Predictors of engagement in first-episode psychosis

Casey, D., Brown, L., Gajwani, R. , Islam, Z., Jasani, R., Parsons, H., Tah, P., Birchwood, M. and Singh, S. P. (2016) Predictors of engagement in first-episode psychosis. Schizophrenia Research, 175(1-3), pp. 204-208. (doi: 10.1016/j.schres.2016.04.030)

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Abstract

Engagement with psychiatric services is critical for ensuring successful outcomes in patients experiencing a first episode of psychosis (FEP). However, it is not known how sociodemographic factors and patient beliefs about the causes of mental illness affect engagement. This study explored predictors of engagement in a cohort of 103 FEP patients presenting to an early-intervention service. Beliefs that mental illness is caused by social stress or thinking odd thoughts predicted higher engagement scores. Patients with no qualifications were found to have higher engagement scores than those educated to a higher level. Ethnicity, gender, age and socioeconomic factors were not significantly correlated with engagement scores. Duration of untreated illness (DUI) significantly predicted higher engagement scores, but only for values > 1220 days. Duration of untreated psychosis (DUP) was not a significant predictor of patient engagement scores. Patient beliefs about the causes of mental illness are an important factor to be taken into consideration and may represent a target of interventions to increase engagement in FEP.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Gajwani, Dr Ruchika
Authors: Casey, D., Brown, L., Gajwani, R., Islam, Z., Jasani, R., Parsons, H., Tah, P., Birchwood, M., and Singh, S. P.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
Journal Name:Schizophrenia Research
Publisher:Elsevier
ISSN:0920-9964
ISSN (Online):1573-2509
Published Online:25 April 2016

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