The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 years

Abstract 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 Functio...

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Autores: Verdolini, Norma, Amoretti Guadall, Silvia, Mezquida Mateos, Gisela, Cuesta, Manuel J., Pina Camacho, Laura, García Rizo, Clemente, Lobo, Antonio, González-Pinto, Ana, Merchán Naranjo, Jessica, Corripio, Iluminada, Salagre Muñoz, Estela, Baeza, Inmaculada, 1970-, Bergé, Daniel, Garriga, Marina, Bioque Alcázar, Miquel, Vallespir, Catalina, Serra Navarro, Maria, Vieta i Pascual, Eduard, 1963-, Bernardo Arroyo, Miquel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/185216
Acceso en línea:https://hdl.handle.net/2445/185216
Access Level:acceso abierto
Palabra clave:Psicosi
Psiquiatria
Família
Cuidadors
Pacients
Psychoses
Psychiatry
Family
Caregivers
Patients
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spelling The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 yearsVerdolini, NormaAmoretti Guadall, SilviaMezquida Mateos, GiselaCuesta, Manuel J.Pina Camacho, LauraGarcía Rizo, ClementeLobo, AntonioGonzález-Pinto, AnaMerchán Naranjo, JessicaCorripio, IluminadaSalagre Muñoz, EstelaBaeza, Inmaculada, 1970-Bergé, DanielGarriga, MarinaBioque Alcázar, MiquelVallespir, CatalinaSerra Navarro, MariaVieta i Pascual, Eduard, 1963-Bernardo Arroyo, MiquelPsicosiPsiquiatriaFamíliaCuidadorsPacientsPsychosesPsychiatryFamilyCaregiversPatientsAbstract 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 (APSYCH). 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.Elsevier B.V.2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/185216Articles publicats en revistes (Medicina)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1016/j.euroneuro.2021.03.015European Neuropsychopharmacology, 2021, vol. 49, p. 54-68https://doi.org/10.1016/j.euroneuro.2021.03.015cc-by (c) Verdolini, Norma et al, 2021https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1852162026-05-27T06:46:51Z
dc.title.none.fl_str_mv The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 years
title The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 years
spellingShingle The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 years
Verdolini, Norma
Psicosi
Psiquiatria
Família
Cuidadors
Pacients
Psychoses
Psychiatry
Family
Caregivers
Patients
title_short The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 years
title_full The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 years
title_fullStr The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 years
title_full_unstemmed The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 years
title_sort The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 years
dc.creator.none.fl_str_mv Verdolini, Norma
Amoretti Guadall, Silvia
Mezquida Mateos, Gisela
Cuesta, Manuel J.
Pina Camacho, Laura
García Rizo, Clemente
Lobo, Antonio
González-Pinto, Ana
Merchán Naranjo, Jessica
Corripio, Iluminada
Salagre Muñoz, Estela
Baeza, Inmaculada, 1970-
Bergé, Daniel
Garriga, Marina
Bioque Alcázar, Miquel
Vallespir, Catalina
Serra Navarro, Maria
Vieta i Pascual, Eduard, 1963-
Bernardo Arroyo, Miquel
author Verdolini, Norma
author_facet Verdolini, Norma
Amoretti Guadall, Silvia
Mezquida Mateos, Gisela
Cuesta, Manuel J.
Pina Camacho, Laura
García Rizo, Clemente
Lobo, Antonio
González-Pinto, Ana
Merchán Naranjo, Jessica
Corripio, Iluminada
Salagre Muñoz, Estela
Baeza, Inmaculada, 1970-
Bergé, Daniel
Garriga, Marina
Bioque Alcázar, Miquel
Vallespir, Catalina
Serra Navarro, Maria
Vieta i Pascual, Eduard, 1963-
Bernardo Arroyo, Miquel
author_role author
author2 Amoretti Guadall, Silvia
Mezquida Mateos, Gisela
Cuesta, Manuel J.
Pina Camacho, Laura
García Rizo, Clemente
Lobo, Antonio
González-Pinto, Ana
Merchán Naranjo, Jessica
Corripio, Iluminada
Salagre Muñoz, Estela
Baeza, Inmaculada, 1970-
Bergé, Daniel
Garriga, Marina
Bioque Alcázar, Miquel
Vallespir, Catalina
Serra Navarro, Maria
Vieta i Pascual, Eduard, 1963-
Bernardo Arroyo, Miquel
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Psicosi
Psiquiatria
Família
Cuidadors
Pacients
Psychoses
Psychiatry
Family
Caregivers
Patients
topic Psicosi
Psiquiatria
Família
Cuidadors
Pacients
Psychoses
Psychiatry
Family
Caregivers
Patients
description Abstract 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 (APSYCH). 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.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/185216
url https://hdl.handle.net/2445/185216
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.euroneuro.2021.03.015
European Neuropsychopharmacology, 2021, vol. 49, p. 54-68
https://doi.org/10.1016/j.euroneuro.2021.03.015
dc.rights.none.fl_str_mv cc-by (c) Verdolini, Norma et al, 2021
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Verdolini, Norma et al, 2021
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier B.V.
publisher.none.fl_str_mv Elsevier B.V.
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301629

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