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Subjective quality of life in A t‐ R isk M ental S tate for psychosis patients: relationship with symptom severity and functional impairment
Author(s) -
DomínguezMartínez Tecelli,
Kwapil Thomas R.,
BarrantesVidal Neus
Publication year - 2015
Publication title -
early intervention in psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.087
H-Index - 45
eISSN - 1751-7893
pISSN - 1751-7885
DOI - 10.1111/eip.12111
Subject(s) - psychosis , psychosocial , quality of life (healthcare) , psychology , functional impairment , psychiatry , psychological intervention , clinical psychology , depression (economics) , psychotherapist , economics , macroeconomics
Abstract Aims The understanding of factors related to poor subjective quality of life (s Q o L ) in early psychosis patients is important for both research and treatment efforts. This study examined how s Q o L is associated with age at onset of prodromal symptoms, duration of untreated illness ( DUI ), symptom severity, premorbid functioning and current functional impairment in A t‐ R isk M ental S tate ( ARMS ) for psychosis patients. Methods Forty ARMS patients were assessed for s Q o L , symptom severity, premorbid functioning, and social and role functioning. Results A s expected, a large number of significant and negative correlations between s Q o L domains and several symptom dimensions emerged, especially for negative symptoms, behavioural change and depression. Poor premorbid functioning in late adolescence was associated with impairments in the psychological health and social relationship domains of s Q o L . Current functional impairment was associated with all s Q o L domains. Neither age at onset of prodromal symptoms nor DUI was related with s Q o L . Conclusions Findings indicate that different domains of s Q o L are differentially and meaningfully associated with symptom severity and functional impairment, suggesting that greater symptom severity and poor functioning are already related with decreased s Q o L in the ARMS for psychosis stage. Furthermore, findings highlight the importance of examining functional impairment and affective‐motivational symptoms in future research on s Q o L in ARMS populations due to their strong relationship with poor s Q o L . Finally, findings underscore the importance of addressing the social and occupational dysfunctions already present in early psychosis with psychosocial interventions.