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Social Psychiatry and Psychiatric Epidemiology

Erschienen in:

01.04.2012 | Original Paper

Quality of life and illness beliefs in individuals with early psychosis

verfasst von: Kate Theodore, Sonia Johnson, Anna Chalmers-Brown, Rhianne Doherty, Chris Harrop, Lyn Ellett

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 4/2012

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Abstract

Purpose

Quality of life (QoL) has become an important outcome measure in early psychosis. This study examined associations between illness beliefs (how individuals perceive their mental health problems), symptom factors and QoL in an early psychosis population.

Methods

Eighty-one individuals with early psychosis completed a battery of questionnaires measuring QoL, illness perceptions, psychotic and affective symptoms.

Results

QoL was significantly associated with certain illness beliefs, namely treatment control and consequences of psychosis. Lower levels of QoL were associated with higher depression, anxiety and general psychopathology. QoL was found to be predicted by key illness beliefs.

Conclusions

Causality has not been fully established, but these results suggest that beliefs about mental health problems may have a direct impact on outcome, and point towards possible targets for intervention, such as challenging illness-related appraisals. This is consistent with both general cognitive models of psychosis, and Cognitive Behaviour Therapy for this client group.

Andresen R, Oades L, Capulti P (2003) The experience of recovery from schizophrenia: towards an empirically validated stage model. Aust NZ J Psychiatry 37(5):586–594CrossRef

Birchwood M, Trower P (2006) The future of cognitive-behavioural therapy for psychosis: not a quasi-neurleptic. Brit J Psychiatry 188:107–108CrossRef

Birchwood M, Spencer E, McGovern D (2000) Schizophrenia: early warning signs. APT 6:93–101

Black K, Peters L, Rui Q, Milliken H, Whitehorn D, Kopala LC (2001) Duration of untreated psychosis predicts treatment outcome in an early psychosis population. Schizophr Res 47:215–222PubMedCrossRef

Brand, R, Harrop, C, Ellett L What is it like to be friends with a young person with psychosis? A qualitative study. Psychosis (in press)

Browne S, Clarke M, Gervin M, Wadington JL, Larkin C, O’Callaghan E (2000) Determinants of quality of life at first presentation with schizophrenia. Brit J Psychiatry 176:173–176CrossRef

Cadenhead KS, Addington J, Cannon T, Cornblatt B, McGlashan T et al (2010) Reshaping an enduring sense of self: the process of recovery from a first episode of schizophrenia. Early Interv Psychiatry 4(3):220–226PubMedCrossRef

Cohen J (1992) A power primer. Psychol Bull 112:155–159PubMedCrossRef

Davidson L (1999) Peer support among individuals with severe mental illness: a review of the evidence. Clin Psychol Sci Pract 6:165–187CrossRef

10.

Deegan P, Drake RE (2006) Shared decision making and medication management in the recovery process. Psychiatr Serv 57:1636–1639PubMedCrossRef

11.

Department of Health (2009) New Horizons: a shared vision for mental health. Mental Health Division, Department of Health, London

12.

Eack S, Newhill C (2007) Psychiatric symptoms and quality of life in schizophrenia: a meta-analysis. Schizophrenia Bull 33(5):1225–1237CrossRef

13.

Fortune DG, Richards H, Griffiths C, Main C (2002) Psychological stress, distress, and disability in patients with psoriasis: consensus and variation in the contribution of illness perceptions, coping and alexithymia. Brit J Health Psychol 41:157–174

14.

Garety PA, Kuipers E, Fowler D, Freeman D, Bebbington PE (2001) A cognitive model of the positive symptoms of psychosis. Psychol Med 31:189–195PubMedCrossRef

15.

Haley CJ, Drake RJ, Bentall RP, Lewis SW (2003) Health beliefs link to duration of untreated psychosis and attitudes to later treatment in early psychosis. Soc Psychiatry Psychiatr Epidemiol 38:311–316PubMed

16.

Ho B-C, Nopoulos P, Flaum M, Arndt S, Andreasen NC (1998) Two-year outcome in first-episode schizophrenia: predictive value of symptoms for quality of life. Am J Psychiatry 155:1196–1201PubMed

17.

Hodgekins J, Fowler D (2010) CBT and recovery from psychosis in the ISREP trial: mediating effects of hope and positive beliefs on activity. Psychiatr Serv 61(3):321–324PubMedCrossRef

18.

Kay SR, Fiszbein A, Opler LA (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bull 13:261–276

19.

Kay SR, Opler LA, Lindenmayer JP (1988) Reliability and validity of the positive and negative syndrome scale for schizophrenics. Psychiatry Res 23:99–110PubMedCrossRef

20.

Kuipers E, Holloway F, Rabe-Hesketh S, Tennakoon L (2004) An RCT of early intervention in psychosis: Croydon Outreach and Assertive Support Team (COAST). Soc Psychiatry Psychiatr Epidemiol 39:358–363PubMedCrossRef

21.

Leventhal H, Nerenz DR, Steele DF (1984) Illness representations and coping with health threats. In: Singer A, Singer J (eds) A handbook of psychology and health. Erlbaum, Hillsdale, pp 219–252

22.

Lobban F, Barrowclough C, Jones S (2003) A review of the role of illness models in severe mental health. Clin Psychol Rev 23:171–196PubMedCrossRef

23.

Lobban F, Barrowclough C, Jones S (2004) The impact of beliefs about mental health problems and coping on outcome in schizophrenia. Psychol Med 34:1165–1176PubMedCrossRef

24.

Lobban F, Barrowclough C, Jones S (2005) Assessing cognitive representations of mental health problems. 1. The illness perception questionnaire for schizophrenia. Brit J Clin Psychol 44:147–162CrossRef

25.

Major BS, Hinton MF, Flint A, Chalmers-Brown A, McLoughlin K, Johnson S (2010) Evidence of the effectiveness of a specialist vocational intervention following first episode psychosis: a naturalistic prospective cohort study. Soc Psychiatry Psychiatr Epidemiol 45:1–8PubMedCrossRef

26.

Malla AK, Norman RMG, McLean TS, McIntosh E (2001) Impact of phase-specific treatment of first episode psychosis on Wisconsin quality of life index. Acta Psychiatr Scand 103:355–361PubMedCrossRef

27.

Mattsson L, Topor A, Cullberg J, Forsell Y (2008) Association between financial strain, social network and five year recovery from first episode psychosis. Soc Psychiatry Psychiatr Epidemiol 43:947–952PubMedCrossRef

28.

Morrison AP (2001) The interpretation of intrusions in psychosis: an integrative cognitive approach to hallucinations and delusions. Behav Cog Psychother 29:257–277

29.

National Institute for Clinical Excellence (2002) Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care. NICE, London

30.

Oliver JPJ, Huxley PJ, Priebe S, Kaiser W (1997) Measuring the quality of life of severely mentally ill people using the Lancashire Quality of Life Profile. Soc Psychiatry Psychiatr Epidemiol 32:76–83PubMedCrossRef

31.

Priebe S, Huxley P, Knight S, Evans S (1999) Application and results of the Manchester short assessment of quality of life (MANSA). Int J Soc Psychiatry 45(1):7–12PubMedCrossRef

32.

Priebe S, Roeder-Wanner U-U, Kaiser W (2000) Quality of life in first-admitted schizophrenia patients: a follow-up study. Psychol Med 30:225–230PubMedCrossRef

33.

Reininghaus UA, Morgan C, Simpson J, Dazzan P, Morgan K et al (2008) Unemployment, social isolation, achievement-expectation mismatch and psychosis: findings from the AESOP study. Soc Psychiatry Psychiatr Epidemiol 43:743–751PubMedCrossRef

34.

Shrivastava A, Johnston M, Shah N, Bureau Y (2010) Redefining outcome measures in schizophrenia: integrating social and clinical parameters. Curr Opin Psychiatry 23(2):120–126PubMedCrossRef

35.

Sim K, Mahendran R, Siris SG, Heckers S, Chong SA (2004) Subjective quality of life in first episode schizophrenia spectrum disorders with comorbid depression. Psychiatry Res 129:141–147PubMedCrossRef

36.

Watson PWB, Garety PA, Weinman J, Dunn G, Bebbington PE, Fowler D et al (2006) Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions. Psychol Med 36:761–770PubMedCrossRef

37.

World Health Organisation (1992) The International Classification of Diseases Tenth Edition (ICD-10): Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. WHO, Geneva

Titel: Quality of life and illness beliefs in individuals with early psychosis
verfasst von: Kate Theodore
Sonia Johnson
Anna Chalmers-Brown
Rhianne Doherty
Chris Harrop
Lyn Ellett
Publikationsdatum: 01.04.2012
Verlag: Springer-Verlag
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 4/2012
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-011-0360-1

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Abstract

Purpose

Methods

Results

Conclusions

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