TY - JOUR
T1 - Disability in people clinically at high risk of psychosis
AU - Velthorst, Eva
AU - Nieman, Dorien H.
AU - Linszen, Don
AU - Becker, Hiske
AU - de Haan, Lieuwe
AU - Dingemans, Peter M.
AU - Birchwood, Max
AU - Patterson, Paul
AU - Salokangas, Raimo K. R.
AU - Heinimaa, Markus
AU - Heinz, Andreas
AU - Juckel, Georg
AU - von Reventlow, Heinrich Graf
AU - French, Paul
AU - Stevens, Helen
AU - Schultze-Lutter, Frauke
AU - Klosterkötter, Joachim
AU - Ruhrmann, Stephan
PY - 2010
Y1 - 2010
N2 - Background Decline in social functioning occurs in individuals who later develop psychosis. Aims To investigate whether baseline differences in disability are present in those who do and those who do not make a transition to psychosis in a group clinically at high risk and whether disability is a risk factor for transition. Method Prospective multicentre, naturalistic field study with an 18-month follow-up period on 245 help-seeking individuals clinically at high risk. Disability was assessed with the Disability Assessment Schedule of the World Health Organization (WHODAS-II). Results At baseline, the transition group displayed significantly greater difficulties in making new friends (z = -3.40, P=0.001), maintaining a friendship (z = -3.00, P = 0.003), dealing with people they do not know (z = -2.28, P = 0.023) and joining community activities (z = -2.0, P = 0.05) compared with the non-transition group. In Cox regression, difficulties in getting along with people significantly contributed to the prediction of transition to psychosis in our sample (beta=0.569, s.e. = 0.184, Wald = 9.548, P = 0.002, hazard ratio (HR) = 1.767, 95% CI 1.238-2.550). Conclusions Certain domains of social disability might contribute to the prediction of psychosis in a sample clinically at high risk
AB - Background Decline in social functioning occurs in individuals who later develop psychosis. Aims To investigate whether baseline differences in disability are present in those who do and those who do not make a transition to psychosis in a group clinically at high risk and whether disability is a risk factor for transition. Method Prospective multicentre, naturalistic field study with an 18-month follow-up period on 245 help-seeking individuals clinically at high risk. Disability was assessed with the Disability Assessment Schedule of the World Health Organization (WHODAS-II). Results At baseline, the transition group displayed significantly greater difficulties in making new friends (z = -3.40, P=0.001), maintaining a friendship (z = -3.00, P = 0.003), dealing with people they do not know (z = -2.28, P = 0.023) and joining community activities (z = -2.0, P = 0.05) compared with the non-transition group. In Cox regression, difficulties in getting along with people significantly contributed to the prediction of transition to psychosis in our sample (beta=0.569, s.e. = 0.184, Wald = 9.548, P = 0.002, hazard ratio (HR) = 1.767, 95% CI 1.238-2.550). Conclusions Certain domains of social disability might contribute to the prediction of psychosis in a sample clinically at high risk
U2 - https://doi.org/10.1192/bjp.bp.109.075036
DO - https://doi.org/10.1192/bjp.bp.109.075036
M3 - Article
C2 - 20884950
SN - 0007-1250
VL - 197
SP - 278
EP - 284
JO - British journal of psychiatry
JF - British journal of psychiatry
IS - 4
ER -