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A multi-site Canadian perspective: examining the functional outcome from first-episode psychosis
N M Menezes1, A M Malla, R M Norman
1Schizophrenia Program, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. menezes@mcmaster.ca
Objective:
To examine factors contributing to variance in functional outcome in first-episode psychosis (FEP) following 1 year of treatment.
Method:
Naturalistic 1-year follow-up of a FEP cohort (n = 200), from programs in four university centers in Ontario, Canada. Functional recovery was defined by 'Social and Occupational Functioning Assessment Scale' (SOFAS) score>60. Regression analysis examined the contribution of independent variables to variance in functional outcome.
Results:
Twelve-month outcome measures were available for 76.5% of the original cohort. Of these, 70% reported being in school/work and in satisfactory relationships. The functional recovery rate was 51%, compared to 74% attaining symptomatic remission. The greatest contributors to variance in outcome were ongoing symptoms at 6 months and substance abuse comorbidity.
Conclusion:
After 1 year of treatment, FEP patients show high rates of symptomatic remission and relatively lower rates of functional recovery. Symptoms and substance abuse contribute to variance in outcome.
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