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Investigating trajectories of social recovery in individuals with first-episode psychosis: a latent class growth analysis.

Authors :
Hodgekins, Jo
Birchwood, Max
Christopher, Rose
Marshall, Max
Coker, Sian
Everard, Linda
Lester, Helen
Jones, Peter
Amos, Tim
Singh, Swaran
Sharma, Vimal
Freemantle, Nick
Fowler, David
Source :
British Journal of Psychiatry; Dec2015, Vol. 207 Issue 6, p536-543, 9p
Publication Year :
2015

Abstract

<bold>Background: </bold>Social disability is a hallmark of severe mental illness yet individual differences and factors predicting outcome are largely unknown.<bold>Aim: </bold>To explore trajectories and predictors of social recovery following a first episode of psychosis (FEP).<bold>Method: </bold>A sample of 764 individuals with FEP were assessed on entry into early intervention in psychosis (EIP) services and followed up over 12 months. Social recovery profiles were examined using latent class growth analysis.<bold>Results: </bold>Three types of social recovery profile were identified: Low Stable (66%), Moderate-Increasing (27%), and High-Decreasing (7%). Poor social recovery was predicted by male gender, ethnic minority status, younger age at onset of psychosis, increased negative symptoms, and poor premorbid adjustment.<bold>Conclusions: </bold>Social disability is prevalent in FEP, although distinct recovery profiles are evident. Where social disability is present on entry into EIP services it can remain stable, highlighting a need for targeted intervention. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00071250
Volume :
207
Issue :
6
Database :
Complementary Index
Journal :
British Journal of Psychiatry
Publication Type :
Academic Journal
Accession number :
111934660
Full Text :
https://doi.org/10.1192/bjp.bp.114.153486