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Predictors of Better Social Functioning for Patients with First Episode Psychoses

Published online by Cambridge University Press:  15 April 2020

M. Okruashvili ,
M. Roinishvili ,
A. Brand ,
M.H. Herzog  and
E. Chkonia
M. Okruashvili
Affiliation:
Psychiatry and Drug Abuse, Tbilisi Mental Health Centre, Tbilisi, Georgia
M. Roinishvili
Affiliation:
Agricultural University of Georgia, Institute of cognitive Neurosiences, Tbilisi, Georgia
A. Brand
Affiliation:
Department of Psychiatry and Center for Psychiatry and Psychotherapy, Klinikum Bremen-Ost, Bremen, Germany
M.H. Herzog
Affiliation:
Ecole Polytechnique Fédérale de Lausanne (EPFL), Laboratory of Psychophysics Brain Mind Institute School of Life Sciences, Lausanne, Switzerland
E. Chkonia
Affiliation:
Psychiatry and Drug Abuse, Tbilisi Mental Health Centre, Tbilisi, Georgia

Abstract

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The aim of our study was to investigate social functioning of patients with first psychotic episode and to determine, how cognitive impairment and psychopathological symptoms could influence these functions over the illness duration.

32 patients with first psychotic episode and 32 healthy controls participated in the study. The diagnoses have been made according the DSM IV-criteria. Psychopathological symptoms were assessed by positive (SAPS) and negative (SANS) symptoms assessment scales and brief psychitric rating scale (BPRS). Cognitive functions such as executive functions, sustained attention, visual perseption have been studied by computerised version of the visual backward masking test, the Wisconsin Card Sorting Test (WCST) and the Continuous Performance Task.

The schizoid personality features of the healthy controls have been investigated by the Schizoid Personality Questionnaire – brief version (SPQ-B brief version). The follow up observation have been provided after 6 and 12 months for both groups. The patients' outcome have been measured by Health and Outcome Scale (HoNOS).

Results

At the baseline the cognitive functions of the patients with first episode psychosis were considerably impaired compared to the healthy controls. Although, have not changed significantly over the two years. Moreover the patients, who have adhered to the treatment regime (treatment as usual) showed prominent improvement at social and symptomatic scales of HoNOS.

Conclusion

The first psychotic episode is an important period for prevention of social deterioration and the treatment adherence is a strong predictors of better social outcome.

Type
Article: 0269
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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