Association between Financial Strain, Social Network and Five-year Recovery from First Episode Psychosis

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. Mattsson
Keyword(s):  
Social Network ◽  
Linear Regression Analysis ◽  
First Episode Psychosis ◽  
Financial Strain ◽  
Psychotic Symptoms ◽  
First Episode ◽  
Unique Contribution ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Episode Psychosis

Despite much effort to positively affect long-term outcome in psychosis and schizophrenia many patients are still facing a poor outcome with persistent psychotic symptoms and decline in social functioning. the aim of this study was to examine the relationship between financial strain and social network and five-year outcome of first episode psychosis (FEP). FEP patients were divided into recovered (n = 52) and non-recovered (n = 19). Each personwas matched according to age and gender with fourpersons (n = 284) from a longitudinal populationbasedstudy. All persons had answered an extensivequestionnaire including social network, quantitative and qualitative, financial strain and mental health. Linear regression analysis showed that both financial strain and social network were associated, and had a unique contribution, to outcome. the results indicate that FEP patients might benefit from interventions that reduce financial strain thus facilitating daily life and cultural and social activities.

scholarly journals Optimal duration of an early intervention programme for first-episode psychosis: randomised controlled trial

2015 ◽  
Vol 206 (6) ◽  
pp. 492-500 ◽  
Author(s):  
Wing Chung Chang ◽  
Gloria Hoi Kei Chan ◽  
Olivia Tsz Ting Jim ◽  
Emily Sin Kei Lau ◽  
Christy Lai Ming Hui ◽  
...  
Keyword(s):  
Early Intervention ◽  
Controlled Trial ◽  
First Episode Psychosis ◽  
First Episode ◽  
Intervention Programme ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Early Intervention Services ◽  
Episode Psychosis ◽  
Step Down

BackgroundNumerous early intervention services targeting young people with psychosis have been established, based on the premise that reducing treatment delay and providing intensive treatment in the initial phase of psychosis can improve long-term outcome.AimsTo establish the effect of extending a specialised early intervention treatment for first-episode psychosis by 1 year.MethodA randomised, single-blind controlled trial (NCT01202357) compared a 1-year extension of specialised early intervention with step-down care in patients who had all received a 2-year intensive early intervention programme for first-episode psychosis.ResultsPatients receiving an additional year of specialised intervention had better outcomes in functioning, negative and depressive symptoms and treatment default rate than those managed by step-down psychiatric care.ConclusionsExtending the period of specialised early intervention is clinically desirable but may not be feasible in lower-income countries.

COGNITIVE FACTORS IN LONG TERM OUTCOME OF FIRST EPISODE PSYCHOSIS

2010 ◽  
Vol 117 (2-3) ◽  
pp. 514
Author(s):  
Amresh Shrivastava ◽  
Megan E. Johnston ◽  
Nilesh Shah ◽  
Meghana Thakar ◽  
Larry Stitt
Keyword(s):  
First Episode Psychosis ◽  
Cognitive Factors ◽  
First Episode ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Episode Psychosis

Predictors of 10-year outcome of first-episode psychosis

2009 ◽  
Vol 39 (9) ◽  
pp. 1447-1456 ◽  
Author(s):  
C. White ◽  
J. Stirling ◽  
R. Hopkins ◽  
J. Morris ◽  
L. Montague ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Depression Symptoms ◽  
Family Practitioner ◽  
Term Outcome ◽  
Neurological Soft Signs ◽  
Long Term Outcome ◽  
Episode Psychosis ◽  
The Impact

BackgroundPredictors of outcome for psychosis are poorly understood. Duration of untreated psychosis (DUP) appears to predict short-term outcome although its medium- to long-term role remains unclear. Neurodevelopmental indices such as pre-morbid function and/or neurological soft signs may predict longer-term outcome. We aimed to assess the impact of a range of clinical and demographic variables on long-term outcome of a geographically defined, epidemiological first-episode psychosis cohort.MethodA 10-year follow-up was undertaken of a consecutively presenting sample of 109 cases of first-episode psychosis aged 16–50 years. Baseline assessments included positive, negative and depression symptoms, DUP, neurological soft signs and pre-morbid functioning. Multi-dimensional outcomes were assessed blind to baseline data.ResultsAll participants were traced at a mean of 10.5 years post-index admission: 11 had died, 10 from non-natural causes. Of the surviving cases, 70% were comprehensively re-assessed by interview. Summary data on the remainder were collected from their family practitioner and chart review. Poor 10-year outcomes were predicted independently by poor pre-morbid functioning, baseline negative symptoms and longer DUP. The same measures, plus neurological soft signs, appeared to predict outcomes in a DSM-IV schizophrenia/schizo-affective subgroup.ConclusionsPoor pre-morbid functioning, baseline symptoms, DUP and neurological soft signs at onset independently predict poor long-term outcome in first-episode psychosis.

THE EPPIC LONG TERM FOLLOW-UP STUDY OF FIRST EPISODE PSYCHOSIS: CLINICAL AND FUNCTIONAL LONG-TERM OUTCOME

2008 ◽  
Vol 102 (1-3) ◽  
pp. 213
Author(s):  
Lisa Henry ◽  
G.P. Amminger ◽  
M. Harris ◽  
H.P. Yuen ◽  
S. Harrigan ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Follow Up Study ◽  
Episode Psychosis ◽  
Long Term Follow Up

scholarly journals Improving 1-year outcome in first-episode psychosis

2005 ◽  
Vol 187 (S48) ◽  
pp. s98-s103 ◽  
Author(s):  
Lone Petersen ◽  
Merete Nordentoft ◽  
Pia Jeppesen ◽  
Johan ⊘hlenschlæger ◽  
Anne Thorup ◽  
...  
Keyword(s):  
Standard Treatment ◽  
First Episode Psychosis ◽  
Integrated Treatment ◽  
Psychotic Symptoms ◽  
First Episode ◽  
Schizophrenia Spectrum Disorders ◽  
Social Outcome ◽  
Long Term Outcome ◽  
Poor Outcome ◽  
Episode Psychosis

BackgroundBecause early illness course and outcome may affect the long-term outcome of schizophrenia-spectrum disorders, it is especially important to address poor outcome in this early critical period.AimsTo evaluate whether integrated treatment compared with standard treatment reduced the proportion of patients with poor clinical and social outcome after 1 year.MethodA total of 547 patients with first-episode psychosis were included in the study, 275 randomly assigned to integrated treatment and 272 to standard treatment. Measures assessed psychotic symptoms and social functioning.ResultsThere was a significant beneficial effect of integrated treatment v. standard treatment on ‘any poor outcome’. Integrated treatment had a significantly better effect on ‘any poor outcome’ in patients with schizophrenia compared with patients in standard treatment.ConclusionsThe integrated treatment significantly reduced the proportion of patients with poor clinical and social outcome compared with standard treatment.

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