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dc.contributor.authorRenwick, Laoiseen
dc.contributor.authorOwens, Lizen
dc.contributor.authorLyne, Johnen
dc.contributor.authorO’Donoghue, Brianen
dc.contributor.authorRoche, Ericen
dc.contributor.authorDrennan, Jonathanen
dc.contributor.authorSheridan, Annen
dc.contributor.authorPilling, Marken
dc.contributor.authorO’Callaghan, Eadbharden
dc.contributor.authorClarke, Maryen
dc.date.accessioned2018-04-06T08:09:34Z
dc.date.available2018-04-06T08:09:34Z
dc.date.issued2017-11-01en
dc.identifier.issn0020-7489
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/274628
dc.description.abstractBackground Diminished social networks are common in psychosis but few studies have measured these comprehensively and prospectively to determine how networks and support evolve during the early phase. There is little information regarding perceived support in the early phase of illness. The aim of this study was to describe social support, networks and perceived satisfaction, explore the clinical correlates of these outcomes and examine whether phases of untreated psychosis are linked with social network variables to determine potential opportunities for intervention. Methods During the study period, we assessed 222 people with first-episode psychosis at entry into treatment using valid and reliable measures of diagnosis, positive and negative symptoms, periods of untreated psychosis and prodrome and premorbid adjustment. For follow-up we contacted participants to conduct a second assessment (n = 158). There were 97 people who participated which represented 61% of those eligible. Social network and support information obtained at both time points included the number of friends, self-reported satisfaction with support and social network size and clinician’s evaluation of the degree of support received through networks. Mixed effects modelling determined the contribution of potential explanatory variables to social support measured. Results A number of clinical variables were linked with social networks, support and perceived support and satisfaction. The size of networks did not change over time but those with no friends and duration of untreated psychosis was significantly longer for those with no friends at entry into treatment (n = 129, Median = 24.5mths, IQR = 7.25 – 69.25; Mann-Whitney U = 11.78, p = 0.008). Social support at baseline and at one year was predicted by homelessness (t = -2.98, p = 0.001, CI -4.74 to -1.21), duration of untreated psychosis (t = -0.86, p = 0.031, CI - 1.65 to -0.08) and premorbid adjustment (t = -2.26, p = 0.017, CI -4.11 to -0.42). Social support improved over time but the duration of untreated psychosis was not linked with the rate of improvement in this outcome. Conclusions Improved social support could indicate greater reliance on social support or becoming more adept at mobilising resources to meet social needs. Particularly vulnerable groups with very long duration of untreated psychosis confirm the need for earlier intervention or targeted social network interventions to preserve social connectedness.
dc.publisherElsevier
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectfirst-episode psychosisen
dc.subjectsocial networksen
dc.subjectsocial supporten
dc.subjectduration of untreated psychosisen
dc.subjectsocial contactsen
dc.titlePredictors of change in social networks, support and satisfaction following a first episode psychosis: A cohort studyen
dc.typeArticle
prism.endingPage35
prism.numberCen
prism.publicationDate2017en
prism.publicationNameInternational Journal of Nursing Studiesen
prism.startingPage28
prism.volume76en
dc.identifier.doi10.17863/CAM.21768
dcterms.dateAccepted2017-08-24en
rioxxterms.versionofrecord10.1016/j.ijnurstu.2017.08.015en
rioxxterms.versionAM*
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2017-11-01en
dc.contributor.orcidPilling, Mark [0000-0002-7446-6597]
dc.identifier.eissn1873-491X
rioxxterms.typeJournal Article/Reviewen
cam.issuedOnline2017-08-30en
rioxxterms.freetoread.startdate2018-08-28


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Attribution-NonCommercial-NoDerivatives 4.0 International
Except where otherwise noted, this item's licence is described as Attribution-NonCommercial-NoDerivatives 4.0 International