Predictors of functioning in people suffering from first‐episode psychosis 1 year into entering early intervention service in Hong Kong

Chong, Catherine Shiu‐yin; Siu, Man–wah; Kwan, Condy Hoi-shuen; Chang, Wing Chung; H, Lee; Chan, Sherry K.W.; Hui, Christy Lai Ming; Tam, Fiona Yee-ki; Chen, Eric; Lo, William Tak‐Lam

doi:10.1111/eip.12374

Cited by 6 publications

(7 citation statements)

References 39 publications

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“…These results are consistent with the service statistics of the EI clinic in KCH and some studies with similar sampling populations (Chong et al, ; Petrakis, Penno, Oxley, Bloom, & Castle, ; Strakowski, Keck, McElroy, Lonczak, & West, ); however, they differ from the statistics of EI studies in other localities, which reported a younger mean age and a greater proportion of male patients. The following factors contribute to these differences: (1) exclusion of substance–related psychotic disorders in the local EI service; (2) the eligible age range, which is up to 64 years in the local EI service and (3) the age of onset of schizophrenia, which is later in women (roughly middle age) (Abel, Drake, & Goldstein, ; Chong et al, ). Other clinical characteristics were similar to the extant literature (Cotton et al, ; Sim et al, , ; Strakowski et al, ).…”

Section: Discussionsupporting

confidence: 89%

“…The sample included 128 patients; the mean age was 34.2 years, and more patients were female (53.9%) than male. These results are nia, which is later in women (roughly middle age) (Abel, Drake, & Goldstein, 2010;Chong et al, 2016). Other clinical characteristics were similar to the extant literature (Cotton et al, 2012;Sim et al, 2004Sim et al, , 2006Strakowski et al, 1995).…”

Section: Discussionsupporting

confidence: 86%

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Prevalence and clinicians’ awareness of psychiatric comorbidities among first–episode schizophrenia

Siu

Chong

2017

Early Intervention Psych

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Background To explore the prevalence and clinicians’ awareness of psychiatric comorbidities, and to identify factors associated with current psychiatric comorbidities in first–episode schizophrenia (FES) patients. Method In this cross–sectional study, 128 patients with FES, who were in symptomatic remission, were consecutively recruited from a local early intervention clinic. All patients were interviewed using the Chinese bilingual version of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Axis I Disorders, Positive and Negative Syndrome Scales, Scale to Assess Unawareness of Mental Disorder, Social and Occupational Functioning Assessment Scale, Simpson–Angus Scale, Barnes Akathisia Rating Scale and Abnormal Involuntary Movement Scale. Bivariate and multivariate analyses were performed to investigate factors associated with psychiatric comorbidities in FES patients. Results The lifetime and point prevalence of psychiatric comorbidities among FES patients were 47.7% and 27.3%, respectively. Current psychiatric comorbidities were documented on the medical records of 39.3% of the patients. The FES patients with current psychiatric comorbidities had a lower level of functioning. Depression in FES was also associated with akathisia. Conclusion Psychiatric comorbidities are prevalent among community FES patients. In addition to achieving symptomatic remission in schizophrenia, both treating psychiatric comorbidities and minimizing the side–effects of treatment, particularly akathisia, are fundamental for supporting FES patients in their journey to recovery.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 86%

Prevalence and clinicians’ awareness of psychiatric comorbidities among first–episode schizophrenia

Siu

Chong

2017

Early Intervention Psych

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“…Chong et al 71 reported that baseline insight predicted function at six but not 12-month follow up in first-episode psychosis.…”

Section: Insight and Outcomementioning

confidence: 99%

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

et al. 2018

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Poor insight in schizophrenia is prevalent across cultures and phases of illness. In this review, we examine the recent research on the relationship of insight with behavior, mood and perceived quality of life, on its complex roots, and on the effects of existing and emerging treatments. This research indicates that poor insight predicts poorer treatment adherence and therapeutic alliance, higher symptom severity and more impaired community function, while good insight predicts a higher frequency of depression and demoralization, especially when coupled with stigma and social disadvantage. This research also suggests that poor insight may arise in response to biological, experiential, neuropsychological, social-cognitive, metacognitive and socio-political factors. Studies of the effects of existing and developing treatments indicate that they may influence insight. In the context of earlier research and historical models, these findings support an integrative model of poor insight. This model suggests that insight requires the integration of information about changes in internal states, external circumstances, others' perspectives and life trajectory as well as the multifaceted consequences and causes of each of those changes. One implication is that treatments should, beyond providing education, seek to assist persons with schizophrenia to integrate the broad range of complex and potentially deeply painful experiences which are associated with mental illness into their own personally meaningful, coherent and adaptive picture.

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“…In recent years, there has been an expansion of the early intervention service to cover a wider age range. In 2011, the early intervention service in Hong Kong was extended to provide service to patient aged between 15 and 64 years (Chong et al, ). In 2016, the NHS England published guidelines on the implementation of the early intervention service suggesting expanding the service to patient aged between 14 and 65 years (NHS England, the National Collaborating Centre for Mental Health and the National Institute for Health and Care Excellence, ).…”

Section: Introductionmentioning

confidence: 99%

Rates and predictors of disengagement of patients with first‐episode psychosis from the early intervention service for sychosis service (EASY) covering 15 to 64 years of age in Hong Kong

Lau

Hui

et al. 2017

Early Intervention Psych

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Predictors of functioning in people suffering from first‐episode psychosis 1 year into entering early intervention service in Hong Kong

Abstract: Factors predictive of functioning levels at the three time points were different. Phase-specific intervention should be offered to enhance functional recovery of people with first-episode psychosis.

Cited by 6 publications

References 39 publications

Prevalence and clinicians’ awareness of psychiatric comorbidities among first–episode schizophrenia

Prevalence and clinicians’ awareness of psychiatric comorbidities among first–episode schizophrenia

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

Rates and predictors of disengagement of patients with first‐episode psychosis from the early intervention service for sychosis service (EASY) covering 15 to 64 years of age in Hong Kong

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