IntroductionBesides psychopathological outcome, the outcome in terms of social functioning is of great importance in first-episode psychosis. This paper has analyzed three components of social functioning: instructional level, professional and marital status.ObjectivesThe objective of this paper is to analyze the social functioning after two years of evolution in a sample of subjects with a first-episode psychosis.AimsThe aim is to determine the way in which the presence of affective elements can influence social functioning in a first-episode psychosis.Methods43 subjects with a first-episode psychosis have been divided into 2 samples, according to the existence of (sample A) / the absence of (sample B) affective symptoms (depressive or manic). We have to mention that the affective elements have not fulfilled the ICD 10 criteria for an affective episode. These two samples have been analyzed at onset and after two years of evolution, according to the following parameters: instructional level, professional and marital status.ResultsWe have noticed that there were changes only regarding the professional status and instructional level. After 2 years of evolution, the number of employed subjects was higher in sample A, compared to sample B. All of the subjects in sample A, which were students during their first episode of psychosis, have managed to finish their studies. Family status was not modified in any sample.ConclusionThe existence of affective elements in a first-episode psychosis has an influence only regarding the professional status.
IntroductionEmotional face recognition is significant for social communication. This is impaired in mood disorders, such as bipolar disorder. Individuals with bipolar disorder lack the ability to perceive facial expressions.ObjectivesTo analyse the capacity of emotional face recognition in subjects diagnosed with bipolar disorder.AimsTo establish a correlation between emotion recognition ability and the evolution of bipolar disease.MethodsA sample of 24 subjects were analysed in this trial, diagnosed with bipolar disorder (according to ICD-10 criteria), who were hospitalised in the Psychiatry Clinic of Timisoara and monitored in outpatients clinic. Subjects were introduced in the trial based on inclusion/exclusion criteria. The analysed parameters were: socio-demographic (age, gender, education level), the number of relapses, the predominance of manic or depressive episodes, and the ability of identifying emotions (Reading the Mind in the Eyes Test).ResultsMost of the subjects (79.16%) had a low ability to identify emotions, 20.83% had a normal capacity to recognise emotions, and none of them had a high emotion recognition capacity. The positive emotions (love, joy, surprise) were easier recognised, by 75% of the subjects, than the negative ones (anger, sadness, fear). There was no evident difference in emotional face recognition between the individuals with predominance of manic episodes than the ones who had mostly depressive episodes, and between the number of relapses.ConclusionsThe individuals with bipolar disorder have difficulties in identifying facial emotions, but with no obvious correlation between the analysed parameters.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Introduction: One of the current concerns in the research on schizophrenia is the relationship between social functioning and emotion recognition abilities, more specifically of the role that this can have, as a potential pathway for building subsequent psychosocial intervention methods. Objectives: To establish the precise role that the ability to recognize emotions has on social functioning in subjects with a diagnosis of Schizophrenia. Aim: To help develop psychotherapeutic intervention programs that will increase social functioning. Method: This paper analyzed a sample of subjects (N=31) with a diagnosis of Schizophrenia (according to the WHO ICD 10), who were selected based on inclusion/exclusion criteria. The following parameters were assessed: socio-demographic (gender, age of onset, level of education, family and professional status), social functioning (SFS scale) and the ability to identify emotions in the eyes ('Reading the Mind in the Eyes' test). Results: The ability of recognizing the emotion 'anger' is directly correlated with the ability to communicate and keep interpersonal relations (Spearman R = 0.310, p <0.05), the ability of independence/performance (Spearman R = 0.471, p <0.05), as well as the ability to relax (Spearman R = 0.456, p <0.05) and to engage in social activities (Spearman R = 0.473, p <0.05). Conclusion: We noted that 'anger' is the only emotion that was correlated with social functioning. Anger must be understood beyond its negative connotation, also as a positive element, in the sense of positioning the individual in the society and of taking action in regard to personal needs.
Aim:Between the risk factors for developing a first episode psychosis, social functioning is considered to be one of the most important factors.The aim of the study is to compare social functioning in schizophrenia offspring and controls, and to determine possible associations between social functioning and prodromal symptoms.Methods:The study examined social functioning (by using the Social Functioning Scale) in 25 Schizophrenia offspring seeking psychiatric help for different problems, and 25 healthy controls.Clinical status was assessed with the Brief Psychiatric Rating Scale, HAM-D and HAM-A.Results:Schizophrenia offspring had significantly more social functioning deficits than controls. Social functioning was most strongly associated with depression and anxiety symptoms and less with minor psychotic symptoms.Conclusions:Social functioning deficits precede the onset of first episode psychosis, especially in persons at risk and, therefore, it could represent an early detection sign. Association with depression and anxiety symptoms should be an early intervention point.
Objectives: The purpose of this study is to evaluate the clinical and socio-professional functioning status after two years of evolution, on a sample of patients with first episode of psychosis, admitted in the Psychiatric Clinic in Timisoara in 2006. Methods: The initial sample was formed of 41 patients , but at the follow-up point (2008) only 28 patients were still in evidence. Diagnosis was made after ICD 10, BPRS and GAF were used as evaluation tools. Results: On the initial evaluation 32 % had a diagnosis of persistent delusional disorder, 25 % of short and transitory psychosis, 18% schizophrenia and 25% other psychosis. After 2 years of evolution 46% had a diagnosis of persistent delusional disorder, 25% schizophrenia and only 7 % had acute and transitory psychosis. In 28% of the cases the diagnosis was changed, most of the cases being the ones initially diagnosed with acute and transitory psychosis.The most stabil diagnosis was the persistent delusional disorder .In the majority of the cases we observed a lower socio-professional and family functioning. Conclusions: The results of this study sugests that the diagnosis of first episode of psychosis is partially predictive for the type of illnes, because a first episode of psychosis can evolve in different pathologies. The socio-professional and family functioning is lower in the majority of cases without a clear connection with the initial diagnosis.
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