The association of psychopathology with concurrent level of functioning and subjective well-being in persons with schizophrenia spectrum disorders.
Eur Arch Psychiatry Clin Neurosci
; 268(5): 455-459, 2018 Aug.
Article
en En
| MEDLINE
| ID: mdl-28357563
ABSTRACT
The objective is to investigate the relationship between psychopathology measured by the positive and negative syndrome scale (PANSS) and concurrent global assessment of functioning (GAF) and subjective well-being under neuroleptics (SWN) in patients with schizophrenia spectrum disorder (SSD) regarding severity of illness and disease phase. We analyzed a sample of 202 SSD patients consisting of first episode psychosis (FEP) and multiple episode psychosis (MEP) patients followed up to 12 months using linear mixed models. All PANSS syndromes except excitement were associated with GAF scores (positive syndrome p < 0.001, d = 1.21; negative syndrome p = 0.029, d = 0.015; disorganized syndrome p < 0.001, d = 0.37; anxiety/depression syndrome p < 0.001, d = 0.49), and positive symptoms had an increasing impact on global functioning with higher severity of illness (mildly ill p = 0.039, d = 0.22; moderately ill p < 0.001, d = 0.28; severely ill p < 0.001, d = 0.69). SWN was associated with positive (p = 0.002, d = 0.22) and anxiety/depression (p < 0.001, d = 0.38) syndromes. Subgroup analyses showed differing patterns depending on illness severity and phase. Over all our results show different patterns of associations of psychopathology and concurrent functioning and subjective well-being. These findings contribute knowledge on the possible role of specific psychopathological syndromes for the functioning and well-being of our patients and may enable tailored treatments depending on severity and phase of illness.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Satisfacción Personal
/
Trastornos Psicóticos
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Esquizofrenia
/
Psicología del Esquizofrénico
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Eur Arch Psychiatry Clin Neurosci
Asunto de la revista:
NEUROLOGIA
/
PSIQUIATRIA
Año:
2018
Tipo del documento:
Article
País de afiliación:
Suiza