Investigating trajectories of social recovery in individuals with first-episode psychosis: a latent class growth analysis

Hodgekins, Jo, Birchwood, Max, Christopher, Rose, Marshall, Max, Coker, Sian, Everard, Linda, Lester, Helen, Jones, Peter, Amos, Tim, Singh, Swaran, Sharma, Vimal, Freemantle, Nick and Fowler, David (2015) Investigating trajectories of social recovery in individuals with first-episode psychosis: a latent class growth analysis. The British Journal of Psychiatry, 207 (6). pp. 536-543. ISSN 0007-1250

[img] PDF - Published Version
Available under License Creative Commons Attribution.

Download (466kB)

Abstract

Background

Social disability is a hallmark of severe mental illness yet individual differences and factors predicting outcome are largely unknown.

Aim

To explore trajectories and predictors of social recovery following a first episode of psychosis (FEP).

Method

A sample of 764 individuals with FEP were assessed on entry into early intervention in psychosis (EIP) services and followed up over 12 months. Social recovery profiles were examined using latent class growth analysis.

Results

Three types of social recovery profile were identified: Low Stable (66%), Moderate-Increasing (27%), and High-Decreasing (7%). Poor social recovery was predicted by male gender, ethnic minority status, younger age at onset of psychosis, increased negative symptoms, and poor premorbid adjustment.

Conclusions

Social disability is prevalent in FEP, although distinct recovery profiles are evident. Where social disability is present on entry into EIP services it can remain stable, highlighting a need for targeted intervention.

Item Type: Article
Schools and Departments: School of Psychology > Psychology
Subjects: B Philosophy. Psychology. Religion
Depositing User: Alexandra Barnard
Date Deposited: 26 Jul 2016 08:22
Last Modified: 08 Mar 2017 16:22
URI: http://sro.sussex.ac.uk/id/eprint/62098

View download statistics for this item

📧 Request an update