Patterns of dissociative (conversion) disorder cases in private psychiatric facility and the effectiveness of an indigene model of psychotherapy

2017 ◽  
Vol 41 (S1) ◽  
pp. S410-S410
Author(s):  
M.I. Hussain
Keyword(s):  
Family Environment ◽  
Family Members ◽  
Care Facility ◽  
Health Care Facility ◽  
Conversion Disorder ◽  
Illness Behavior ◽  
Psychiatric Facility ◽  
Supportive Psychotherapy ◽  
The Family ◽  
Competing Interest

This is descriptive study was carried out on newly diagnosed dissociative (conversion) disorder patients admitted in private health care facility, Iftikhar Psychiatric Hospital Peshawar.The studied was carried out from January 2012 to December 2012. Cases were diagnosed according to international classification of disease (ICD-10) diagnostic criteria. Subjects were selected through purposive sampling. A total of 139 patients were included in this study. Patterns of and disorder and demographic will be presented in presentation.Due to sociocultural sensitivity of applying dialectical and CBT an indigenes model of psychotherapy was applied.Stage 1: admission of conversion disorder cases for four days admission with informed consent, supportive psychotherapy, and brief psycho-education of attendants to avoid reinforcement of the patient's behavior. Parental single dose medication to break the cycle of fits.Stage 2: it involves exploratory session with the patient and her/his family members focusing on what is the problem with the patient nature of stressors, and the family environment. Meanwhile, we involve the patient in the recreational and occupational therapy to avoid sick role and illness behavior.Stage 3: psychotherapy session with the patient to give psycho-education and insight of her/his mental problem. Discussing different options, and facilitating the patient to come up with the best possible desirable option. Psychotherapy of the family members involved psycho-education about the patient's mental illness, its association with the prevailing stressors, and avoiding reinforcement. Responses have been 85% improvement in conversion disorder, 90% in sensory symptoms, 98% in motor symptoms, 95% in mixed symptoms.Disclosure of interestThe author has not supplied his declaration of competing interest.

Mental health promotion and co-evolution appreciation of familiar history: Case study

2017 ◽  
Vol 41 (S1) ◽  
pp. S437-S437
Author(s):  
M.H. Figueiredo ◽  
P.D.L. Claúdia ◽  
F. Moreira ◽  
M. Lebreiro ◽  
F. Guimarães
Keyword(s):  
Family Environment ◽  
Therapeutic Process ◽  
Family Members ◽  
Family Strengths ◽  
Core Element ◽  
Elective Mutism ◽  
The Family ◽  
Competing Interest ◽  
Active Mirror

IntroductionThe developments of familiar therapy allows a systemic (collaborative) approach centered in what functions best in the system, integrating action plans which presupposes a family appreciation concept as a transformer system.Objectives/aimsPresentation of a family clinical case (X family) in which one of the members is diagnosed with “elective mutism”, this being labelled as a “a family problem” which led to familiar therapy.MethodsIn the therapeutic process we use a number of resources centered in family strengths as strategies directed to the solution and system change. We incorporate an innovating strategy, which we call “differentiated spectularity”, trying to make something different based on therapy concepts centered on solutions. The presentation of exceptions and the use of scales allowed us to monitor the change process.ResultsThe strategy materialization, where family members in their family environment saw the film of their latest session in a favourable context for the enlargement of their own vision as a family, allowed change expansion amplifying its complexity. The family members perceive themselves as having a moderate cohesion level, increasing the levels of adaptability, which places the X family in a “balanced” class. The family member with a diagnosis of elective mutism, after six months of family therapy, showed changes in withdrawal, anxiety and shyness behaviour.ConclusionsSharing family members different versions allows us to tell the story over and over again. The questioning emerging from the pro-active mirror effect is the core element of the change registered with incidence in the emotional and behaviour domains.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Nursing consultation practice for psychosocial problems on heart failure patiens in hospital-based outpatient clinic

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
ERWIN Erwin ◽  
ELLY Nurachmah ◽  
TUTI Herawati
Keyword(s):  
Heart Failure ◽  
Support System ◽  
Family Environment ◽  
Outpatient Clinic ◽  
Social Problems ◽  
Family Members ◽  
Psychosocial Problems ◽  
The Family ◽  
Hospital Outpatients ◽  
At Home

Abstract Funding Acknowledgements Type of funding sources: None. Background The client"s condition for heart failure requires environmental support to be able to be confident and able to carry out activities according to the directions given while the patient is undergoing treatment in the hospital, but sometimes in the client"s time period at home there will be situations where patients may experience complaints or changes in conditions that can affect his cardiovascular status. Purpose this study is conducted to identify psychological and social problems and needs of heart failure clients with a qualitative approach of observation, invite individuals or families to participate, motivate individuals to develop the potential to maintain optimal health. In addition, this study was conducted to assess the need and effectiveness of the practice of consulting for heart failure nursing in hospital outpatients Method qualitative observation approach in nursing consulting practice using steps of the nursing process consisting of an assessment of physical, psychological and social conditions and client needs, formulating problems, making plans and taking care of actions in accordance with the problems that exist by nurses in the outpatient clinic at home sick. Results Clients who came to the outpatient clinic had various  psychological and social problems. From the observations and interviews it was found that psychological and social problems were the most common causes. Psychosocial problems arise due to the client himself, life companion (husband or wife) and family members who live together. So that the family system to support clients with heart failure is not awakened. Health education and promotion to clients, life companions, and family members of heart failure clients who live at home are needed when the client controls health to maintain the client"s health support system while at home. All clients and families in this study stated that the practice of nursing consultations in hospital outpatients is very helpful for clients and families to improve the situation they face. Conclusion the practice of nursing consultations can identify the problems and needs of clients and families. Strengthening the client support system for heart failure at home is needed so that psychological and social problems can be reduced when the client is in the family environment. Nursing consultation practices at outpatient hospitals are needed to help motivate clients and families in maintaining and increasing care and support for clients who suffer from heart failure while at home. Psychosocial problems The client felt anxious, lack of attention, complained sleeping difficulty, often forgot taking medicine, and forgot managing fluid intakeThe client,while at home, was fastidious and wanted to many, was difficult to be told or managed, was always suspicious with their spouse"s activity easily got angry or temperamental, the client"s child felt annoyed because the client acted annoying, the client"s spouse felt annoyed because the client was impatient and temperamentalPsychological, and social problems in heart failure patients

Mental disadaptation correction of the family members of dangerous professions workers

2021 ◽  
Vol LIII (1) ◽  
pp. 84-87
Author(s):  
Alexandra Yu. Kivorkova ◽  
Andrey G. Soloviev
Keyword(s):  
Family Environment ◽  
Self Regulation ◽  
Family Members ◽  
Stress Index ◽  
Choice Test ◽  
Simultaneous Increase ◽  
Behavioral Strategies ◽  
Software Complex ◽  
Professional Activities ◽  
The Family

Aim. The aim of the paper was the substantiation the directions of correction the emotional state of the family environment of the family members of dangerous professions on the basis of biobehavioral therapy using biofeedback technology. Methods. 47 women were examined (29.34.7 years) wives of employees whose professional activities are related to solving professional problems in extreme conditions. The hardware and software complex BOS-Pulse with the Pulse module with game plots, Multipsychometer was used. According to the pulse recorded by the photoplethysmographic method, a spectral analysis of heart rate variability was carried out using a program for processing data from game biocontrol. The control of efficiency was carried out according to the functional parameters of the cardiovascular system and indicators of the color choice test. Results. By the end of the training, all women had mastered the skill of increasing RR-intervals. The value of the stress index of Baevskys regulatory systems during the course of biobehavioral therapy decreased from 73.217.8 to 56.825.4, the index of vegetative balance from 132.729.2 to 84.545.2. According to the test of color choices, a pronounced deepening of positive tendencies in terms of psychological indicators was noted, which, in general, was expressed in a significant decrease in anxiety and fatigue with a simultaneous increase in working capacity and indicators of the vegetative coefficient. Conclusions. Correctional trainings with the use of biocontrol technology led to an improvement in personal adaptive characteristics, the formation and consolidation of the conditioned reflex skill of self-regulation and a corrective behavioral stereotype that promotes activation of the bodys reserve capabilities. The effective behavioral strategies of self-regulation developed by women contributed to the training of productive techniques for counteracting stressors associated with the specifics of husbands professional activities and, accordingly, with the family microclimate.

scholarly journals Kegiatan Pemantauan Kasus Covid 19

2022 ◽  
Vol 1 (1) ◽  
pp. 207-213
Author(s):  
Indra Karana
Keyword(s):  
Community Service ◽  
Public Transportation ◽  
Family Members ◽  
Care Facility ◽  
Health Care Facility ◽  
Shortness Of Breath ◽  
Running Water ◽  
Novel Coronavirus ◽  
The City ◽  
At Home

ABSTRAKCOVID-19 adalah penyakit yang disebabkan Novel Coronavirus 2019. Gejalanya bergejala mirip dengan flu biasa, namun COVID-19 sampai saat ini memiliki fatalitas lebih tinggi dan virus ini juga menyebar dengan sangat cepat karena bisa pindah dari orang ke orang bahkan sebelum orang tersebut menunjukkan gejala. Cara isolasi mandiri dirumah yaitu selalu memakai masker dan membuang masker bekas ditempat yang ditentukan,  jika sakit (ada gejala demam, flu dan batuk) maka tetap di rumah. Jangan pergi bekerja, sekolah, ke pasar atau ke ruang publik untuk mencegah penularan masyarakat, manfaatkan fasilitas telemedicine atau sosial media kesehatan dan hindari transportasi publik. Beritahu dokter dan perawat tentang keluhan dan gejala, serta riwayat bekerja ke daerah terjangkit atau kontak dengan pasien COVID-19, selama dirumah, bisa bekerja di rumah. Gunakan kamar terpisah dari anggota keluarga lainya, dan jaga jarak 1 meter dari anggota keluarga, tentukan pengecekan suhu harian, amati batuk dan sesak nafas. Hindari pemakaian bersama peralatan makan dan mandi dan tempat tidur, terapkan perilaku hidup sehat dan bersih, serta konsumsi makanan bergizi, mencuci tangan dengan sabun dan air mengalir dan lakukan etika batuk dan bersin, jaga kebersihan dan kesehatan rumah dengan cairan desinfektan. Selalu berada di ruang terbuka dan berjemur di bawah sinar matahari setiap pagi (±15-30 menit), Hubungi segera fasilitas pelayanan kesehatan jika sakit berlanjut seperti sesak nafas dan demam tinggi, untuk mendapatkan perawatan lebih lanjut. Tujuan pengabdian masyarakat ini adalah untuk melakukan pemantauan kasus covid 19 di Kota Bandung. Kegiatan pengabdian masyarakat ini memberikan pelayanan dengan melakukan pemantauan agar mengetahui keadaan, kondisi dan perkembangan yang dialami oleh warga yang terpapar covid 19 di Kota Bandung. Hasil pengabdian masyarakat diperoleh seluruh warga yang terpapar covid 19 sudah dalam keadaan sehat dan pulih seperti sedia kala. Kata Kunci: Pemantauan kasus covid 19. ABSTRACT COVID-19 is a disease caused by the 2019 Novel Coronavirus. The symptoms are similar to the common cold, but COVID-19 has so far had a higher fatality and this virus also spreads very quickly because it can move from person to person even before the person shows symptoms. . The way to self-isolate at home is to always wear a mask and throw away used masks in the designated place, if you are sick (symptoms of fever, flu and cough) then stay at home. Do not go to work, school, to the market or to public spaces to prevent community transmission, take advantage of telemedicine facilities or health social media and avoid public transportation. Tell doctors and nurses about complaints and symptoms, as well as a history of working in infected areas or in contact with COVID-19 patients, while at home, you can work at home. Use a separate room from other family members, and keep a distance of 1 meter from family members, determine daily temperature checks, observe coughs and shortness of breath. Avoid sharing eating and bathing utensils and bedding, apply healthy and clean living habits, and consume nutritious food, wash hands with soap and running water and practice coughing and sneezing etiquette, keep your home clean and healthy with disinfectant liquid. Always be in an open space and bask in the sun every morning (±15-30 minutes), Contact the health care facility immediately if the illness persists such as shortness of breath and high fever, to get further treatment. The purpose of this community service is to monitor COVID-19 cases in the city of Bandung. This community service activity provides services by monitoring to find out the conditions, conditions, and developments experienced by residents exposed to COVID-19 in the city of Bandung. The results of community service were obtained that all residents who were exposed to COVID-19 were in good health and recovered as usual. Keywords: Monitoring cases of covid 19.

Family Learning and Video Games

2018 ◽  
Author(s):  
Sinem Siyahhan ◽  
Elisabeth Gee
Keyword(s):  
Social Context ◽  
Video Games ◽  
Life Span ◽  
Family Environment ◽  
Family Members ◽  
Family Learning ◽  
Broad Perspective ◽  
Opportunities For Learning ◽  
The Family ◽  
Adults And Children

The family environment is an important social context where learning takes place for adults and children of all ages, and perhaps the only context in which participation occurs over a life-span. In this social context, playing games has always been one of many activities family members do individually and together that engages them in learning. In this chapter, we offer a broad perspective on learning and discuss how games of all sorts can provide opportunities for learning, and how families can take more advantage of these potential learning experiences.

Reducing Stress, Coping, and Communicating Effectively: Tips for Family Members and Patients

2010 ◽  
Author(s):  
Michael T Compton ◽  
Beth Broussard
Keyword(s):  
Family Environment ◽  
Family Members ◽  
Effective Communication ◽  
Stressful Event ◽  
Stress Coping ◽  
Good Communication ◽  
The Family ◽  
Supportive Family ◽  
Receive Treatment ◽  
Reducing Stress

As discussed in previous chapters, psychosis often first begins in late adolescence or young adulthood. Thus, many people who experience a first episode of psychosis live with and rely on their families for support. In addition to providing a place to live and other basic support, families are key in the recovery process because they love and care for the person with the illness and they want to help. Family members may need to provide emotional support, arrange for treatment, and find new ways to cope with the signs and symptoms of psychosis or other problems that result from the illness. Families are a very important part of the team that is necessary to properly manage psychosis. In fact, now that more effective antipsychotic medicines and psychosocial treatments are available, many people with psychosis often can receive treatment in the community and with their families rather than having extended stays in the hospital. Families play a major role in helping their loved ones manage their illness. As a result, it is vital to create a supportive family environment by reducing stress, coping, and communicating effectively. This chapter focuses on three essential domains of a supportive family environment: reducing stress, enhancing coping, and ensuring effective communication. First, we begin by defining …Families play a major role in helping their loved ones manage their illness. As a result, it is vital to create a supportive family environment by reducing stress, coping, and communicating effectively.… stress and the ways that the early stages of psychosis can lead to stress. We discuss three ways to reduce stress in the family as well as three related ways the family can help the patient to reduce stress. Second, we define coping and talk about the importance of coping with a stressful event, like an episode of psychosis in a family member. We offer three ways of coping effectively for family members as well as three ways that patients can practice effective coping. Third, we address the value of good communication and how the symptoms of psychosis can sometimes interfere with productive communication patterns. We then provide eight points of advice for effective communication within the family.

Frequent attendance: a Clinical and Epidemiological Study

2016 ◽  
Vol 33 (S1) ◽  
pp. S442-S443
Author(s):  
S. López-Romeo ◽  
G. Ledesma-Iparraguirre
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Retrospective Study ◽  
Emergency Services ◽  
Care Facility ◽  
Health Care Facility ◽  
Frequent Attenders ◽  
Frequent Attendance ◽  
Competing Interest ◽  
New Strategies

BackgroundFrequent attenders (F a) are patients who attend a health care facility repeatedly. The frequency of frequent attendance at emergencies department has been defined as 4 or more attendances/annum. F a are few in number but they produce a high number of attendances.aimsTo determine prevalence of F a, mean attendances/year generated by F a and frequency of visits by months.Methodsa retrospective study was performed on psychiatry's emergency department database from January until December 2013. F a was defined as those with ≥ 4 attendances at emergency services in a year.Prevalence of F a, attendances’ prevalence, diagnosis’ prevalence, Mean attendances generated by F a and frequency of visits by months were analysed.Resultsamong 4824 attendances we found 181 F as (5.98%). Men represented 50.80% and women 49.20%. F a presented a mean of 6.33 attendances/year, while non-F a presented a mean of 1.29 attendances/year.in accordance with frequency of visits by months, it was observed that number of attendances was increased in april and May, in both F a and non-F a.ConclusionPrevalence of F a was 5.98%, F a generated a 23.74% of attendances. Most prevalent F a’ diagnoses were: anxiety disorder, personality disorder non-specified and schizophrenia.F a at emergency department contributes to overcrowd them. for this reason, it is important to take into account these results to develop new strategies to improve F a’ attention and prevent its occurrence.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Compare “family atmosphere” in informal caregivers of patients with psychotic symptoms compared to their inclusion or not in self-help associations

2017 ◽  
Vol 41 (S1) ◽  
pp. S381-S381
Author(s):  
M. Mentis ◽  
M. Gouva ◽  
E. Kotrsotsiou ◽  
N.V. Angelopoulos ◽  
E. Dardiotis
Keyword(s):  
Family Environment ◽  
Expressed Emotion ◽  
Informal Caregivers ◽  
Psychotic Symptoms ◽  
Family Environment Scale ◽  
Self Help ◽  
Environment Scale ◽  
The Family ◽  
Competing Interest ◽  
Self Help Groups

IntroductionThe participation of informal caregivers in the café of patients with psychotic symptoms in coordination with self-help groups have been found to reduce the expressed emotion in combination with psychoeducations interventions help create a supportive environment.ObjectivesThis study investigates the differences in the family atmosphere of informal caregivers of patients with psychotic symptoms.AimsTo compare whether or not the participation of informal caregivers of patients with psychotic symptoms in self-organized associations helps to foster a supportive family environment, hence reducing the risk of relapse.MethodsSnowballing sampling consisting of 510 informal caregivers of patients with psychotic symptoms was used in the current study. The Family Environment Scale of Moos and Moos and socio-demographic questions were implemented to collect the data. Control Cronbach's Alpha reliability of scale gave value a = 0.795.ResultsThe comparison showed that informal caregivers of patients with psychotic symptoms irrespective of their participation or not in self-help associations do not show significant differences in Family Environment Scale. Significant statistical difference between the two groups (P < 0.05) only occurred in the subcategory “organization”, as the first group (m = 4.68, df = ± 2.233) were found to have lower values compared to the other group (m = 5.21, df = ± 2.233).DiscussionsThe study demonstrated that informal caregivers of patients with psychotic symptoms involved in self-help groups do not show to have a particular difference in the family atmosphere than families who do not participate in self-help associations.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals PERKEMBANGAN FUNGSI PRAGMATIK PADA ANAK USIA 2,5 TAHUN (STUDI KASUS PADA AZZA AQILA JIHAN SYUASABITHA)

Kadera Bahasa ◽  
2018 ◽  
Vol 9 (1) ◽  
pp. 39-52
Author(s):  
Ali Kusno
Keyword(s):  
Language Development ◽  
Social Environment ◽  
Family Environment ◽  
Family Members ◽  
Sensitive Period ◽  
Language Function ◽  
Biological Factors ◽  
Sensitive Periods ◽  
The Family ◽  
The Subject

The golden age of kid was a sensitive period. During this period, the kid was specially receiving the stimulant from theenvironment. The period of kid’s language development was various, dependent on the characteristics. This study relatedto the function development of kid’s language. The example case to the girl 2,5 years old, Azza Aqila Jihan Syuasabitha(Jihan). Jihan was growing in the family environment and child caring. The kid’s language was developing quickly. Theusage of language was devoted to Jihan’s interaction with family members. Collecting data method in this study was theobservation. The subject in this study was the child’s author. This study aimed to describe the development of Jihan’sspeech as child 2,5 years old based on the language function grouping according to M.A.K Halliday. The result of thestudy showed the kid can apply all of language function usage. Those are the instrumental, the regulatory, the interactional,the personal, the heuristic, the imaginative, and the representational. Therefore, she was interpreted has the ability aboveaverage the children the same age. The achievement was influenced by biological factors (parents who have good languageskills) and social environment (in the house, in the school, and so on) which can stimulate Jihan’s language development AbstrakMasa keemasan anak merupakan periode sensitif (sensitive periods). Selama masa tersebut anak secarakhusus mudah menerima stimulus-stimulus dari lingkungan. Tempo perkembangan bahasa anakcenderung variatif tergantung karakteristik anak. Penelitian ini berhubungan dengan perkembanganfungsi bahasa anak. Contoh kasus, Azza Aqila Jihan Syuasabitha (Jihan) anak perempuan yang berusia2,5 tahun. Jihan besar dalam lingkungan keluarga dan taman penitipan anak. Perkembangan fungsibahasanya pesat. Pemakaian bahasa dikhususkan pada interaksi Jihan dengan anggota keluarga.Pengumpulan data dalam penelitian dengan teknik pengamatan berperan serta. Subjek penelitian iniadalah anak penulis sendiri. Penelitian ini bertujuan untuk mendeskripsikan perkembangan tuturanJihan sebagai anak yang berusia 2,5 tahun berdasarkan pengelompokan fungsi bahasa menurut M.A.KHalliday. Hasil penelitian menunjukkan anak itu mampu menerapkan keseluruhan fungsi penggunaanbahasa, yakni instrumental, regulatoris/dogmatis, interaksional, personal, heuristik, imajinatif, danrepresentasional. Dengan demikian, dapat diinterpretasikan bahwa anak itu memiliki kemampuan diatas rata-rata anak seumur dia. Pencapaian tersebut dipengaruhi oleh faktor biologis (orang tua yangmemang memiliki kemampuan berbahasa yang baik) dan lingkungan sosial (di rumah, sekolah, dantempat lain).

scholarly journals S229. THE EFFECT OF FAMILY ENVIRONMENT ON LONGITUDINAL FUNCTIONING IN FIRST PSYCHOTIC EPISODES

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S125-S126
Author(s):  
Norma Verdolini ◽  
Silvia Amoretti ◽  
Gisela Mezquida ◽  
Bibiana Cabrera ◽  
Manuel J Cuesta ◽  
...  
Keyword(s):  
Family Environment ◽  
Family Members ◽  
Religious Practices ◽  
Psychotic Episode ◽  
Social Activities ◽  
Emotional Climate ◽  
First Psychotic Episode ◽  
The Family ◽  
Open Expression

Abstract Background Family environment plays a key role in the development of psychotic symptoms (Pitschel-Walz et al., 2001; Tienari et al., 2004) and negative family environmental factors are linked to poor prognosis in psychosis (Geller et al., 2000). By contrast, a positive family environment is associated with greater improvements in negative and disorganized symptoms among individuals at imminent risk of becoming psychotic (O’Brien et al., 2006). Nonetheless, little is known about the implication of family environment on longitudinal functioning in patients that presented a first psychotic episode. Methods This study is part of the “Phenotype-genotype and environmental interaction. Application of a predictive model in first psychotic episodes” (PEPS) study, a multicentric, longitudinal, naturalistic follow-up study (Bernardo et al., 2013). The Functional Assessment Short Test (FAST) was used to assess functional outcome. The Family Environment Scale (FES) evaluated family emotional climate in different categories: COHESION (C) for mutual reliance; EXPRESSIVITY (EX), the extent to which family members express their feelings directly; CONFLICTS (CON) for open expression of anger, aggressiveness and conflict; INDEPENDENCE (IND), the extent to which family members are independent in their decisions; ACHIEVEMENT ORIENTATION (AO) for an achievement-orientated environment; INTELLECTUAL–CULTURAL ORIENTATION (ICO) for political, intellectual, cultural interests; ACTIVE–RECREATIONAL ORIENTATION (ARO) for participation in social activities; MORAL–RELIGIOUS EMPHASIS (MRE) for the importance given to ethical and religious practices and values; ORGANIZATION (ORG) for the organization in activities and responsibilities; and CONTROL (CTL), the extent to which the family considers rules and established procedures. Patients with a first psychotic episode (FEPs) and healthy controls (HCs) have been evaluated baseline and after two years of follow-up. Diagnoses at 2 years have been established according to the Structured Clinical Interview for DSM-IV. Linear regression models have been conducted in order to assess the effect that different family environments exert on functioning at baseline but also at 2 years of follow-up, when the group of FEPs has been divided in patients diagnosed with psychotic disorders (PSYC) versus bipolar disorder (BD). All data were analyzed with the Statistic Package for Social Sciences (SPSS v.23 for Windows). All the analyses were two-tailed with alpha set at p &lt; 0.05. Results At baseline, the total sample included 335 FEPs (mean FAST=27.8±16.1) and 253 HCs (mean FAST 3.5±8.1). At baseline the linear model was not significant neither for FEPs nor for HCs and no family environment was associated with functioning. At 2 years (mean FAST BD=13.8±15.1, mean FAST PSYC =20.98±15.4), in the BD group (F(10,14)=2.6, p=.05) worse functioning was associated with CON (β=.741, p=.004) whilst in the PSYC group (F(10,108)=3.509, p=&lt;.001) it was negatively associated with ARO (β=- .305, p=.006) and AO (β=- .204, p=.039) and positively associated with MRE (β=.268, p=.003). Discussion At baseline, no specific family environment was associated with functioning. At 2 years, in BD worse functioning was associated with higher rates of open expression of conflict in the family whilst in PSYC it was associated with lower rates of participation in social activities and achievement-orientated family environment as well as with higher rates of religious practices and values. Family environment exerts an important role in the functioning of FEPs mainly in the long-term, with important implications for early interventions for both patients and caregivers.

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