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Associations between number of different type of care meetings with social network and improvement in mental well‐being in adolescents at risk of first‐episode psychosis
Author(s) -
Granö Niklas,
Karjalainen Marjaana,
Anto Jukka,
Itkonen Arja,
Edlund Virve,
Roine Mikko
Publication year - 2011
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/j.1751-7893.2011.00269.x
Subject(s) - psychology , anxiety , psychosis , at risk mental state , schizophrenia (object oriented programming) , psychiatry , depression (economics) , mental health , clinical psychology , quality of life (healthcare) , social anxiety , cognition , intervention (counseling) , expressed emotion , social network (sociolinguistics) , social media , economics , psychotherapist , macroeconomics , political science , law
Aim: As research in the care of people at risk of developing first‐episode psychosis has mostly focused on cognitive behavioural therapy and antipsychotic medication, little is known about associations between changes in mental well‐being and effect of people participating in the care. Methods: Multiprofessional early intervention team met with adolescents who are at risk of psychosis, including coworkers and their families. Correlations were calculated between change scores in prepsychotic, functioning ability, quality of life (QoL), depression and anxiety scales, and number of family, coworker and adolescent‐participating social network meetings, and total number of social network meetings during the care. Results: Larger change scores in functioning ability were positively associated with the number of social network meetings with participating coworker ( P = 0.041), but not with other types of participant meetings. Larger change scores in prepsychotic symptoms were positively associated with the number of meetings where the adolescent was participating ( P = 0.001), the number of network meetings where the coworker was participating ( P = 0.007) and the number of all meetings ( P = 0.001). The number of any other type of meetings did not associate with change scores in QoL, depression and anxiety. Conclusion: According to the present results, adolescents at risk of psychosis seem to benefit from the inclusion of coworkers from the adolescents' natural surroundings in care; this could help to increase functioning ability. Different combinations of meetings, such as larger number of total meetings, larger number of meetings with the adolescent and larger number of meetings with coworkers from the adolescents' natural surroundings, seem to associate with stronger decrease in pre‐psychotic symptoms.