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Pàgina inicial > Articles > Articles publicats > The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 years |
Data: | 2021 |
Resum: | The aim of the present study was to evaluate the contribution of family environment styles and psychiatric family history on functioning of patients presenting first-episode psychosis (FEP). Patients with FEP and healthy controls (HC) were assessed at baseline and after 2 years. The Functional Assessment Short Test (FAST) was used to assess functional outcome and the Family Environment Scale (FES) to evaluate family environment. Linear regressions evaluated the effect that family environment exerts on functioning at baseline and at 2-year follow-up, when FEP patients were diagnosed according to non-affective (NA-PSYCH) or affective psychoses (A-PSYCH). The influence of a positive parents' psychiatric history on functioning was evaluated through one-way between-groups analysis of covariance (ANCOVA) models, after controlling for family environmental styles. At baseline, FEP patients presented moderate functioning impairment, significantly worse than HC (28. 65±16. 17 versus 3. 25±7. 92; p<0. 001, g = 1. 91). At 2-year follow-up, the functioning of NA-PSYCH patients was significantly worse than in A-PSYCH (19. 92±14. 83 versus 12. 46±14. 86; p = 0. 020, g = 0. 50). No specific family environment style was associated with functioning in FEP patients and HC. On the contrary, a positive psychiatric father's history influenced functioning of FEP patients. After 2 years, worse functioning in NA-PSYCH patients was associated with lower rates of active-recreational and achievement orientated family environment and with higher rates of moral-religious emphasis and control. In A-PSYCH, worse functioning was associated with higher rates of conflict in the family. Both family environment and psychiatric history influence psychosocial functioning, with important implications for early interventions, that should involve both patients and caregivers. |
Ajuts: | European Commission. Horizon 2020 754550 Agència de Gestió d'Ajuts Universitaris i de Recerca 2017SGR1355 Agència de Gestió d'Ajuts Universitaris i de Recerca 2017SGR1365 Instituto de Salud Carlos III PI08/0208 Instituto de Salud Carlos III PI11/00325 Instituto de Salud Carlos III PI14/00612 Instituto de Salud Carlos III CD20/00177 Instituto de Salud Carlos III PI15/00283 Instituto de Salud Carlos III PI18/00805 Instituto de Salud Carlos III CM19/00123 Instituto de Salud Carlos III CM17/00102 Instituto de Salud Carlos III PI18/01001 Instituto de Salud Carlos III PI16/00834 |
Nota: | Altres ajuts: Fundació "La Caixa" (ID 100010434, LCF/PR/GN18/50310006); European Social Fund; Fondo Europeo de Desarrollo Regional (FEDER); CIBER of Mental Health (CIBERSAM); Generalitat de Catalunya (CERCA Programme); Departament de Salut de la Generalitat de Catalunya (PERIS SLT006/17/00357, SLT006/17/00345); Project B2017/BMD-3740 Ayudas I + D en Biomedicina de la Comunidad de Madrid. |
Drets: | Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. |
Llengua: | Anglès |
Document: | Article ; recerca ; Versió publicada |
Matèria: | First-episode psychosis ; Family environment ; Psychiatric family history ; Psychosocial functioning ; Non-affective psychoses ; Affective psychoses |
Publicat a: | European neuropsychopharmacology, Vol. 49 (august 2021) , p. 54-68, ISSN 1873-7862 |
15 p, 817.1 KB |