Social outcome in early psychosis

Social outcome in early psychosis
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DOI:
10.1017/s0033291703007815
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发表时间:
2003-08-01
影响因子:
6.9
通讯作者:
Addington, D
Addington, D
中科院分区:
医学1区
文献类型:
--
作者:
Addington, J;Young, J;Addington, D

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背景。已经证明,经历首次精神病发作的患者具有与慢性病程患者相同的社会功能缺陷。本研究的目的是检查进入早期精神病项目后第一年的社会功能。方法。 177 名首发受试者的社会功能在入院时和一年后进行了评估,并与 40 名非精神病对照者进行了比较。评估措施包括生活质量量表(QLS)。结果。在一年的随访中,生活质量显着改善。然而,即使是那些从阳性症状中缓解的首发患者的 QLS 评分也低于非精神病对照组。结论。这些结果令人鼓舞并支持早期干预。针对这些年轻患者的心理干预的应用和发展还有更大的改进空间。
Background. It has been demonstrated that patients experiencing their first-episode of psychosis have social functioning deficits that are equivalent to those seen in patients with a more chronic course of illness. The purpose of this study is to examine social functioning over the course of the first year after admission to an early psychosis programme.Method. The social functioning of 177 first-episode subjects was assessed on admission and I year later and compared with that of 40 non-psychiatric controls. Assessment measures included the Quality of Life Scale (QLS).Results. At the 1-year follow-up there was significant improvement in quality of life. However, even those first-episode patients experiencing a remission from positive symptoms had lower QLS scores than the non-psychiatric controls.Conclusions. These results are encouraging and supportive of early intervention. There is room for more improvement in the application and development of psychological interventions for these young patients.