Skip to main content
Top
Published in: Community Mental Health Journal 6/2016

01-08-2016 | Original Paper

Effects of Community Mental Health Service in Subjects with Early Psychosis: One-Year Prospective Follow Up

Authors: Eun-Jin Na, Nam-In Kang, Mi-Young Kim, Yin Cui, Hee-Eon Choi, Ae-Ja Jung, Young-Chul Chung

Published in: Community Mental Health Journal | Issue 6/2016

Login to get access

Abstract

The use of a multidisciplinary team approach is essential for increasing the likelihood of recovery among individuals with early psychosis. The aim of the present study was to investigate the effects of community-based mental health services on the symptoms and socio-occupational functioning of subjects with early psychosis. The study included participants who were referred to our Mental Health Promotion Center and who agreed to participate in diverse individual and group programs. During the 1-year follow-up, the medication adherence rate remained high, the recovery rate substantially increased, and the scores on the Positive and Negative Syndrome Scale, Psychotic Symptom Rating Scale-Delusion and Auditory Hallucinations subscales, Global Assessment of Functioning, Interpersonal Sensitivity Measure, and Social Functioning Questionnaire significantly improved over time. The findings suggest that the 1-year outcome of subjects with early psychosis can be improved by diverse community-based psychosocial interventions.
Literature
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental health disorders (4th ed.). Washington, DC: American Psychiatric Press. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental health disorders (4th ed.). Washington, DC: American Psychiatric Press.
go back to reference Bertland, M. C., Sutton, H., Achim, A. M., Malla, A. K., & Lepage, M. (2007). Social cognitive impairments in first episode psychosis. Schizophrenia Research, 95, 124–133.CrossRef Bertland, M. C., Sutton, H., Achim, A. M., Malla, A. K., & Lepage, M. (2007). Social cognitive impairments in first episode psychosis. Schizophrenia Research, 95, 124–133.CrossRef
go back to reference Birchwood, M., & Fiorillo, A. (2000). The critical period for early intervention. Psychiatric Rehabilitation Skills, 4, 182–198.CrossRef Birchwood, M., & Fiorillo, A. (2000). The critical period for early intervention. Psychiatric Rehabilitation Skills, 4, 182–198.CrossRef
go back to reference Boyce, P., & Parker, G. (1989). Development of a scale to measure interpersonal sensitivity. Australian and New Zealand Journal of Psychiatry, 23(3), 341–351.PubMed Boyce, P., & Parker, G. (1989). Development of a scale to measure interpersonal sensitivity. Australian and New Zealand Journal of Psychiatry, 23(3), 341–351.PubMed
go back to reference Coldham, E. L., Addington, J., & Addington, D. (2002). Medication adherence of individuals with a first episode of psychosis. Acta Psychiatrica Scandinavica, 106, 286–290.CrossRefPubMed Coldham, E. L., Addington, J., & Addington, D. (2002). Medication adherence of individuals with a first episode of psychosis. Acta Psychiatrica Scandinavica, 106, 286–290.CrossRefPubMed
go back to reference Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76–82.CrossRefPubMed Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76–82.CrossRefPubMed
go back to reference Cullberg, J., Mattsson, M., Levander, S., Holmqvist, R., Tomsmark, L., Elingfors, C., et al. (2006). Treatment costs and clinical outcome for first episode schizophrenia patients: A 3-year follow-up of the Swedish “Parachute Project” and two comparison groups. Acta Psychiatrica Scandinavica, 114, 274–281.CrossRefPubMed Cullberg, J., Mattsson, M., Levander, S., Holmqvist, R., Tomsmark, L., Elingfors, C., et al. (2006). Treatment costs and clinical outcome for first episode schizophrenia patients: A 3-year follow-up of the Swedish “Parachute Project” and two comparison groups. Acta Psychiatrica Scandinavica, 114, 274–281.CrossRefPubMed
go back to reference Faerden, A., Ragnar, N., & Marder, S. R. (2008). Definitions of the term ‘recovered’ in schizophrenia and other disorders. Psychopathology, 41(5), 271–278.CrossRefPubMed Faerden, A., Ragnar, N., & Marder, S. R. (2008). Definitions of the term ‘recovered’ in schizophrenia and other disorders. Psychopathology, 41(5), 271–278.CrossRefPubMed
go back to reference Fowler, D., Freeman, D., Smith, B., Kuipers, E., Bebbington, P., Bashforth, H., et al. (2006). The Belief Core Schema Scales (BCSS): Psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples. Psychological Medicine, 36, 749–759.CrossRefPubMed Fowler, D., Freeman, D., Smith, B., Kuipers, E., Bebbington, P., Bashforth, H., et al. (2006). The Belief Core Schema Scales (BCSS): Psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples. Psychological Medicine, 36, 749–759.CrossRefPubMed
go back to reference Guy, W. (1976). The clinical global impression scale. In ECDEU Assessment Manual for Psychopharmacology-Revised. Rockville, MD: US Dept. of Health, Education and Welfare, ADAMHA, MIMH Psychopharmacology Research Branch, pp. 218–222. Guy, W. (1976). The clinical global impression scale. In ECDEU Assessment Manual for Psychopharmacology-Revised. Rockville, MD: US Dept. of Health, Education and Welfare, ADAMHA, MIMH Psychopharmacology Research Branch, pp. 218–222.
go back to reference Haddock, G., McCarron, J., Tarrier, N., & Faragher, E. B. (1999). Scales to measure dimensions of hallucinations and delusions: The psychotic symptom rating scales (PSYRATS). Psychological Medicine, 19, 879–889.CrossRef Haddock, G., McCarron, J., Tarrier, N., & Faragher, E. B. (1999). Scales to measure dimensions of hallucinations and delusions: The psychotic symptom rating scales (PSYRATS). Psychological Medicine, 19, 879–889.CrossRef
go back to reference Henry, L. P., Amminger, P., Harris, M. G., Yuen, H. P., Harrigan, S. M., Schwartz, O. S., et al. (2010). The EPPIC follow-up study of first-episode psychosis: Longer-term clinical and functional outcome 7 years after index admission. The Journal of Clinical Psychiatry, 71(6), 716–728.CrossRefPubMed Henry, L. P., Amminger, P., Harris, M. G., Yuen, H. P., Harrigan, S. M., Schwartz, O. S., et al. (2010). The EPPIC follow-up study of first-episode psychosis: Longer-term clinical and functional outcome 7 years after index admission. The Journal of Clinical Psychiatry, 71(6), 716–728.CrossRefPubMed
go back to reference Horan, W. P., Green, M. F., DeGroot, M., Fiske, A., Hellenmann, G., Kee, K., et al. (2012). Social cognition in schizophrenia, part 2: 12-Month stability and prediction of functional outcome in first-episode patients. Schizophrenia Bulletin, 38(4), 865–872. doi:10.1093/schbul/sbr001.CrossRefPubMed Horan, W. P., Green, M. F., DeGroot, M., Fiske, A., Hellenmann, G., Kee, K., et al. (2012). Social cognition in schizophrenia, part 2: 12-Month stability and prediction of functional outcome in first-episode patients. Schizophrenia Bulletin, 38(4), 865–872. doi:10.​1093/​schbul/​sbr001.CrossRefPubMed
go back to reference Kay, S. R., Flszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261–276.CrossRefPubMed Kay, S. R., Flszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261–276.CrossRefPubMed
go back to reference Leucht, S., & Lasser, R. (2006). The concepts of remission and recovery in schizophrenia. Pharmacopsychiatry, 39(5), 161–170.CrossRefPubMed Leucht, S., & Lasser, R. (2006). The concepts of remission and recovery in schizophrenia. Pharmacopsychiatry, 39(5), 161–170.CrossRefPubMed
go back to reference Lieberman, J. A., Tollwdaon, F., Tohen, M., Green, A. I., Gur, R. E., Kahn, R., et al. (2003). Comparative efficacy and safety of atypical and conventional antipsychotic drugs in first-episode psychosis: A randomized double-blind trial of olanzapine versus haloperidol. American Journal of Psychiatry, 160, 1396–1404.CrossRefPubMed Lieberman, J. A., Tollwdaon, F., Tohen, M., Green, A. I., Gur, R. E., Kahn, R., et al. (2003). Comparative efficacy and safety of atypical and conventional antipsychotic drugs in first-episode psychosis: A randomized double-blind trial of olanzapine versus haloperidol. American Journal of Psychiatry, 160, 1396–1404.CrossRefPubMed
go back to reference Merlo, M. C. G., Hofer, H., Gekle, W., Berger, G., Ventura, J., Panhuber, I., et al. (2002). Risperidone, 2 mg/day vs. 4 mg/day, in first-episode, acutely psychotic patients: Treatment efficacy and effects on fine motor functioning. The Journal of Clinical Psychiatry, 63(10), 885–891.CrossRefPubMed Merlo, M. C. G., Hofer, H., Gekle, W., Berger, G., Ventura, J., Panhuber, I., et al. (2002). Risperidone, 2 mg/day vs. 4 mg/day, in first-episode, acutely psychotic patients: Treatment efficacy and effects on fine motor functioning. The Journal of Clinical Psychiatry, 63(10), 885–891.CrossRefPubMed
go back to reference Morken, G., Widen, J. H., & Grawe, R. W. (2008). Non-adherence to antipsychotic medication, relapse and rehospitalisation in recent-onset schizophrenia. BMC Psychiatry, 8, 32.CrossRefPubMedPubMedCentral Morken, G., Widen, J. H., & Grawe, R. W. (2008). Non-adherence to antipsychotic medication, relapse and rehospitalisation in recent-onset schizophrenia. BMC Psychiatry, 8, 32.CrossRefPubMedPubMedCentral
go back to reference Penn, D. L., Waldheter, E. J., Perkins, D. O., Mueser, K. T., & Lieberman, J. A. (2005). Psychosocial treatment for first-episode psychosis: A research update. American Journal of Psychiatry, 162, 2220–2220.CrossRefPubMed Penn, D. L., Waldheter, E. J., Perkins, D. O., Mueser, K. T., & Lieberman, J. A. (2005). Psychosocial treatment for first-episode psychosis: A research update. American Journal of Psychiatry, 162, 2220–2220.CrossRefPubMed
go back to reference Robinson, D. G., Woerner, M. G., McMeniman, M., Mendelowitz, A., & Bilder, R. M. (2004). Symptomatic and functional recovery from a first episode of schizophrenia or schizoaffective disorder. American Journal of Psychiatry, 161, 473–479.CrossRefPubMed Robinson, D. G., Woerner, M. G., McMeniman, M., Mendelowitz, A., & Bilder, R. M. (2004). Symptomatic and functional recovery from a first episode of schizophrenia or schizoaffective disorder. American Journal of Psychiatry, 161, 473–479.CrossRefPubMed
go back to reference Tauscher-Wisniewski, S., Kapur, S., Tauscher, J., Jones, C., Daskalakis, Z. J., Papatheodorou, G., et al. (2002). Quetiapine: An effective antipsychotic in first-episode schizophrenia despite only transiently high dopamine-2 receptor blockade. The Journal of Clinical Psychiatry, 63(11), 992–997.CrossRefPubMed Tauscher-Wisniewski, S., Kapur, S., Tauscher, J., Jones, C., Daskalakis, Z. J., Papatheodorou, G., et al. (2002). Quetiapine: An effective antipsychotic in first-episode schizophrenia despite only transiently high dopamine-2 receptor blockade. The Journal of Clinical Psychiatry, 63(11), 992–997.CrossRefPubMed
go back to reference Zanello, A., Weber, R. B., Gex-Fabry, M., Maercker, A., & Guimon, J. (2006). Validation of the QFS measuring the frequency and satisfaction in social behaviours in psychiatric adult population. L’Encéphale, 32, 45–59.CrossRefPubMed Zanello, A., Weber, R. B., Gex-Fabry, M., Maercker, A., & Guimon, J. (2006). Validation of the QFS measuring the frequency and satisfaction in social behaviours in psychiatric adult population. L’Encéphale, 32, 45–59.CrossRefPubMed
Metadata
Title
Effects of Community Mental Health Service in Subjects with Early Psychosis: One-Year Prospective Follow Up
Authors
Eun-Jin Na
Nam-In Kang
Mi-Young Kim
Yin Cui
Hee-Eon Choi
Ae-Ja Jung
Young-Chul Chung
Publication date
01-08-2016
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 6/2016
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-015-9966-1

Other articles of this Issue 6/2016

Community Mental Health Journal 6/2016 Go to the issue