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Pàgina inicial > Articles > Articles publicats > Exploring Risk and Resilient Profiles for Functional Impairment and Baseline Predictors in a 2-Year Follow-Up First-Episode Psychosis Cohort Using Latent Class Growth Analysis |
Data: | 2020 |
Resum: | Being able to predict functional outcomes after First-Episode Psychosis (FEP) is a major goal in psychiatry. Thus, we aimed to identify trajectories of psychosocial functioning in a FEP cohort followed-up for 2 years in order to find premorbid/baseline predictors for each trajectory. Additionally, we explored diagnosis distribution within the different trajectories. A total of 261 adults with FEP were included. Latent class growth analysis identified four distinct trajectories: Mild impairment-Improving trajectory (Mi-I) (38. 31% of the sample), Moderate impairment-Stable trajectory (Mo-S) (18. 39%), Severe impairment-Improving trajectory (Se-I) (12. 26%), and Severe impairment-Stable trajectory (Se-S) (31. 03%). Participants in the Mi-I trajectory were more likely to have higher parental socioeconomic status, less severe baseline depressive and negative symptoms, and better premorbid adjustment than individuals in the Se-S trajectory. Participants in the Se-I trajectory were more likely to have better baseline verbal learning and memory and better premorbid adjustment than those in the Se-S trajectory. Lower baseline positive symptoms predicted a Mo-S trajectory vs. Se-S trajectory. Diagnoses of Bipolar disorder and Other psychoses were more prevalent among individuals falling into Mi-I trajectory. Our findings suggest four distinct trajectories of psychosocial functioning after FEP. We also identified social, clinical, and cognitive factors associated with more resilient trajectories, thus providing insights for early interventions targeting psychosocial functioning. |
Ajuts: | Agència de Gestió d'Ajuts Universitaris i de Recerca 2017/SGR-1355 Agència de Gestió d'Ajuts Universitaris i de Recerca 2017/SGR-1365 Agència de Gestió d'Ajuts Universitaris i de Recerca SLT006/17/00345 Agència de Gestió d'Ajuts Universitaris i de Recerca SLT006/17/00357 European Commission 754550 Instituto de Salud Carlos III CM19/00123 Instituto de Salud Carlos III INT19/00021 Ministerio de Ciencia e Innovación PI18/00805 Ministerio de Ciencia e Innovación PI15/00283 Ministerio de Economía, Industria y Competitividad PI08/0208 Ministerio de Economía, Industria y Competitividad PI11/00325 Ministerio de Economía, Industria y Competitividad PI14/00612 Ministerio de Economía, Industria y Competitividad PI16/00187 Ministerio de Economía, Industria y Competitividad PI19/00954 |
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 ; Functional outcomes ; Risk factors ; Early intervention ; Neurocognition ; Latent class analysis ; Precision medicine |
Publicat a: | Journal of clinical medicine, Vol. 10 (december 2020) , ISSN 2077-0383 |
20 p, 1.0 MB |