The effect of family environment and psychiatric family history on psychosocial functioning in first-episode psychosis at baseline and after 2 years
Por:
Verdolini, N, Amoretti, S, Mezquida, G, Cuesta, MJ, Pina-Camacho, L, Garcia-Rizo, C, Lobo, A, Gonzalez-Pinto, A, Merchan-Naranjo, J, Corripio, I, Salagre, E, Baeza, I, Berge, D, Garriga, M, Bioque, M, Vallespir, C, Serra, M, Vieta, E, Bernardo, M
Publicada:
1 ago 2021
Ahead of Print:
1 abr 2021
Resumen:
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. (c) 2021 Elsevier B.V. and ECNP. All rights reserved.
Filiaciones:
Verdolini, N:
Univ Barcelona, Inst Neurosci, Hosp Clin, Bipolar & Depress Disorders Unit,IDIBAPS,CIBERSAM, 170 Villarroel St, Barcelona 12008036, Catalonia, Spain
Amoretti, S:
Hosp Clin Barcelona, Neurosci Inst, Barcelona Clin Schizophrenia Unit, Barcelona, Spain
Univ Barcelona, Inst Neurociencies, Dept Med, Barcelona, Spain
Biomed Res Networking Ctr Mental Hlth Network CI, Barcelona, Spain
August Pi i Sunyer Biomed Res Inst IDIBAPS, Barcelona, Spain
Mezquida, G:
Hosp Clin Barcelona, Neurosci Inst, Barcelona Clin Schizophrenia Unit, Barcelona, Spain
Univ Barcelona, Inst Neurociencies, Dept Med, Barcelona, Spain
Biomed Res Networking Ctr Mental Hlth Network CI, Barcelona, Spain
August Pi i Sunyer Biomed Res Inst IDIBAPS, Barcelona, Spain
Cuesta, MJ:
Complejo Hosp Navarra, Dept Psychiat, Pamplona, Spain
Pina-Camacho, L:
Biomed Res Networking Ctr Mental Hlth Network CI, Barcelona, Spain
Navarra Inst Hlth Res IdiSNA, Pamplona, Spain
Univ Complutense, Sch Med, Hosp Gen Univ Gregorio Maranon,IiSGM, Inst Psychat & Mental Hlth,Dept Child & Adolescen, Madrid, Spain
Garcia-Rizo, C:
Hosp Clin Barcelona, Neurosci Inst, Barcelona Clin Schizophrenia Unit, Barcelona, Spain
Univ Barcelona, Inst Neurociencies, Dept Med, Barcelona, Spain
Biomed Res Networking Ctr Mental Hlth Network CI, Barcelona, Spain
August Pi i Sunyer Biomed Res Inst IDIBAPS, Barcelona, Spain
Lobo, A:
Univ Zaragoza, Dept Med & Psychiat, Zaragoza, Spain
Inst Invest Sanit Aragon IIS Aragon, Zaragoza, Spain
Gonzalez-Pinto, A:
Hosp Univ Alava, UPV EHU, BIOARABA, CIBERSAM, Vitoria, Spain
Merchan-Naranjo, J:
Biomed Res Networking Ctr Mental Hlth Network CI, Barcelona, Spain
Navarra Inst Hlth Res IdiSNA, Pamplona, Spain
Univ Complutense, Sch Med, Hosp Gen Univ Gregorio Maranon,IiSGM, Inst Psychat & Mental Hlth,Dept Child & Adolescen, Madrid, Spain
Corripio, I:
Biomed Res Networking Ctr Mental Hlth Network CI, Barcelona, Spain
Univ Autonoma Barcelona UAB, Hosp Santa Creu St Pau, Inst Invest Biomed St Pau IIBSANT PAU, Psychiat Dept, Barcelona, Spain
Salagre, E:
Univ Barcelona, Inst Neurosci, Hosp Clin, Bipolar & Depress Disorders Unit,IDIBAPS,CIBERSAM, 170 Villarroel St, Barcelona 12008036, Catalonia, Spain
Baeza, I:
Univ Barcelona, Hosp Clin Barcelona, Clin Inst Neurosci,IDIBAPS, Dept Child & Adolescent Psychiat & Psychol,CIBERS, Barcelona, Spain
Berge, D:
Biomed Res Networking Ctr Mental Hlth Network CI, Barcelona, Spain
Hosp Mar Med Res Inst IMIM, Barcelona, Spain
Autonomous Univ Barcelona UAB, Barcelona, Spain
Garriga, M:
Univ Barcelona, Inst Neurosci, Hosp Clin, Bipolar & Depress Disorders Unit,IDIBAPS,CIBERSAM, 170 Villarroel St, Barcelona 12008036, Catalonia, Spain
Bioque, M:
Hosp Clin Barcelona, Neurosci Inst, Barcelona Clin Schizophrenia Unit, Barcelona, Spain
Univ Barcelona, Inst Neurociencies, Dept Med, Barcelona, Spain
Biomed Res Networking Ctr Mental Hlth Network CI, Barcelona, Spain
August Pi i Sunyer Biomed Res Inst IDIBAPS, Barcelona, Spain
Vallespir, C:
Univ Barcelona, Inst Neurosci, Hosp Clin, Bipolar & Depress Disorders Unit,IDIBAPS,CIBERSAM, 170 Villarroel St, Barcelona 12008036, Catalonia, Spain
Serra, M:
Univ Barcelona, Inst Neurosci, Hosp Clin, Bipolar & Depress Disorders Unit,IDIBAPS,CIBERSAM, 170 Villarroel St, Barcelona 12008036, Catalonia, Spain
Vieta, E:
Univ Barcelona, Inst Neurosci, Hosp Clin, Bipolar & Depress Disorders Unit,IDIBAPS,CIBERSAM, 170 Villarroel St, Barcelona 12008036, Catalonia, Spain
Bernardo, M:
Hosp Clin Barcelona, Neurosci Inst, Barcelona Clin Schizophrenia Unit, Barcelona, Spain
Univ Barcelona, Inst Neurociencies, Dept Med, Barcelona, Spain
Biomed Res Networking Ctr Mental Hlth Network CI, Barcelona, Spain
August Pi i Sunyer Biomed Res Inst IDIBAPS, Barcelona, Spain
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