Objectives: The purpose of this study is to evaluate the clinical and socio-professional functioning status after two years of evolution, on a sample of patients with first episode of psychosis, admitted in the Psychiatric Clinic in Timisoara in 2006. Methods: The initial sample was formed of 41 patients , but at the follow-up point (2008) only 28 patients were still in evidence. Diagnosis was made after ICD 10, BPRS and GAF were used as evaluation tools. Results: On the initial evaluation 32 % had a diagnosis of persistent delusional disorder, 25 % of short and transitory psychosis, 18% schizophrenia and 25% other psychosis. After 2 years of evolution 46% had a diagnosis of persistent delusional disorder, 25% schizophrenia and only 7 % had acute and transitory psychosis. In 28% of the cases the diagnosis was changed, most of the cases being the ones initially diagnosed with acute and transitory psychosis.The most stabil diagnosis was the persistent delusional disorder .In the majority of the cases we observed a lower socio-professional and family functioning. Conclusions: The results of this study sugests that the diagnosis of first episode of psychosis is partially predictive for the type of illnes, because a first episode of psychosis can evolve in different pathologies. The socio-professional and family functioning is lower in the majority of cases without a clear connection with the initial diagnosis.
IntroductionBesides psychopathological outcome, the outcome in terms of social functioning is of great importance in first-episode psychosis. This paper has analyzed three components of social functioning: instructional level, professional and marital status.ObjectivesThe objective of this paper is to analyze the social functioning after two years of evolution in a sample of subjects with a first-episode psychosis.AimsThe aim is to determine the way in which the presence of affective elements can influence social functioning in a first-episode psychosis.Methods43 subjects with a first-episode psychosis have been divided into 2 samples, according to the existence of (sample A) / the absence of (sample B) affective symptoms (depressive or manic). We have to mention that the affective elements have not fulfilled the ICD 10 criteria for an affective episode. These two samples have been analyzed at onset and after two years of evolution, according to the following parameters: instructional level, professional and marital status.ResultsWe have noticed that there were changes only regarding the professional status and instructional level. After 2 years of evolution, the number of employed subjects was higher in sample A, compared to sample B. All of the subjects in sample A, which were students during their first episode of psychosis, have managed to finish their studies. Family status was not modified in any sample.ConclusionThe existence of affective elements in a first-episode psychosis has an influence only regarding the professional status.
Introduction: One of the current concerns in the research on schizophrenia is the relationship between social functioning and emotion recognition abilities, more specifically of the role that this can have, as a potential pathway for building subsequent psychosocial intervention methods. Objectives: To establish the precise role that the ability to recognize emotions has on social functioning in subjects with a diagnosis of Schizophrenia. Aim: To help develop psychotherapeutic intervention programs that will increase social functioning. Method: This paper analyzed a sample of subjects (N=31) with a diagnosis of Schizophrenia (according to the WHO ICD 10), who were selected based on inclusion/exclusion criteria. The following parameters were assessed: socio-demographic (gender, age of onset, level of education, family and professional status), social functioning (SFS scale) and the ability to identify emotions in the eyes ('Reading the Mind in the Eyes' test). Results: The ability of recognizing the emotion 'anger' is directly correlated with the ability to communicate and keep interpersonal relations (Spearman R = 0.310, p <0.05), the ability of independence/performance (Spearman R = 0.471, p <0.05), as well as the ability to relax (Spearman R = 0.456, p <0.05) and to engage in social activities (Spearman R = 0.473, p <0.05). Conclusion: We noted that 'anger' is the only emotion that was correlated with social functioning. Anger must be understood beyond its negative connotation, also as a positive element, in the sense of positioning the individual in the society and of taking action in regard to personal needs.
Aim:Between the risk factors for developing a first episode psychosis, social functioning is considered to be one of the most important factors.The aim of the study is to compare social functioning in schizophrenia offspring and controls, and to determine possible associations between social functioning and prodromal symptoms.Methods:The study examined social functioning (by using the Social Functioning Scale) in 25 Schizophrenia offspring seeking psychiatric help for different problems, and 25 healthy controls.Clinical status was assessed with the Brief Psychiatric Rating Scale, HAM-D and HAM-A.Results:Schizophrenia offspring had significantly more social functioning deficits than controls. Social functioning was most strongly associated with depression and anxiety symptoms and less with minor psychotic symptoms.Conclusions:Social functioning deficits precede the onset of first episode psychosis, especially in persons at risk and, therefore, it could represent an early detection sign. Association with depression and anxiety symptoms should be an early intervention point.
Introduction: One of the main validation criteria for psychotic disorders is the stability over time. Objectives: The diagnostic evaluation of a group of subjects who presented with a first episode of psychosis, after 10 years of evolution. Aim: To evidence certain factors that might be associated with diagnostic stability. Method: The study was conducted on a sample of 79 patients who had a first admission in the Psychiatry Clinic of Timisoara, between 1999-2000. There was a cross-sectional analysis of the sample at three intervals (at onset and after 5, respectively 10 years). The parameters we have observed were, as follows: socio-demographical (gender, age at onset, educational level) and clinical-evolutionary (diagnostic, according to the ICD-10). Results: At the last evaluation, the sample consisted of only 48 subjects, of which 22 (45.83%) had no change in diagnostic, other 22 subjects (45.83%) had suffered a change in diagnostic during the first 5 years after onset, and 4 more subjects (8.33%) had had a change in diagnostic during the first 10 years of evolution. The onset diagnostics, F23 and F32, had later changed towards a different nosological framing. We could not evidence any factors that had an influence on the stability of the diagnostic over time. Conclusions: The stability of the clinical diagnostic is not a main coordinate of the first episode of psychosis.
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