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Investigating trajectories of social recovery in individuals with first-episode psychosis : a latent class growth analysis
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Hodgekins, J., Birchwood, M. J., Christopher, R., Marshall, M., Coker, S., Everard, L., Lester, H., Jones, P., Amos, T., Singh, Swaran P., Sharma, V., Freemantle, N. and Fowler, D. (2015) Investigating trajectories of social recovery in individuals with first-episode psychosis : a latent class growth analysis. The British Journal of Psychiatry, 207 (6). pp. 536-543. doi:10.1192/bjp.bp.114.153486 ISSN 0007-1250.
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Official URL: http://dx.doi.org/10.1192/bjp.bp.114.153486
Abstract
Background
Social disability is a hallmark of severe mental illness yet individual differences and factors predicting outcome are largely unknown.
Aim
To explore trajectories and predictors of social recovery following a first episode of psychosis (FEP).
Method
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.
Results
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.
Conclusions
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.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RC Internal medicine | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
| Library of Congress Subject Headings (LCSH): | Mentally ill -- Treatment, Psychoses -- Treatment, People with social disabilities | ||||||||
| Journal or Publication Title: | The British Journal of Psychiatry | ||||||||
| Publisher: | Royal College of Psychiatrists | ||||||||
| ISSN: | 0007-1250 | ||||||||
| Official Date: | 1 December 2015 | ||||||||
| Dates: |
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| Volume: | 207 | ||||||||
| Number: | 6 | ||||||||
| Page Range: | pp. 536-543 | ||||||||
| DOI: | 10.1192/bjp.bp.114.153486 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 11 January 2017 | ||||||||
| Date of first compliant Open Access: | 12 January 2017 | ||||||||
| Funder: | National Institute for Health Research (Great Britain) (NIHR), Collaborations for Leadership in Applied Health Research and Care (CLAHRC) | ||||||||
| Grant number: | RP-PG-0109-10074 (NIHR) |
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