Individuals at ultra-high risk of psychosis and first-degree relatives of patients with schizophreniaexperience impaired family functionality and social support deficit in comparison to healthy controls

被引:11
作者
He, Xiao-Yan [1 ,2 ,3 ]
Hou, Cai-Lan [1 ,2 ]
Huang, Zhuo-Hui [2 ]
Huang, Ying-Hua [4 ]
Zhang, Ji-Jie [1 ,2 ]
Wang, Zhong-Lei [5 ]
Jia, Fu-Jun [1 ,2 ]
机构
[1] Southern Med Univ, Sch Clin Med 2, Guangzhou, Guangdong, Peoples R China
[2] Guangdong Acad MedicalSci, Guangdong Prov Peoples Hosp, Guangdong Mental Hlth Ctr, Guangzhou, Guangdong, Peoples R China
[3] Liuzhou Workers Hosp, Liuzhou, Guangxi Provinc, Peoples R China
[4] Guangdong Second Peoples Hosp, Guangzhou, Guangdong, Peoples R China
[5] ShenzhenKangNing Hosp, Shenzhen, Guangdong, Peoples R China
关键词
Family function; Schizophrenia; Social support; Ultra-high risk for psychosis; CLINICAL HIGH-RISK; FOCUSED TREATMENT; YOUNG-ADULTS; AT-RISK; SCALE; 1ST-EPISODE; SYMPTOMS; RELIABILITY; INTERVIEW; VALIDITY;
D O I
10.1016/j.comppsych.2021.152263
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Aim: The present study was designed to assess the role of family function and social support in the context of different phases of schizophrenia. Methods: First-episode patients with experiences of schizophrenia (FEP), ultra-high risk for psychosis (UHR), firstdegree relatives (FDR) of patients with experiences of schizophrenia, and healthy controls (HC) (40 per group) were subjected to in-person clinical interviews. The results of these interviews were then used to gauge social support and family function using the Perceived Social Support Scale (PSSS) and the Family Adaptability and Cohesion Scales (FACESII-CV). Data were analyzed through ANCOVA, correlation analysis and logistic regression analyses. Results: We found that family function and social support showed a approximately gradual downward trend through the HC, FDR, UHR, and FEP groups but no significant differences were found in the family function of the FDR, UHR and FDR group. Logistic regression analyses indicated that UHR group patients exhibited decreased family support and family cohesion relative to members of the HC group, but had greater perceived social support than did members of the FEP group. Results for members of the FDR group were in line with those of members of the UHR group. Conclusions: These findings suggested that both UHR and FDR individuals experience impaired family functionality and social support which expanded the understanding of the psychological characteristics of the prodromal period of schizophrenia. Further explorations are warranted to develop optimal psychosocial interventions.
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页数:8
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