Predictors of functional status at service entry and discharge among young people with first episode psychosis.

Détails

ID Serval
serval:BIB_1FE404E8E5F9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Predictors of functional status at service entry and discharge among young people with first episode psychosis.
Périodique
Social psychiatry and psychiatric epidemiology
Auteur(s)
Cotton S.M., Lambert M., Schimmelmann B.G., Filia K., Rayner V., Hides L., Foley D.L., Ratheesh A., Watson A., Rodger P., McGorry P.D., Conus P.
ISSN
1433-9285 (Electronic)
ISSN-L
0933-7954
Statut éditorial
Publié
Date de publication
05/2017
Peer-reviewed
Oui
Volume
52
Numéro
5
Pages
575-585
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Most patients with first episode psychosis (FEP) are neither studying nor employed (have a poor functional status) when first accessing care. Knowledge of the characteristics of patients with poor functioning and the features influencing functional status over time may pave the way to better treatment.
A medical file audit was used to collect data on premorbid, entry, treatment and 18-month outcome characteristics on 661 FEP patients who consecutively attended the Early Psychosis Prevention and Intervention Centre, Melbourne, Australia, between 1998 and 2000. Functional status was ascertained using the modified vocational status index and was rated at baseline (poor or good) and according to its evolution over the treatment period (stable good, stable poor, deteriorating or improved functional status).
52.0% of patients had a poor functional status at service entry. They were more likely to be male with a non-affective psychosis. They also had lower levels of premorbid global functioning and education, and were more likely to have self-reported histories of learning disability, forensic issues, traumatic experiences and substance use. At service entry, they had more severe symptoms and poorer global functioning. 37% of these patients maintained a poor functional status at discharge, and 18% of those with a good functional status at service entry experienced a decline.
Although psychosocial interventions might assist a young person with FEP with working towards functional goals, for some, the impact of factors such as ongoing substance use and forensic issues on functional status needs to be addressed.

Pubmed
Web of science
Création de la notice
28/02/2017 10:56
Dernière modification de la notice
20/08/2019 13:55
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