Social Functioning in First- and Multiepisode Schizophrenia

Grant, Christina; Addington, Jean; Addington, Donald; Konnert, Candace

doi:10.1177/070674370104600808

Cited by 66 publications

(36 citation statements)

References 10 publications

(5 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Consistent with that observation, the present findings demonstrate persistent social dysfunction despite significant improvements in positive, negative, and general psychopathology symptoms. As some prior research has demonstrated little difference in SFS scores between first-episode and chronic patients (Addington et al, 2008;Grant et al, 2001), the apparent lack of improvement is especially interesting given that impaired social functioning appears to accumulate before initial treatment seeking. Deficits in social functioning have been shown to be present by the time of the first-episode (Drake et all., 2007;Górna et al, 2008;Grant et al, 2001;Voges and Addington, 2005) and are even detectable in clinical high-risk (i.e., putatively prodromal) samples (Addington et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…As some prior research has demonstrated little difference in SFS scores between first-episode and chronic patients (Addington et al, 2008;Grant et al, 2001), the apparent lack of improvement is especially interesting given that impaired social functioning appears to accumulate before initial treatment seeking. Deficits in social functioning have been shown to be present by the time of the first-episode (Drake et all., 2007;Górna et al, 2008;Grant et al, 2001;Voges and Addington, 2005) and are even detectable in clinical high-risk (i.e., putatively prodromal) samples (Addington et al, 2008). Interventions that improve performance skills while enhancing environmental supports (Beale and Lambric, 1995), allowing the patient to assume more personal responsibility through social competence (Jacobson and Greenley, 2001), are seriously needed.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Social Functioning in Urban, Predominantly African American, Socially Disadvantaged Patients With First-Episode Nonaffective Psychosis

Franz

Bergner

Compton

2010

Schizophrenia Research

View full text Add to dashboard Cite

Background-Social functioning impairments develop and accumulate even prior to initial treatment-seeking for first-episode psychosis. This study, the first to examine social functioning in low-income, urban, predominantly African American first-episode patients: (1) assesses the internal consistency of Social Functioning Scale (SFS) subscales in this relatively unique sample; (2) identifies demographic and clinical variables that may be predictive of poor social functioning in this particular population; and (3) assesses changes in SFS scores in a subsample re-assessed six months after initial hospitalization.Methods-109 participants (age, 23.1±4.7 years; 76.1% male; 89.9% African American) hospitalized for a first episode of nonaffective psychosis in an urban, public-sector setting were administered the SFS along with other clinical research instruments. 34 (31.2%) returned for a followup clinical research assessment six months after baseline assessment. Associations between the variables of interest were analyzed utilizing independent samples Student's t-tests and Pearson correlations.Results-Associations were observed between social functioning domains and negative symptoms (r=−.21-−.32, p<.05), depressive symptoms (r=−.20-−.23, p<.05), and general psychopathology symptoms (r=−.23-−.24, p<.05). No significant differences were found in SFS subscale scores between baseline and six-month follow-up.Conclusions-Deficits in social functioning are meaningfully related to several domains of symptoms, and such deficits may be relatively stable in the early course of psychotic disorders. Such findings may inform development of psychosocial interventions targeting social functioning in firstepisode patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Social Functioning in Urban, Predominantly African American, Socially Disadvantaged Patients With First-Episode Nonaffective Psychosis

Franz

Bergner

Compton

2010

Schizophrenia Research

View full text Add to dashboard Cite

show abstract

“…Unfortunately, these data cannot answer whether these partnerships have the potential to reach a high level of commitment. Certain features of mental illness, particularly schizophrenia spectrum disorders, as well as some side effects of psychiatric medication, may impair social functioning, thereby limiting the development of intimacy (Badger, McNiece, Bonham, & Jacobson, 2003;Cassano & Favo, 2004;Grant, Addington, Addington, & Konnert, 2001;Harris et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

The sexual partnerships of people with serious mental illness

Perry

Wright

2006

The Journal of Sex Research

View full text Add to dashboard Cite

We compared the sexualities of people with serious mental illness and the general population using the National Health and Social Life Survey (Laumann et al., 1994) and the Indiana Mental Health Services and HIV Risk Study (Wright, 2003). We investigated whether and how the sexual behaviors and relationships of people with serious mental illness differ from the general populations and identified factors differently influencing the organization of sexuality in these two groups. We found evidence that the relationships of people with serious mental illness are characterized by less intimacy and commitment than those of the general population. Additionally, although people with serious mental illness use condoms more consistently, they are also more likely to have concurrent relationships and tend to have sex sooner with new partners, which may contribute to a higher risk of contracting HIV. Our findings point to a need for a paradigm shift in the way that clinicians and researchers conceptualize and manage client sexuality. A less individualistic approach that takes into consideration the relationship context and social and institutional constraints is needed.

show abstract

“…Second and more importantly, current psychosocial interventions fail to effectively target functional recovery after a first episode. It has been well documented that significant functional deficits are prevalent early in the course of psychotic illnesses, persist despite symptom remission, and are associated with a poor long-term prognosis (Birchwood et al 1998;Grant et al 2001;Tohen et al 2000). These deficits need to be a major focus of treatment (International Early Psychosis Association Writing Group 2005;McGorry 2004).…”

Section: Treatment Conceptualizationmentioning

confidence: 99%

The Graduated Recovery Intervention Program for First Episode Psychosis: Treatment Development and Preliminary Data

Waldheter

Penn

Perkins

et al. 2008

Community Ment Health J

View full text Add to dashboard Cite

The Graduated Recovery Intervention Program (GRIP) is a novel cognitive-behavioral therapy program designed to facilitate functional recovery in people who have experienced an initial episode of psychosis. In this paper, the treatment development process of GRIP is described and data from an open feasibility trial are presented. Findings suggest clinical and psychosocial benefits associated with GRIP, and the treatment was well-received by clients and therapists. The retention rate of 67%, however, suggests the need for protocol modifications to improve engagement. Initial data on the efficacy of GRIP are encouraging, although the study design precludes more robust conclusions at this time.

show abstract

Social Functioning in First- and Multiepisode Schizophrenia

Abstract: This study demonstrated that deficits in social functioning are present near the onset of schizophrenia.

Cited by 66 publications

References 10 publications

Social Functioning in Urban, Predominantly African American, Socially Disadvantaged Patients With First-Episode Nonaffective Psychosis

Social Functioning in Urban, Predominantly African American, Socially Disadvantaged Patients With First-Episode Nonaffective Psychosis

The sexual partnerships of people with serious mental illness

The Graduated Recovery Intervention Program for First Episode Psychosis: Treatment Development and Preliminary Data

Contact Info

Product

Resources

About