Predictors of functional status at service entry and discharge among young people with first episode psychosis.
Identifieur interne : 001242 ( Main/Exploration ); précédent : 001241; suivant : 001243Predictors of functional status at service entry and discharge among young people with first episode psychosis.
Auteurs : S M Cotton [Australie] ; M. Lambert [Allemagne] ; B G Schimmelmann [Suisse] ; K. Filia [Australie] ; V. Rayner [Australie] ; L. Hides [Australie] ; D L Foley [Australie] ; A. Ratheesh [Australie] ; A. Watson [Australie] ; P. Rodger [Australie] ; P D Mcgorry [Australie] ; P. Conus [Suisse]Source :
- Social psychiatry and psychiatric epidemiology [ 1433-9285 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Australie (MeSH), Emploi (psychologie), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Résultat thérapeutique (MeSH), Sortie du patient (MeSH), Troubles psychotiques (psychologie), Troubles psychotiques (thérapie), Échelles d'évaluation en psychiatrie (MeSH), Évaluation de la capacité de travail (MeSH).
- MESH :
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Australia (MeSH), Employment (psychology), Female (MeSH), Humans (MeSH), Male (MeSH), Patient Discharge (MeSH), Psychiatric Status Rating Scales (MeSH), Psychotic Disorders (psychology), Psychotic Disorders (therapy), Treatment Outcome (MeSH), Work Capacity Evaluation (MeSH).
- MESH :
- psychology : Employment, Psychotic Disorders.
- therapy : Psychotic Disorders.
- Adolescent, Adult, Australia, Female, Humans, Male, Patient Discharge, Psychiatric Status Rating Scales, Treatment Outcome, Work Capacity Evaluation.
Abstract
OBJECTIVE
Most patients with first episode psychosis (FEP) are neither studying nor employed (have a poor functional status) when first accessing care. Knowledge of the characteristics of patients with poor functioning and the features influencing functional status over time may pave the way to better treatment.
METHOD
A medical file audit was used to collect data on premorbid, entry, treatment and 18-month outcome characteristics on 661 FEP patients who consecutively attended the Early Psychosis Prevention and Intervention Centre, Melbourne, Australia, between 1998 and 2000. Functional status was ascertained using the modified vocational status index and was rated at baseline (poor or good) and according to its evolution over the treatment period (stable good, stable poor, deteriorating or improved functional status).
RESULTS
52.0% of patients had a poor functional status at service entry. They were more likely to be male with a non-affective psychosis. They also had lower levels of premorbid global functioning and education, and were more likely to have self-reported histories of learning disability, forensic issues, traumatic experiences and substance use. At service entry, they had more severe symptoms and poorer global functioning. 37% of these patients maintained a poor functional status at discharge, and 18% of those with a good functional status at service entry experienced a decline.
CONCLUSIONS
Although psychosocial interventions might assist a young person with FEP with working towards functional goals, for some, the impact of factors such as ongoing substance use and forensic issues on functional status needs to be addressed.
DOI: 10.1007/s00127-017-1358-0
PubMed: 28233045
Affiliations:
- Allemagne, Australie, Suisse
- Canton de Berne, Canton de Vaud, Hambourg, Victoria (État)
- Berne, Hambourg, Lausanne, Melbourne
- Université de Lausanne, Université de Melbourne
Links toward previous steps (curation, corpus...)
Le document en format XML
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Hides</name><affiliation wicri:level="1"><nlm:affiliation>School of Psychology, University of Queensland, Brisbane, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychology, University of Queensland, Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Foley, D L" sort="Foley, D L" uniqKey="Foley D" first="D L" last="Foley">D L Foley</name><affiliation wicri:level="1"><nlm:affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Youth Mental Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Ratheesh, A" sort="Ratheesh, A" uniqKey="Ratheesh A" first="A" last="Ratheesh">A. 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Conus</name><affiliation wicri:level="4"><nlm:affiliation>Treatment and Early Intervention in Psychosis Program (TIPP), Département de Psychiatrie CHUV, Clinique de Cery, Université de Lausanne, 1008, Prilly, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Treatment and Early Intervention in Psychosis Program (TIPP), Département de Psychiatrie CHUV, Clinique de Cery, Université de Lausanne, 1008, Prilly</wicri:regionArea><orgName type="university">Université de Lausanne</orgName><placeName><settlement type="city">Lausanne</settlement><region nuts="3" type="region">Canton de Vaud</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28233045</idno><idno type="pmid">28233045</idno><idno type="doi">10.1007/s00127-017-1358-0</idno><idno type="wicri:Area/Main/Corpus">001434</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001434</idno><idno type="wicri:Area/Main/Curation">001434</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001434</idno><idno type="wicri:Area/Main/Exploration">001434</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Predictors of functional status at service entry and discharge among young people with first episode psychosis.</title><author><name sortKey="Cotton, S M" sort="Cotton, S M" uniqKey="Cotton S" first="S M" last="Cotton">S M Cotton</name><affiliation wicri:level="1"><nlm:affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia. smcotton@unimelb.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia. smcotton@unimelb.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Youth Mental Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Lambert, M" sort="Lambert, M" uniqKey="Lambert M" first="M" last="Lambert">M. Lambert</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychiatry and Psychotherapy, Psychosis Centre, Centre of Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychiatry and Psychotherapy, Psychosis Centre, Centre of Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Schimmelmann, B G" sort="Schimmelmann, B G" uniqKey="Schimmelmann B" first="B G" last="Schimmelmann">B G Schimmelmann</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Child and Adolescent Psychiatry, University of Bern, Bern, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>University Hospital of Child and Adolescent Psychiatry, University of Bern, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName></affiliation></author><author><name sortKey="Filia, K" sort="Filia, K" uniqKey="Filia K" first="K" last="Filia">K. Filia</name><affiliation wicri:level="1"><nlm:affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Youth Mental Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Rayner, V" sort="Rayner, V" uniqKey="Rayner V" first="V" last="Rayner">V. Rayner</name><affiliation wicri:level="1"><nlm:affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Youth Mental Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Hides, L" sort="Hides, L" uniqKey="Hides L" first="L" last="Hides">L. Hides</name><affiliation wicri:level="1"><nlm:affiliation>School of Psychology, University of Queensland, Brisbane, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychology, University of Queensland, Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Foley, D L" sort="Foley, D L" uniqKey="Foley D" first="D L" last="Foley">D L Foley</name><affiliation wicri:level="1"><nlm:affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Youth Mental Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Ratheesh, A" sort="Ratheesh, A" uniqKey="Ratheesh A" first="A" last="Ratheesh">A. Ratheesh</name><affiliation wicri:level="1"><nlm:affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Youth Mental Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Watson, A" sort="Watson, A" uniqKey="Watson A" first="A" last="Watson">A. Watson</name><affiliation wicri:level="1"><nlm:affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Youth Mental Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Rodger, P" sort="Rodger, P" uniqKey="Rodger P" first="P" last="Rodger">P. Rodger</name><affiliation wicri:level="1"><nlm:affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Youth Mental Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Mcgorry, P D" sort="Mcgorry, P D" uniqKey="Mcgorry P" first="P D" last="Mcgorry">P D Mcgorry</name><affiliation wicri:level="1"><nlm:affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Youth Mental Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Conus, P" sort="Conus, P" uniqKey="Conus P" first="P" last="Conus">P. Conus</name><affiliation wicri:level="4"><nlm:affiliation>Treatment and Early Intervention in Psychosis Program (TIPP), Département de Psychiatrie CHUV, Clinique de Cery, Université de Lausanne, 1008, Prilly, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Treatment and Early Intervention in Psychosis Program (TIPP), Département de Psychiatrie CHUV, Clinique de Cery, Université de Lausanne, 1008, Prilly</wicri:regionArea><orgName type="university">Université de Lausanne</orgName><placeName><settlement type="city">Lausanne</settlement><region nuts="3" type="region">Canton de Vaud</region></placeName></affiliation></author></analytic><series><title level="j">Social psychiatry and psychiatric epidemiology</title><idno type="eISSN">1433-9285</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Australia (MeSH)</term><term>Employment (psychology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Patient Discharge (MeSH)</term><term>Psychiatric Status Rating Scales (MeSH)</term><term>Psychotic Disorders (psychology)</term><term>Psychotic Disorders (therapy)</term><term>Treatment Outcome (MeSH)</term><term>Work Capacity Evaluation (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Australie (MeSH)</term><term>Emploi (psychologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Sortie du patient (MeSH)</term><term>Troubles psychotiques (psychologie)</term><term>Troubles psychotiques (thérapie)</term><term>Échelles d'évaluation en psychiatrie (MeSH)</term><term>Évaluation de la capacité de travail (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Emploi</term><term>Troubles psychotiques</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Employment</term><term>Psychotic Disorders</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Psychotic Disorders</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Troubles psychotiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Australia</term><term>Female</term><term>Humans</term><term>Male</term><term>Patient Discharge</term><term>Psychiatric Status Rating Scales</term><term>Treatment Outcome</term><term>Work Capacity Evaluation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Australie</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sortie du patient</term><term>Échelles d'évaluation en psychiatrie</term><term>Évaluation de la capacité de travail</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Most patients with first episode psychosis (FEP) are neither studying nor employed (have a poor functional status) when first accessing care. Knowledge of the characteristics of patients with poor functioning and the features influencing functional status over time may pave the way to better treatment.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>A medical file audit was used to collect data on premorbid, entry, treatment and 18-month outcome characteristics on 661 FEP patients who consecutively attended the Early Psychosis Prevention and Intervention Centre, Melbourne, Australia, between 1998 and 2000. Functional status was ascertained using the modified vocational status index and was rated at baseline (poor or good) and according to its evolution over the treatment period (stable good, stable poor, deteriorating or improved functional status).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>52.0% of patients had a poor functional status at service entry. They were more likely to be male with a non-affective psychosis. They also had lower levels of premorbid global functioning and education, and were more likely to have self-reported histories of learning disability, forensic issues, traumatic experiences and substance use. At service entry, they had more severe symptoms and poorer global functioning. 37% of these patients maintained a poor functional status at discharge, and 18% of those with a good functional status at service entry experienced a decline.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Although psychosocial interventions might assist a young person with FEP with working towards functional goals, for some, the impact of factors such as ongoing substance use and forensic issues on functional status needs to be addressed.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">28233045</PMID><DateCompleted><Year>2017</Year><Month>12</Month><Day>18</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1433-9285</ISSN><JournalIssue CitedMedium="Internet"><Volume>52</Volume><Issue>5</Issue><PubDate><Year>2017</Year><Month>05</Month></PubDate></JournalIssue><Title>Social psychiatry and psychiatric epidemiology</Title><ISOAbbreviation>Soc Psychiatry Psychiatr Epidemiol</ISOAbbreviation></Journal><ArticleTitle>Predictors of functional status at service entry and discharge among young people with first episode psychosis.</ArticleTitle><Pagination><MedlinePgn>575-585</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00127-017-1358-0</ELocationID><Abstract><AbstractText Label="OBJECTIVE">Most patients with first episode psychosis (FEP) are neither studying nor employed (have a poor functional status) when first accessing care. Knowledge of the characteristics of patients with poor functioning and the features influencing functional status over time may pave the way to better treatment.</AbstractText><AbstractText Label="METHOD">A medical file audit was used to collect data on premorbid, entry, treatment and 18-month outcome characteristics on 661 FEP patients who consecutively attended the Early Psychosis Prevention and Intervention Centre, Melbourne, Australia, between 1998 and 2000. Functional status was ascertained using the modified vocational status index and was rated at baseline (poor or good) and according to its evolution over the treatment period (stable good, stable poor, deteriorating or improved functional status).</AbstractText><AbstractText Label="RESULTS">52.0% of patients had a poor functional status at service entry. They were more likely to be male with a non-affective psychosis. They also had lower levels of premorbid global functioning and education, and were more likely to have self-reported histories of learning disability, forensic issues, traumatic experiences and substance use. At service entry, they had more severe symptoms and poorer global functioning. 37% of these patients maintained a poor functional status at discharge, and 18% of those with a good functional status at service entry experienced a decline.</AbstractText><AbstractText Label="CONCLUSIONS">Although psychosocial interventions might assist a young person with FEP with working towards functional goals, for some, the impact of factors such as ongoing substance use and forensic issues on functional status needs to be addressed.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cotton</LastName><ForeName>S M</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia. smcotton@unimelb.edu.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia. smcotton@unimelb.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lambert</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Psychiatry and Psychotherapy, Psychosis Centre, Centre of Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schimmelmann</LastName><ForeName>B G</ForeName><Initials>BG</Initials><AffiliationInfo><Affiliation>University Hospital of Child and Adolescent Psychiatry, University of Bern, Bern, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Filia</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rayner</LastName><ForeName>V</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hides</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>School of Psychology, University of Queensland, Brisbane, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Foley</LastName><ForeName>D L</ForeName><Initials>DL</Initials><AffiliationInfo><Affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ratheesh</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Watson</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodger</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McGorry</LastName><ForeName>P D</ForeName><Initials>PD</Initials><AffiliationInfo><Affiliation>Orygen, The National Centre of Excellence in Youth Health, Locked Bag 10 (35 Poplar Road), Parkville, VIC, 3052, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Conus</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Treatment and Early Intervention in Psychosis Program (TIPP), Département de Psychiatrie CHUV, Clinique de Cery, Université de Lausanne, 1008, Prilly, Switzerland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>02</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Soc Psychiatry Psychiatr Epidemiol</MedlineTA><NlmUniqueID>8804358</NlmUniqueID><ISSNLinking>0933-7954</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001315" MajorTopicYN="N">Australia</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004651" MajorTopicYN="N">Employment</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010351" MajorTopicYN="Y">Patient Discharge</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011618" MajorTopicYN="N">Psychotic Disorders</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014938" MajorTopicYN="Y">Work Capacity Evaluation</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Education</Keyword><Keyword MajorTopicYN="Y">Employment</Keyword><Keyword MajorTopicYN="Y">First episode psychosis</Keyword><Keyword MajorTopicYN="Y">Functioning</Keyword><Keyword MajorTopicYN="Y">Outcome</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>07</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>01</Month><Day>23</Day></PubMedPubDate><PubMedPubDate 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(État)</li></region><settlement><li>Berne</li><li>Hambourg</li><li>Lausanne</li><li>Melbourne</li></settlement><orgName><li>Université de Lausanne</li><li>Université de Melbourne</li></orgName></list><tree><country name="Australie"><noRegion><name sortKey="Cotton, S M" sort="Cotton, S M" uniqKey="Cotton S" first="S M" last="Cotton">S M Cotton</name></noRegion><name sortKey="Cotton, S M" sort="Cotton, S M" uniqKey="Cotton S" first="S M" last="Cotton">S M Cotton</name><name sortKey="Filia, K" sort="Filia, K" uniqKey="Filia K" first="K" last="Filia">K. Filia</name><name sortKey="Filia, K" sort="Filia, K" uniqKey="Filia K" first="K" last="Filia">K. Filia</name><name sortKey="Foley, D L" sort="Foley, D L" uniqKey="Foley D" first="D L" last="Foley">D L Foley</name><name sortKey="Foley, D L" sort="Foley, D L" uniqKey="Foley D" first="D L" last="Foley">D L Foley</name><name sortKey="Hides, L" sort="Hides, L" uniqKey="Hides L" first="L" last="Hides">L. Hides</name><name sortKey="Mcgorry, P D" sort="Mcgorry, P D" uniqKey="Mcgorry P" first="P D" last="Mcgorry">P D Mcgorry</name><name sortKey="Mcgorry, P D" sort="Mcgorry, P D" uniqKey="Mcgorry P" first="P D" last="Mcgorry">P D Mcgorry</name><name sortKey="Ratheesh, A" sort="Ratheesh, A" uniqKey="Ratheesh A" first="A" last="Ratheesh">A. Ratheesh</name><name sortKey="Ratheesh, A" sort="Ratheesh, A" uniqKey="Ratheesh A" first="A" last="Ratheesh">A. Ratheesh</name><name sortKey="Rayner, V" sort="Rayner, V" uniqKey="Rayner V" first="V" last="Rayner">V. Rayner</name><name sortKey="Rayner, V" sort="Rayner, V" uniqKey="Rayner V" first="V" last="Rayner">V. Rayner</name><name sortKey="Rodger, P" sort="Rodger, P" uniqKey="Rodger P" first="P" last="Rodger">P. Rodger</name><name sortKey="Rodger, P" sort="Rodger, P" uniqKey="Rodger P" first="P" last="Rodger">P. Rodger</name><name sortKey="Watson, A" sort="Watson, A" uniqKey="Watson A" first="A" last="Watson">A. Watson</name><name sortKey="Watson, A" sort="Watson, A" uniqKey="Watson A" first="A" last="Watson">A. Watson</name></country><country name="Allemagne"><region name="Hambourg"><name sortKey="Lambert, M" sort="Lambert, M" uniqKey="Lambert M" first="M" last="Lambert">M. Lambert</name></region></country><country name="Suisse"><region name="Canton de Berne"><name sortKey="Schimmelmann, B G" sort="Schimmelmann, B G" uniqKey="Schimmelmann B" first="B G" last="Schimmelmann">B G Schimmelmann</name></region><name sortKey="Conus, P" sort="Conus, P" uniqKey="Conus P" first="P" last="Conus">P. Conus</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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