Social functioning in urban, predominantly African American, socially disadvantaged patients with first-episode nonaffective psychosis.
Social functioning in urban, predominantly African American, socially disadvantaged patients with first-episode nonaffective psychosis.
复制标题
DOI：
10.1016/j.schres.2009.12.018
复制
发表时间：
2010-06
影响因子：
4.5
通讯作者：
Compton MT
中科院分区：
文献类型：
--
作者：
Goulding SM;Franz L;Bergner E;Compton MT
社会功能障碍的发展和积累，甚至在最初寻求治疗的首发精神病。本研究首次对低收入、城市、主要是非洲裔美国人的首发患者的社会功能进行了研究：（1）评估了这一相对独特样本中社会功能量表（SFS）分量表的内部一致性;（2）确定了可能预测这一特定人群社会功能不良的人口统计学和临床变量;和（3）在首次住院后6个月重新评估的子样本中评估SFS评分的变化。109名参与者（年龄，23.1±4.7岁; 76.1%男性; 89.9%非洲裔美国人）在城市公共部门环境中因首次发作非情感性精神病住院，接受了SFS沿着其他临床研究工具。34例（31.2%）在基线评估后6个月返回进行随访临床研究评估。利用独立样本Student t检验和Pearson相关性分析感兴趣的变量之间的关联。社会功能领域与阴性症状（r=-0.21--0.32，p<0.05）、抑郁症状（r=-0.20--0.23，p<0.05）和一般精神病理学症状（r=-0.23--0.24，p<0.05）之间存在关联。在基线和6个月随访期间，未发现SFS子量表评分有显著差异。社会功能缺陷与几个症状领域有意义地相关，并且这种缺陷在精神障碍的早期过程中可能相对稳定。这些发现可能会为针对首发患者社会功能的心理社会干预措施的发展提供信息。
Social functioning impairments develop and accumulate even prior to initial treatment-seeking for first-episode psychosis. This study, the first to examine social functioning in low-income, urban, predominantly African American first-episode patients: (1) assesses the internal consistency of Social Functioning Scale (SFS) subscales in this relatively unique sample; (2) identifies demographic and clinical variables that may be predictive of poor social functioning in this particular population; and (3) assesses changes in SFS scores in a subsample re-assessed six months after initial hospitalization. 109 participants (age, 23.1±4.7 years; 76.1% male; 89.9% African American) hospitalized for a first episode of nonaffective psychosis in an urban, public-sector setting were administered the SFS along with other clinical research instruments. 34 (31.2%) returned for a follow-up clinical research assessment six months after baseline assessment. Associations between the variables of interest were analyzed utilizing independent samples Student’s t-tests and Pearson correlations. Associations were observed between social functioning domains and negative symptoms (r=−.21–−.32, p<.05), depressive symptoms (r=−.20–−.23, p<.05), and general psychopathology symptoms (r=−.23–−.24, p<.05). No significant differences were found in SFS subscale scores between baseline and six-month follow-up. Deficits in social functioning are meaningfully related to several domains of symptoms, and such deficits may be relatively stable in the early course of psychotic disorders. Such findings may inform development of psychosocial interventions targeting social functioning in first-episode patients.
登录
查看更多内容
影响因子：
6.6
作者：
Bellack, Alan S.
通讯作者：
Bellack, Alan S.
影响因子：
4.5
作者：
ADDINGTON, D;ADDINGTON, J;SCHISSEL, B
通讯作者：
SCHISSEL, B
影响因子：
--
作者：
Chisolm, Theresa H;Abrams, Harvey B;Doyle, Patrick J
通讯作者：
Doyle, Patrick J
DOI：
10.1080/j.1440-1614.2004.01448.x
发表时间：
2004-09-01
影响因子：
4.6
作者：
Chopra, PK;Couper, JW;Herrman, H
通讯作者：
Herrman, H
影响因子：
6.9
作者：
Addington, J;Young, J;Addington, D
通讯作者：
Addington, D