Social support and three-year symptom and admission outcomes for first episode psychosis.
Abstract
This paper presents the first published findings examining the relationship of social support to three-year symptom outcome and hospitalizations for a group of first episode patients with psychotic disorders. Social support was measured using items from the provider version of the Wisconsin Quality of Life Scale as assessed at the time of initiation of treatment for 113 patients. Outcome was assessed by level of positive and negative symptoms at three-year follow-up and number of psychiatric admissions during those three years. Higher levels of social support were found to correlate with lower levels of positive symptoms and few hospitalizations at follow-up. The relationship of social support to follow-up symptoms and hospitalization was independent of other potential predictors such as gender, age, premorbid adjustment and duration of untreated illness.
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Our policy assessment identified bio-social vulnerabilities and structural health system barriers leading to environmental risk factors such as social conflicts, shortfall of psychosocial treatments, stigma and societal disadvantages that contribute to the overall problem.
“Lastly, our policy assessment identified bio-social vulnerabilities and structural (health) system barriers that lead to environmental risk factors such as social conflicts (interpersonal), a general shortfall of psychosocial treatments (organizational), stigma and societal disadvantages (society) that all seem to additionally contribute to our overall problem (105–107).”
From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [105]
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- Authors
- Norman, R. M. G., Malla, A. K., Manchanda, R., Harricharan, R., Takhar, J., & Northcott, S.
- Affiliations
- Western University (CA)
- Douglas Mental Health University Institute (CA)
- Corresponding author
- Norman, Ross M.G.
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2005-12
- Volume
- 80
- Issue
- 2-3
- Pages
- 227-234
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2094525887
- Cited by
- 219
- References
- 40
- Citations by year
- 2026: 10 · 2025: 11 · 2024: 9 · 2023: 16 · 2022: 14 · 2021: 19 · 2020: 16 · 2019: 13 · 2018: 10 · 2017: 10 · 2016: 12 · 2015: 9 · 2014: 14 · 2013: 16 · 2012: 10
- FWCI
- 1.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- social support, first-episode psychosis
- MeSH terms
- Adolescent, Adult, Female, Follow-Up Studies, Hospitalization, Humans, Male, Middle Aged, Patient Admission, Prospective Studies, Psychotic Disorders, Quality of Life, Surveys and Questionnaires, Social Adjustment, Social Support, Time Factors, Treatment Outcome
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