Positive family environment predicts improvement in symptoms and social functioning among adolescents at imminent risk for onset of psychosis

O’Brien, Mary P.; Gordon, Jamie; Bearden, Carrie E.; Lopez, Steve; Kopelowicz, Alex; Cannon, Tyrone D.

doi:10.1016/j.schres.2005.10.005

Cited by 128 publications

(127 citation statements)

References 25 publications

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“…This is of interest because among patients with psychosis, the level of hostility or criticism expressed by family members regarding an ill relative has been found to predict relapse in over a dozen studies (Butzlaff & Hooley, 1998) and the quality of social networks around an individual patient has been shown to correlate with that person's level of functioning (Erikson et al, 1998). Additionally, recent work conducted on UHR patients found that family involvement, support, and warmth predict improvement in negative symptoms and social functioning (O'Brien et al, 2006). Social support remains an important link to follow in UHR studies.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in symptoms, functioning and social support in patients at ultra-high risk for developing a psychotic disorder

Willhite

Niendam

Bearden

et al. 2008

Schizophrenia Research

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Gender differences have been widely observed in the clinical presentation, psychosocial functioning and course of illness in first episode and chronic patients suffering from schizophrenia. However, little is known about gender differences in the psychosis prodrome. This study investigated gender differences in symptoms, functioning and social support in individuals at ultra-high-risk for developing a psychotic disorder. Sixty-eight ultra-high-risk patients were assessed at baseline, and twenty-seven returned for follow-up assessments approximately six and twelve months later. Clinical symptoms and functioning were assessed by clinical interview; social support was measured using a self-report questionnaire. There were no gender differences in demographic variables, symptoms or functioning at baseline. Males were found to have significantly higher levels of negative symptoms and marginally lower levels of functioning when baseline and follow-up time points were considered collectively. Additionally, females reported higher levels of social support at baseline. Differences in negative symptoms were found to mediate differences in functioning between male and female patients. This study suggests that gender based differences in symptom presentation and functional outcome may predate conversion to psychosis. Follow-up studies should examine the relationship between symptoms, functioning and social support in this population.

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Section: Discussionmentioning

confidence: 99%

Gender differences in symptoms, functioning and social support in patients at ultra-high risk for developing a psychotic disorder

Willhite

Niendam

Bearden

et al. 2008

Schizophrenia Research

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“…Family support was predictive of better functioning (O'Brien et al, 2006(O'Brien et al, , 2007(O'Brien et al, , 2009. Caregiver warmth at baseline interview was significantly associated with patients' improvement in functioning over 3 and 4 months (O'Brien et al, 2006.…”

Section: Family Environmentmentioning

confidence: 91%

“…Caregiver warmth at baseline interview was significantly associated with patients' improvement in functioning over 3 and 4 months (O'Brien et al, 2006. ARMS adolescents' conversational problem solving abilities, along with the degree of constructive communication displayed with their primary caregiver also positively correlated with functioning at 6-month follow-up (O'Brien et al, 2009).…”

Section: Family Environmentmentioning

confidence: 92%

What drives poor functioning in the at-risk mental state? A systematic review

Cotter

Drake

Bucci

et al. 2014

Schizophrenia Research

104

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“…First, it sought to provide a safe recovery environment for the young person with the mental health problem and to ensure that the church community would be a safe, warm, stigma-free, and supportive place to assist recovery. Second, it wished to convey care, comfort, and support to the young person, despite recognition that in the midst of acute mental health distress those characteristics are hard to experience as an emotional connection or feeling (O'Brien et al, 2006;ORYGEN Youth Health, 2004;Shim et al, 2008). Care expressed by others can be cognitively or intellectually perceived by a person with acute mental health decline, despite the recipient not being able to connect with the emotion at that time.…”

Section: Goalsmentioning

confidence: 99%

“…This knowledge of being cared for might assist in the recovery process and reduce stigma and alienation. Last, this project aimed to raise mental health awareness and diffuse any passive stigma that might exist as a result of lack of knowledge or understanding about the experience of mental illness amongst church community members (Boyd et al, 2011;O'Brien et al, 2006).…”

Section: Goalsmentioning

confidence: 99%

Mental Health Recovery and Quilting: Evaluation of a Grass-Roots Project in a Small, Rural, Australian Christian Church

Wilson

2014

Issues in Mental Health Nursing

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A small project in a rural community church setting was undertaken to promote mental health recovery for one person and to develop a positive conversation about mental health amongst the wider group. Social capital within the group of people was successfully harnessed so that a warm and supportive recovery environment might be fostered within the broader community. The goals of the project were to reduce mental health stigma and to foster recovery. This was achieved as a mental health nurse, quilt maker, and a team of sewers came together to produce a quilt as a tangible expression of care and support for both the quilt recipient and each other. This project, as a case study, demonstrates how a church faith community and mental health care can be combined and yield positive outcomes. This article outlines how the project proceeded and presents the results of a post-project evaluation survey.

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Positive family environment predicts improvement in symptoms and social functioning among adolescents at imminent risk for onset of psychosis

Cited by 128 publications

References 25 publications

Gender differences in symptoms, functioning and social support in patients at ultra-high risk for developing a psychotic disorder

Gender differences in symptoms, functioning and social support in patients at ultra-high risk for developing a psychotic disorder

What drives poor functioning in the at-risk mental state? A systematic review

Mental Health Recovery and Quilting: Evaluation of a Grass-Roots Project in a Small, Rural, Australian Christian Church

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