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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 10/2006

01-10-2006 | ORIGINAL PAPER

Social network among young adults with first-episode schizophrenia spectrum disorders

Results from the Danish OPUS trial

Authors: Anne Thorup, MD, PhD, Lone Petersen, MAPsych, Pia Jeppesen, MD, PhD, Johan Øhlenschlæger, MD, Torben Christensen, MAPsych, Gertrud Krarup, MD, Per Jørgensen, MD, Msc, Merete Nordentoft, MD, MPH, PhD

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 10/2006

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Abstract

Background

Social network has considerable impact on physical and mental health. Patients experiencing first-episode psychosis early in adult life may experience severe problems concerning development and maintenance of their social network.

Methods

A total of 547 first-episode psychotic patients (18–45) were randomised to standard or integrated treatment, (ACT, social skills training and family intervention), and followed up at 2 years.

Results

Service use or psychotic symptom score did not influence the social network size, measured after the first 2 years of treatment. Small network size was associated with long duration of untreated psychosis (DUP), poor premorbid adjustment, male gender and severe negative symptoms. The number of friends at 2-year follow-up was predicted by age, A-level status, negative symptoms and number of friends at entry, while the determinants for number of family contacts were age, gender, disorganised dimension and family contacts at entry.

Conclusions

Premorbid functioning, network size at entry and DUP is closely related to small social network size. The integrated psychosocial treatment programme was not sufficient to address this problem.
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Metadata
Title
Social network among young adults with first-episode schizophrenia spectrum disorders
Results from the Danish OPUS trial
Authors
Anne Thorup, MD, PhD
Lone Petersen, MAPsych
Pia Jeppesen, MD, PhD
Johan Øhlenschlæger, MD
Torben Christensen, MAPsych
Gertrud Krarup, MD
Per Jørgensen, MD, Msc
Merete Nordentoft, MD, MPH, PhD
Publication date
01-10-2006
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 10/2006
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-006-0098-3

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