Family environment and depressive episode are associated with relapse after first‐episode psychosis

Silva, Amanda Heloísa Santana da; Freitas, Larissa Amorim de; Shuhama, Rosana; Del-Ben, Cristina Marta; Vedana, Kelly Graziani Giacchero; Martin, Isabela dos Santos; Zanetti, Ana Carolina Guidorizzi

doi:10.1111/jpm.12735

Cited by 3 publications

(3 citation statements)

References 64 publications

(106 reference statements)

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“…Depression scores at baseline and at the first month did not correlate to insight at baseline and the first month, contrary to what some evidence suggests [ 14 , 15 , 16 ], and nor did they predict relapse at the year as other research shows [ 17 ]. They are, however, in agreement with other evidence showing no stable link between insight and depression, hopelessness, or suicidality [ 49 , 51 ] at baseline and the first month.…”

Section: Discussioncontrasting

confidence: 86%

“…Unfortunately, early insight and depression have been associated with suicide attempts and with actual suicides within four years after the first episode, which is a known major cause of mortality for schizophrenia patients [ 16 ]. In terms of relapse, recent research has shown contradictory results on whether depressive symptoms may predict relapse after FEP or not [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Role of Clinical Insight at First Month in Predicting Relapse at the Year in First Episode of Psychosis (FEP) Patients

Vlachos

Selaković

Ralli

et al. 2023

JCM

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Introduction: Clinical insight constitutes a useful marker of the progress and outcome of the First Episode of Psychosis (FEP), and lack of insight has been associated with more severe psychopathology, treatment non-adherence, and rehospitalization/relapse. In this study, we aimed to further investigate the possible role of insight as a predictor of relapse, its relation to diagnosis, and other parameters of positive psychotic symptomatology (delusions, hallucinations, and suspiciousness). Methods: The Athens FEP study employed a prospective, longitudinal cohort design in which consecutive newly diagnosed patients with psychosis were interviewed and asked to voluntarily participate after completing informed consent. A total of 88/225 patients were examined at three different time points (baseline, month, and year). Their scores in the relevant items of the Positive and Negative Syndrome Scale (PANSS) were compared (G12 for insight, P1 for delusions, P3 for hallucinations, and P6 for suspiciousness), and they were further associated to diagnosis and the outcome at the end of the year (remission/relapse). Results: In total, 22/88 patients with relapse at the year had greater scores in G12 for both the month and the year, and this finding was corroborated after adjusting the statistical analysis for demographics, diagnosis, social environment, and depression via multiple logistic regression analysis. Moreover, delusions and suspiciousness were significantly higher in patients diagnosed with non-affective psychosis compared to those diagnosed with affective psychosis (p < 0.001) at the first month. Conclusions: Lack of insight at the first month may serve as a predictor of relapse at the year.

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Section: Discussioncontrasting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Role of Clinical Insight at First Month in Predicting Relapse at the Year in First Episode of Psychosis (FEP) Patients

Vlachos

Selaković

Ralli

et al. 2023

JCM

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“…Bird et al (2010) showed that a good family atmosphere can reduce hospitalization rates among people diagnosed with mental illness. da Silva et al (2021) showed that the family environment is a predictor of relapse among people diagnosed with mental illness and that the importance of family interventions in the treatment of mental illness should be emphasized. These studies suggested that healthcare professionals should pay attention to the home environment of patients diagnosed with anxiety disorders.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing self‐management among patients diagnosed with anxiety disorders in China: A cross‐sectional study

Cao

et al. 2022

Psychiatric Ment Health Nurs

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Accessible summaryWhat is known on the subject? Self‐management comprises five core skills: “Problem Solving, Decision‐Making, Resource Utilization, Forming a Patient/Healthcare Provider Partnership and Taking Action.” Effective self‐management among patients diagnosed with anxiety can reduce the number of relapses and improve treatment outcomes. Knowledge of the impact of the family atmosphere, well‐being and illness symptoms on self‐management in patients diagnosed with anxiety disorders is limited. What does the paper add to the existing knowledge? This is the first study in China to explore whether family atmosphere and well‐being of patients diagnosed with anxiety disorders affects self‐management. This paper adds to the list of factors influencing self‐management among patients diagnosed with anxiety disorders. SAS scores are a major factor influencing self‐management among patients diagnosed with anxiety disorders. The subjective well‐being of patients diagnosed with anxiety disorders can influence their self‐management behaviour. Patients who experienced family harmony had significantly higher self‐management scores than those who experienced family disharmony. What are the implications for practice? Nurses should encourage patients diagnosed with anxiety disorders to manage their condition while receiving treatment at home. Nurses should focus on patients diagnosed with anxiety disorders who have significant anxiety symptoms and low well‐being. Nurses should emphasize the importance of the home environment in family self‐management and affirm that a good home environment promotes patient self‐management. AbstractIntroductionBetter self‐management can improve treatment outcomes and reduce the number of relapses for patients diagnosed with anxiety disorders. However, the impact of well‐being and the home environment on self‐management among patients diagnosed with anxiety disorders is unclear in China.AimThis study sought to determine the impact of the home environment, well‐being and illness symptoms on self‐management during home treatment for patients diagnosed with anxiety disorders.MethodThis cross‐sectional study was conducted with patients diagnosed with anxiety disorders. Data were collected with SAS, Self‐Management Scale for People with Anxiety Disorders and Index of Well‐being. Frequency, percentage, analysis of variance, Kruskal–Wallis and multiple linear regression analyses were used.ResultsHome environment (p < .001), self‐perceived quality of life (p = .015), well‐being index (p = .002) and SAS total score (p = .033) had a major impact on self‐management in patients diagnosed with anxiety disorders (n = 245).DiscussionFamily disharmony, poor self‐perceived quality of life, high SAS scores and low levels of well‐being were significant influences on self‐management among people diagnosed with anxiety disorders.Implications for PracticeNurses should focus on the self‐management of patients diagnosed with significant anxiety symptoms and low well‐being and value the importance of the home environment in facilitating self‐management among patients diagnosed with anxiety disorders.

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Psychotic relapses from the perspective of patients and family members

Silva

Peixoto

Martin

et al. 2022

Archives of Psychiatric Nursing

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Family environment and depressive episode are associated with relapse after first‐episode psychosis

Cited by 3 publications

References 64 publications

Role of Clinical Insight at First Month in Predicting Relapse at the Year in First Episode of Psychosis (FEP) Patients

Role of Clinical Insight at First Month in Predicting Relapse at the Year in First Episode of Psychosis (FEP) Patients

Factors influencing self‐management among patients diagnosed with anxiety disorders in China: A cross‐sectional study

Psychotic relapses from the perspective of patients and family members

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