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Comparing time use in individuals at different stages of psychosis and a non-clinical comparison group

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Hodgekins, J., French, P. M., Birchwood, M. J., Mugford, M., Christopher, R., Marshall, M., Everard, Linda, Lester, Helen, Jones, P., Amos, Tim, Singh, Swaran P., Sharma, V., Morrison, A. P. and Fowler, David (2015) Comparing time use in individuals at different stages of psychosis and a non-clinical comparison group. Schizophrenia Research, 161 (2-3). pp. 188-193. doi:10.1016/j.schres.2014.12.011 ISSN 0920-9964.

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Official URL: http://dx.doi.org/10.1016/j.schres.2014.12.011

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Abstract

Social functioning difficulties are a common and disabling feature of psychosis and have also been identified in the prodromal phase. However, debate exists about how such difficulties should be defined and measured. Time spent in structured activity has previously been linked to increased psychological wellbeing in non-clinical samples and may provide a useful way of assessing social functioning in clinical settings. The current study compared hours in structured activity, assessed with the Time Use Survey, in three clinical groups at different stages of psychosis: individuals with at-risk mental states (N=199), individuals with first-episode psychosis (N=878), and individuals with delayed social recovery following the remission of psychotic symptoms (N=77). Time use in the three clinical groups was also compared with norms from an age-matched non-clinical group (N=5686) recruited for the Office for National Statistics UK 2000 Time Use Survey. Cutoff scores for defining social disability and recovery were examined. All three clinical groups spent significantly fewer hours per week in structured activity than individuals in the non-clinical group. Reduced activity levels were observed before the onset of psychosis in individuals with at-risk mental states. Additional reductions in activity were observed in the first-episode psychosis and delayed recovery groups compared to the at-risk mental state group. Assessing time spent in structured activity provides a useful way to assess social disability and recovery across the spectrum of psychosis.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Psychoses, Psychoses -- Risk factors, Social skills, Affective disorders
Journal or Publication Title: Schizophrenia Research
Publisher: Elsevier BV
ISSN: 0920-9964
Official Date: February 2015
Dates:
DateEvent
February 2015Published
22 December 2014Available
6 December 2014Accepted
14 February 2014Submitted
Volume: 161
Number: 2-3
Page Range: pp. 188-193
DOI: 10.1016/j.schres.2014.12.011
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIED[MRC] Medical Research Councilhttp://dx.doi.org/10.13039/501100000265
UNSPECIFIEDDepartment of Health, Social Services and Public Safety, UK GovernmentUNSPECIFIED
UNSPECIFIEDNational Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care West MidlandsUNSPECIFIED
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