Author, as appears in the article.: Ortega L; Montalvo I; Monseny R; Burjales-Martí MD; Martorell L; Sanchez-Gistau V; Vilella E; Labad J

Department: Medicina i Cirurgia Infermeria

URV's Author/s: Martorell Bonet, Lourdes / Ortega Sanz, Laura

Keywords: Stress Social functioning Social adaptation Quality of life First‐ First-episode psychosis 1st episode psychosis version syndrome scale panss stress strategies social functioning social adaptation schizophrenia-patients risk recovery quality of life psychometric properties episode psychosis employment associations

Abstract: © 2020 John Wiley & Sons Australia, Ltd Aim: Quality of life (QoL) has been widely studied in people with schizophrenia. In the early phases of psychosis, it remains often impaired even after the remission of psychotic symptoms. The aim of this study was to explore QoL and social functioning during the first year after a first-episode psychosis (FEP), and to study potential moderating effects of stress measures. Methods: Here, 61 FEP subjects and 55 healthy controls (HCs) were included. Sociodemographic data and clinical variables were collected through a semi-structured interview. Stress measures, social functioning and QoL were assessed with the Holmes–Rahe Social Readjustment Rating Scale, the Perceived Stress Scale, the Social Adaptation Self-Scale and the Euro-QoL-5D, respectively. Analysis of variance was employed with repeated measures and a mediation analysis at baseline and at 1-year follow-up was carried out. Results: Patients reported lower QoL, poorer social functioning and more stress than HC. FEP patients significantly improved in QoL and stress measures over time, but not in social functioning. Perceived stress mediated the association between poorer social functioning and lower QoL. Conclusions: Social functioning at baseline may determine QoL over a 1-year follow-up period. Despite the improvement in most measures, patients do not achieve the level of well-being as the healthy group.

Thematic Areas: Psychiatry and mental health Psychiatry Psychiatric mental health Medicina ii Medicina i General medicine Ciencias sociales Biological psychiatry

licence for use: https://creativecommons.org/licenses/by/3.0/es/

Author's mail: lourdes.martorell@urv.cat laura.ortega@urv.cat

Author identifier: 0000-0003-4999-2197 0000-0003-2476-7700

Record's date: 2023-02-19

Papper version: info:eu-repo/semantics/acceptedVersion

Link to the original source: https://onlinelibrary.wiley.com/doi/10.1111/eip.13092

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Early Intervention In Psychiatry. (6): 1542-1550

APA: Ortega L; Montalvo I; Monseny R; Burjales-Martí MD; Martorell L; Sanchez-Gistau V; Vilella E; Labad J (2021). Perceived stress, social functioning and quality of life in first-episode psychosis: A 1-year follow-up study. Early Intervention In Psychiatry, (6), 1542-1550. DOI: 10.1111/eip.13092

Article's DOI: 10.1111/eip.13092

Entity: Universitat Rovira i Virgili

Journal publication year: 2021

Publication Type: Journal Publications