Mattsson Maria, Topor Alain, Cullberg Johan, Forsell Yvonne
Dept of Psychiatry, R & D Section, The Parachute Project, Danderyd Hospital, Stockholm, Sweden.
Soc Psychiatry Psychiatr Epidemiol. 2008 Dec;43(12):947-52. doi: 10.1007/s00127-008-0392-3. Epub 2008 Jul 5.
Despite much effort to positively affect long-term outcome in psychosis and schizophrenia many patients are still facing a poor outcome with persistent psychotic symptoms and decline in social functioning. The aim of this study was to examine the relationship between financial strain and social network and five-year outcome of first episode psychosis (FEP). FEP patients were divided into recovered (n = 52) and non-recovered (n = 19). Each person was matched according to age and gender with four persons (n = 284) from a longitudinal population-based study. All persons had answered an extensive questionnaire including social network, quantitative and qualitative, financial strain and mental health. Linear regression analysis showed that both financial strain and social network were associated, and had a unique contribution, to outcome. The results indicate that FEP patients might benefit from interventions that reduce financial strain thus facilitating daily life and cultural and social activities.
尽管人们付出了诸多努力来积极影响精神病和精神分裂症的长期预后,但许多患者仍面临着不良预后,存在持续的精神病症状且社会功能下降。本研究的目的是探讨经济压力与社会网络之间的关系以及首发精神病(FEP)的五年预后。FEP患者被分为康复组(n = 52)和未康复组(n = 19)。根据年龄和性别,将每名患者与来自一项基于人群的纵向研究的四个人(n = 284)进行匹配。所有人都回答了一份详尽的问卷,包括社会网络(定量和定性)、经济压力和心理健康。线性回归分析表明,经济压力和社会网络均与预后相关,且对预后有独特的影响。结果表明,FEP患者可能会从减轻经济压力的干预措施中受益,从而促进日常生活以及文化和社会活动。