Display options
Cite
Enderami A, Monesi FS, Zarghami M. One-Year Follow-Up of Patients with a Diagnosis of First Episode Psychosis. Mater Sociomed. 2017;29(1):21-25doi: 10.5455/msm.2017.29.21-25.
Enderami, A., Monesi, F. S., & Zarghami, M. (2017). One-Year Follow-Up of Patients with a Diagnosis of First Episode Psychosis. Materia socio-medica, 29(1), 21-25. https://doi.org/10.5455/msm.2017.29.21-25
Enderami, Atena, et al. "One-Year Follow-Up of Patients with a Diagnosis of First Episode Psychosis." Materia socio-medica vol. 29,1 (2017): 21-25. doi: https://doi.org/10.5455/msm.2017.29.21-25
Enderami A, Monesi FS, Zarghami M. One-Year Follow-Up of Patients with a Diagnosis of First Episode Psychosis. Mater Sociomed. 2017 Mar;29(1):21-25. doi: 10.5455/msm.2017.29.21-25. PMID: 28484349; PMCID: PMC5402367.
Copy Download .nbib Format: NLM
Share it on

Mater Sociomed. 2017 Mar;29(1):21-25. doi: 10.5455/msm.2017.29.21-25.

One-Year Follow-Up of Patients with a Diagnosis of First Episode Psychosis.

Materia socio-medica

Atena Enderami, Fatemeh Sheikh Monesi, Mehran Zarghami

Affiliations

  1. Department of Psychiatry, School of Medicine, Mazandaran University of Medical Sciences, Mazandaran, Sari, Iran.
  2. Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Mazandaran, Sari, Iran.

PMID: 28484349 PMCID: PMC5402367 DOI: 10.5455/msm.2017.29.21-25

Abstract

INTRODUCTION: Early diagnosis of symptoms related to psychotic disorders causes hyper responsiveness, recurrence reduction and quality of life improvement. The aim of this study was one-year follow-up of the clinical course and outcomes of hospitalized patients with first episode psychotic disorders and detection of factors affecting consequences.

METHODS: This longitudinal descriptive study was conducted during 2012 to 2013 on hospitalized patients at Zare Hospital in Sari, Iran, with any psychotic symptoms and with diagnosis of first episode psychosis. The severity of psychotic symptoms was assessed via PANSS scale (Positive and Negative Syndrome Scale) and the global functioning through Global Assessment of Functioning (GAF) scale on admission, discharge day, 6 and 12 months later. Data were analyzed using ANOVA and t-test in SPSS 20 software.

RESULTS: Thirty two patients had complete follow-up (25 men and 7 women) (mean age of 29.37 ± 8.02). Discharge diagnosis was as 8 (25%) bipolar disorder with psychotic features, 8 (25%) not otherwise specified (NOS), 7 (22%) schizophrenia forum disorder, 7 (22%) psychotic disorder caused by abuse materials, 2 (6%) major depressive disorder with psychotic features. There was drug abuse in half of the patients. The drug abuse in the patients had a positive relationship with the recurrence of psychotic symptoms (p=0.04).

CONCLUSION: A significant percentage of patients with first episode psychosis (50%) within 12 months after the primary hospitalization experienced recurrence of psychotic symptoms. Likewise, global functioning had no major improvement in the patients. It seems essential the necessity of comprehensive services after discharge, especially in patients with drug abuse, and further support of social service centers.

Keywords: Follow-Up Studies; Psychotic Disorders; Recurrence; Relapse

Conflict of interest statement

• Conflict of interest. The authors have no conflict of interest to declare.

References

  1. Ann Clin Psychiatry. 2016 May;28(2):125-31 - PubMed
  2. Emerg Med Australas. 2010 Feb;22(1):3-8 - PubMed
  3. Psychiatry Res. 2005 Jan 30;133(1):35-43 - PubMed
  4. Arch Gen Psychiatry. 1999 Mar;56(3):241-7 - PubMed
  5. Eur Arch Psychiatry Clin Neurosci. 2006 Feb;256(1):37-43 - PubMed
  6. Acta Psychiatr Scand. 2006 Apr;113(4):340-9 - PubMed
  7. Eur Arch Psychiatry Clin Neurosci. 2003 Aug;253(4):167-74 - PubMed
  8. Acta Psychiatr Scand. 2002 Feb;105(2):104-9 - PubMed
  9. J Psychiatry Neurosci. 2002 Jul;27(4):260-5 - PubMed
  10. Psychol Med. 2001 Apr;31(3):381-400 - PubMed
  11. Br J Psychiatry. 2004 Dec;185:452-9 - PubMed
  12. Early Interv Psychiatry. 2017 Feb;11(1):3-13 - PubMed
  13. Psychol Med. 2006 Oct;36(10):1349-62 - PubMed

Publication Types