 0.28 to 0.63) and substance-related (OR 0.68; 95% CI 0.50 to 0.93) disorders. Conclusions: We need a greater consideration of patients with first-episode psychosis who are not accessing EPI services. Our findings suggest that this group is sizable, and there may be sociodemographic and clinical disparities in access. Nonpsychiatric health professionals could be targeted with interventions aimed at increasing detection and referral rates.

scholarly journals Phenotypic factors associated with amisulpride‐induced weight gain in first‐episode psychosis patients (from the OPT iMi SE cohort)

2019 ◽  
Vol 140 (3) ◽  
pp. 283-290
Author(s):  
R. Pandit ◽  
D. Cianci ◽  
S. E. Hark ◽  
I. Winter‐van Rossum ◽  
B. H. Ebdrup ◽  
...  
Keyword(s):  
Weight Gain ◽  
First Episode Psychosis ◽  
First Episode ◽  
Factors Associated ◽  
Episode Psychosis

Factors associated with functional psychosocial status in first-episode psychosis

2009 ◽  
Vol 3 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Sara K. Lucas ◽  
M. Antoinette Redoblado-Hodge ◽  
E. Arthur Shores ◽  
John Brennan ◽  
Anthony Harris
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Psychosocial Status ◽  
Factors Associated ◽  
Episode Psychosis

Factors associated with schizophrenic evolution after a first episode psychosis

2016 ◽  
Vol 33 (S1) ◽  
pp. S587-S587
Author(s):  
M. Turki ◽  
N. Halouani ◽  
R. Naoui ◽  
I. Gassara ◽  
N. Hamza ◽  
...  
Keyword(s):  
Negative Symptoms ◽  
First Episode Psychosis ◽  
Trigger Factor ◽  
Psychiatric Disease ◽  
First Episode ◽  
Factors Associated ◽  
Mood Symptoms ◽  
Clinical Observations ◽  
Episode Psychosis ◽  
Competing Interest

IntroductionThe evolution of a first episode psychosis is a fundamental question, despite its unpredictability. It affects the type of management and drug treatment. In this context, schizophrenia, a disabling psychiatric disease, remains the most formidable evolution.ObjectiveAssess the frequency and factors associated with schizophrenic evolution after a first episode psychosis.MethodsWe conducted a retrospective, descriptive and analytic study including 55 patients hospitalized in psychiatry department, Hédi Chaker Hospital, Sfax, Tunisia, during 7 years (from 2007 to 2013), then managed in the outpatient department. We collected socio-demographic, clinical and evolutive data from clinical observations.ResultsThe mean age was 26.5 years. Sex ratio (M/F) was 2.9. Among our patients, 74.5% were single and 49.1% had no profession. A trigger factor of this episode was noted in 43.6% and a break with the previous functioning in 63.6% of cases. A schizoid personality was reported in 74.5% of the population. All patients presented positive symptoms, 96.4% had negative symptoms and 61.8% presented mood symptoms.Schizophrenic evolution was reported in 38.2% of patients. Factors associated with this evolution were: masculine gender (P = 0.004), social isolation (P = 0.009); absence of mood symptoms (P < 0.001) and mental automatism (P = 0.043).ConclusionOur study shows some factors associated with schizophrenic evolution after a first episode psychosis. The identification of these factors, as well as other factors reported in the literature is essential to allow early and adequate support, and ensure a better social integration.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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