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Soc Psychiatry Psychiatr Epidemiol. 2006 Oct;41(10):761-70. Epub 2006 Aug 9.

Social network among young adults with first-episode schizophrenia spectrum disorders: results from the Danish OPUS trial.

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1
Department of Psychiatry, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 NV Copenhagen, Denmark. atv@dadlnet.dk

Abstract

BACKGROUND:

Social network has considerable impact on physical and mental health. Patients experiencing first-episode psychosis early in adult life may experience severe problems concerning development and maintenance of their social network.

METHODS:

A total of 547 first-episode psychotic patients (18-45) were randomised to standard or integrated treatment, (ACT, social skills training and family intervention), and followed up at 2 years.

RESULTS:

Service use or psychotic symptom score did not influence the social network size, measured after the first 2 years of treatment. Small network size was associated with long duration of untreated psychosis (DUP), poor premorbid adjustment, male gender and severe negative symptoms. The number of friends at 2-year follow-up was predicted by age, A-level status, negative symptoms and number of friends at entry, while the determinants for number of family contacts were age, gender, disorganised dimension and family contacts at entry.

CONCLUSIONS:

Premorbid functioning, network size at entry and DUP is closely related to small social network size. The integrated psychosocial treatment programme was not sufficient to address this problem.

PMID:
16900304
DOI:
10.1007/s00127-006-0098-3
[Indexed for MEDLINE]
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