Philip Watson1, Jian-Ping Zhang2, Asra Rizvi3, Jonathan Tamaiev4, Michael L Birnbaum2, John Kane2. 1. Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004, USA. Electronic address: pwatson1@northwell.edu. 2. Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004, USA; Feinstein Institute for Medical Research, 350 Community Drive, Manhasset, NY 11030, USA; Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Boulevard, Hempstead, NY 11549, USA. 3. Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004, USA; Feinstein Institute for Medical Research, 350 Community Drive, Manhasset, NY 11030, USA. 4. Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004, USA.
Abstract
OBJECTIVE: Improving quality of life for people with first episode psychosis is an important aspect of recovery. Our objective was to review the associative factors on quality of life in first episode psychosis. A meta-analysis was conducted on the associations between quality of life, symptom severity, and duration of untreated psychosis. METHOD: Fifty-one articles were identified (published through 08/29/2016) that provided data on the relationship between quality of life and at least one other outcome measure of interest in first episode psychosis. Of those studies, 21 were included in a meta-analysis (n = 3992) of the relationship between quality of life, severity of psychosis, and duration of untreated psychosis. RESULTS: Meta-analysis identified significant negative correlations between quality of life and severity of symptoms (total symptom scores: r = -0.32, p < 0.001) and quality of life and duration of untreated psychosis (r = -0.21, p < 0.001). Heinrich's quality of life scale emerged as being more sensitive to the presence of psychotic symptoms than other measures of quality of life. CONCLUSIONS: Associations were found between certain disease specific variables and quality of life in first episode psychosis, highlighting the relationship between symptom presentation and quality of life and the need for early intervention. Proper assessment of quality of life is important to promote improved quality of life in patients with first episode psychosis. Future research is needed to examine the interacting effects of symptom presentation, duration of untreated psychosis, and other variables, such as neurocognition, on quality of life.
OBJECTIVE: Improving quality of life for people with first episode psychosis is an important aspect of recovery. Our objective was to review the associative factors on quality of life in first episode psychosis. A meta-analysis was conducted on the associations between quality of life, symptom severity, and duration of untreated psychosis. METHOD: Fifty-one articles were identified (published through 08/29/2016) that provided data on the relationship between quality of life and at least one other outcome measure of interest in first episode psychosis. Of those studies, 21 were included in a meta-analysis (n = 3992) of the relationship between quality of life, severity of psychosis, and duration of untreated psychosis. RESULTS: Meta-analysis identified significant negative correlations between quality of life and severity of symptoms (total symptom scores: r = -0.32, p < 0.001) and quality of life and duration of untreated psychosis (r = -0.21, p < 0.001). Heinrich's quality of life scale emerged as being more sensitive to the presence of psychotic symptoms than other measures of quality of life. CONCLUSIONS: Associations were found between certain disease specific variables and quality of life in first episode psychosis, highlighting the relationship between symptom presentation and quality of life and the need for early intervention. Proper assessment of quality of life is important to promote improved quality of life in patients with first episode psychosis. Future research is needed to examine the interacting effects of symptom presentation, duration of untreated psychosis, and other variables, such as neurocognition, on quality of life.
Authors: Aubrey M Moe; David M Weiss; Jacob G Pine; Heather M Wastler; Nicholas J K Breitborde Journal: J Psychiatr Res Date: 2021-11-03 Impact factor: 4.791
Authors: Oliver D Howes; Thomas Whitehurst; Ekaterina Shatalina; Leigh Townsend; Ellis Chika Onwordi; Tsz Lun Allenis Mak; Atheeshaan Arumuham; Oisín O'Brien; Maria Lobo; Luke Vano; Uzma Zahid; Emma Butler; Martin Osugo Journal: World Psychiatry Date: 2021-02 Impact factor: 49.548
Authors: Sandra Chi Yiu Wong; Wing Chung Chang; Christy Lai Ming Hui; Sherry Kit Wa Chan; Edwin Ho Ming Lee; Yi Nam Suen; Eric Yu Hai Chen Journal: Eur Arch Psychiatry Clin Neurosci Date: 2021-07-25 Impact factor: 5.270