Longitudinal associations of family burden and patient quality of life in the context of first-episode schizophrenia in the RAISE-ETP study

被引:12
|
作者
Nuttall, Amy K. [1 ,2 ]
Thakkar, Katharine N. [2 ,3 ,4 ]
Luo, Xiaochen [3 ]
Mueser, Kim T. [5 ,6 ,7 ,8 ,9 ]
Glynn, Shirley M. [10 ]
Achtyes, Eric D. [4 ,11 ]
Kane, John M. [12 ,13 ,14 ]
机构
[1] Michigan State Univ, Dept Human Dev & Family Studies, E Lansing, MI 48824 USA
[2] Michigan State Univ, Ctr Res Autism Intellectual & Other Neurodev Disa, E Lansing, MI 48824 USA
[3] Michigan State Univ, Dept Psychol, E Lansing, MI 48824 USA
[4] Michigan State Univ, Div Psychiat & Behav Med, Grand Rapids, MI USA
[5] Sargent Coll Hlth & Rehabil Sci, Ctr Psychiat Rehabil, Boston, MA USA
[6] Sargent Coll Hlth & Rehabil Sci, Dept Occupat Therapy, Boston, MA USA
[7] Boston Univ, Dept Psychol, 64 Cummington St, Boston, MA 02215 USA
[8] Boston Univ, Dept Brain Sci, Boston, MA 02215 USA
[9] Boston Univ, Dept Psychiat, Boston, MA 02215 USA
[10] Univ Calif Los Angeles, Semel Inst Neurosci & Human Behav, Los Angeles, CA 90024 USA
[11] Cherry Hlth, Grand Rapids, MI USA
[12] Donald & Barbara Zucker Sch Med Hofstra Northwell, Hempstead, NY USA
[13] Feinstein Inst Med Res, Manhasset, NY USA
[14] Zucker Hillside Hosp, Glen Oaks, NY USA
关键词
Family burden; First episode psychosis; Quality of life; Positive symptoms; NEGATIVE SYNDROME SCALE; CAREGIVER BURDEN; ANTIPSYCHOTIC MEDICATION; UNTREATED PSYCHOSIS; RATING-SCALE; SYMPTOMS; PREDICTORS; RELAPSE; FIT; INTERVENTIONS;
D O I
10.1016/j.psychres.2019.04.016
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The present .study examined longitudinal associations between family member perceived burden and clinical correlates to understand potential covariation in change over time in the context of first-episode schizophrenia in the RAISE-ETP study (N = 282). Across 24 months, family burden, patient quality of life, and positive symptoms improved. Findings from the present study suggest covariation in change over time in quality of life and family burden. As patient quality of life improved, family burden decreased. However, initial levels of quality of life were not significantly associated with changes in family burden and vice versa. Initial levels of positive symptoms were significantly associated with initial levels of family burden. These findings have treatment implications by suggesting the potential for interventions aimed at improving quality of life to have a spillover effect on family burden, or alternatively, that reducing perceived family burden may improve patient quality of life.
引用
收藏
页码:60 / 68
页数:9
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