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“Social functioning and use of rehabilitation resources in a group of people who experienced a first episode of psychosis and participated in a psychotherapeutic group program versus a control group”

Published online by Cambridge University Press:  19 July 2023

A. Oliva Lozano*
Affiliation:
1Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital
J. Garde Gonzalez
Affiliation:
1Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital
P. Herrero Ortega
Affiliation:
1Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital
A. Muñoz-Sanjosé
Affiliation:
1Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital 2Psychiatry, Autonomous University of Madrid (UAM) 3Hospital La Paz Institute for Health Research (IdiPAZ)
Á. Palao-Tarrero
Affiliation:
1Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital 2Psychiatry, Autonomous University of Madrid (UAM) 3Hospital La Paz Institute for Health Research (IdiPAZ)
M. P. Vidal-Villegas
Affiliation:
2Psychiatry, Autonomous University of Madrid (UAM) 3Hospital La Paz Institute for Health Research (IdiPAZ)
R. Mediavilla
Affiliation:
2Psychiatry, Autonomous University of Madrid (UAM) 3Hospital La Paz Institute for Health Research (IdiPAZ) 4Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM)
P. Tarín Garrón
Affiliation:
5School of Medicine, Autonomous University of Madrid (UAM)
J. M. Pastor-Haro
Affiliation:
1Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital
Á. De Diego Gómez-Cornejo
Affiliation:
6Psychiatry, Rodriguez Lafora Hospital, Madrid, Spain
M. F. Bravo-Ortiz
Affiliation:
1Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital 2Psychiatry, Autonomous University of Madrid (UAM) 3Hospital La Paz Institute for Health Research (IdiPAZ) 4Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM)
O. B. O. A.-M. Group
Affiliation:
1Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital
*
*Corresponding author.

Abstract

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Introduction

Psychotic disorders have a huge impact on social functioning, which is the ability to stablish and maintain social activities such as interpersonal relationships and self-care activities of daily living. Research data support that the early intervention in people who have experienced a first episode of psychosis (FEP) -based on a multidisciplinary treatment including both psychopharmacological and psychosocial treatments-, has a relevant role in a favorable evolution. AGES-Mind study is based on manualized psychotherapeutic interventions for people with first-psychosis episodes.

Objectives

To describe the use of rehabilitation resources and social functioning in a group of people with FEP who were included in a psychotherapeutic group program versus a control group, at 12 and 24 months since the beginning of the intervention.

Methods

Longitudinal, analytical, observational, retrospective study on a cohort of 46 patients with first-episode psychosis within the last 5 years. 23 patients received group psychotherapy in the context of the AGES-Mind study and they were compared with 23 control patients who did not receive a group intervention (treatment as usual). Controls were matched by age, gender and time elapsed since the first episode of psychosis with those exposed to the intervention. Sociodemographic data, social functioning (self-care, social activities, social relationships, and behavior) and use of rehabilitation resources outcome variables were assessed.

Results

Significant differences were found regarding participation in social activities in the intervention group versus control group at 24 months. No significant differences were found in other dimensions of social functioning or in the use of rehabilitation resources.

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Conclusions

Further studies with larger sample sizes are needed in order to determine if the participation in group therapy leads to an improvement in social functioning and use of rehabilitation resources for people who have experienced a first episode of psychosis.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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