Family Functioning in First-Episode and Chronic Psychosis: The Role of Patient’s Symptom Severity and Psychosocial Functioning

Katerina Koutra, Sofia Triliva, Theano Roumeliotaki, Maria Basta, Christos Lionis, Alexandros N. Vgontzas

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The aim of the present study was to assess the relationship between illness-related characteristics, such as symptom severity and psychosocial functioning, and specific aspects of family functioning both in patients experiencing their first episode of psychosis (FEP) and chronically ill patients. A total of 50 FEP and 50 chronic patients diagnosed with schizophrenia or bipolar disorder (most recent episode manic severe with psychotic features) and their family caregivers participated in the study. Family functioning was evaluated in terms of cohesion and flexibility (FACES IV Package), expressed emotion (FQ), family burden (FBS) and caregivers’ psychological distress (GHQ-28). Patients’ symptom severity (BPRS) and psychosocial functioning (GAS) were assessed by their treating psychiatrist within 2 weeks from the caregivers’ assessment. Increased symptom severity was associated with greater dysfunction in terms of family cohesion and flexibility (β coefficient −0.13; 95 % CI −0.23, −0.03), increased caregivers’ EE levels on the form of emotional overinvolvement (β coefficient 1.03; 95 % CI 0.02, 2.03), and psychological distress (β coefficient 3.37; 95 % CI 1.29, 5.45). Family burden was found to be significantly related to both symptom severity (β coefficient 3.01; 95 % CI 1.50, 4.51) and patient’s functioning (β coefficient −2.04; 95 % CI −3.55, −0.53). No significant interaction effect of chronicity was observed in the afore-mentioned associations. These findings indicate that severe psychopathology and patient’s low psychosocial functioning are associated with poor family functioning. It appears that the effect for family function is significant from the early stages of the illness. Thus, early psychoeducational interventions should focus on patients with severe symptomatology and impaired functioning and their families.

Original languageEnglish (US)
Pages (from-to)710-723
Number of pages14
JournalCommunity Mental Health Journal
Volume52
Issue number6
DOIs
StatePublished - Aug 1 2016

Fingerprint

psychosis
Psychotic Disorders
Caregivers
caregiver
group cohesion
Expressed Emotion
flexibility
illness
Psychology
chronically ill
Psychopathology
Bipolar Disorder
psychopathology
psychiatrist
schizophrenia
Psychiatry
Schizophrenia
Chronic Disease
emotion

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Koutra, Katerina ; Triliva, Sofia ; Roumeliotaki, Theano ; Basta, Maria ; Lionis, Christos ; Vgontzas, Alexandros N. / Family Functioning in First-Episode and Chronic Psychosis : The Role of Patient’s Symptom Severity and Psychosocial Functioning. In: Community Mental Health Journal. 2016 ; Vol. 52, No. 6. pp. 710-723.
@article{0a4409ad3a034cf8a931e8fc19df37a3,
title = "Family Functioning in First-Episode and Chronic Psychosis: The Role of Patient’s Symptom Severity and Psychosocial Functioning",
abstract = "The aim of the present study was to assess the relationship between illness-related characteristics, such as symptom severity and psychosocial functioning, and specific aspects of family functioning both in patients experiencing their first episode of psychosis (FEP) and chronically ill patients. A total of 50 FEP and 50 chronic patients diagnosed with schizophrenia or bipolar disorder (most recent episode manic severe with psychotic features) and their family caregivers participated in the study. Family functioning was evaluated in terms of cohesion and flexibility (FACES IV Package), expressed emotion (FQ), family burden (FBS) and caregivers’ psychological distress (GHQ-28). Patients’ symptom severity (BPRS) and psychosocial functioning (GAS) were assessed by their treating psychiatrist within 2 weeks from the caregivers’ assessment. Increased symptom severity was associated with greater dysfunction in terms of family cohesion and flexibility (β coefficient −0.13; 95 {\%} CI −0.23, −0.03), increased caregivers’ EE levels on the form of emotional overinvolvement (β coefficient 1.03; 95 {\%} CI 0.02, 2.03), and psychological distress (β coefficient 3.37; 95 {\%} CI 1.29, 5.45). Family burden was found to be significantly related to both symptom severity (β coefficient 3.01; 95 {\%} CI 1.50, 4.51) and patient’s functioning (β coefficient −2.04; 95 {\%} CI −3.55, −0.53). No significant interaction effect of chronicity was observed in the afore-mentioned associations. These findings indicate that severe psychopathology and patient’s low psychosocial functioning are associated with poor family functioning. It appears that the effect for family function is significant from the early stages of the illness. Thus, early psychoeducational interventions should focus on patients with severe symptomatology and impaired functioning and their families.",
author = "Katerina Koutra and Sofia Triliva and Theano Roumeliotaki and Maria Basta and Christos Lionis and Vgontzas, {Alexandros N.}",
year = "2016",
month = "8",
day = "1",
doi = "10.1007/s10597-015-9916-y",
language = "English (US)",
volume = "52",
pages = "710--723",
journal = "Community Mental Health Journal",
issn = "0010-3853",
publisher = "Springer Netherlands",
number = "6",

}

Family Functioning in First-Episode and Chronic Psychosis : The Role of Patient’s Symptom Severity and Psychosocial Functioning. / Koutra, Katerina; Triliva, Sofia; Roumeliotaki, Theano; Basta, Maria; Lionis, Christos; Vgontzas, Alexandros N.

In: Community Mental Health Journal, Vol. 52, No. 6, 01.08.2016, p. 710-723.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Family Functioning in First-Episode and Chronic Psychosis

T2 - The Role of Patient’s Symptom Severity and Psychosocial Functioning

AU - Koutra, Katerina

AU - Triliva, Sofia

AU - Roumeliotaki, Theano

AU - Basta, Maria

AU - Lionis, Christos

AU - Vgontzas, Alexandros N.

PY - 2016/8/1

Y1 - 2016/8/1

N2 - The aim of the present study was to assess the relationship between illness-related characteristics, such as symptom severity and psychosocial functioning, and specific aspects of family functioning both in patients experiencing their first episode of psychosis (FEP) and chronically ill patients. A total of 50 FEP and 50 chronic patients diagnosed with schizophrenia or bipolar disorder (most recent episode manic severe with psychotic features) and their family caregivers participated in the study. Family functioning was evaluated in terms of cohesion and flexibility (FACES IV Package), expressed emotion (FQ), family burden (FBS) and caregivers’ psychological distress (GHQ-28). Patients’ symptom severity (BPRS) and psychosocial functioning (GAS) were assessed by their treating psychiatrist within 2 weeks from the caregivers’ assessment. Increased symptom severity was associated with greater dysfunction in terms of family cohesion and flexibility (β coefficient −0.13; 95 % CI −0.23, −0.03), increased caregivers’ EE levels on the form of emotional overinvolvement (β coefficient 1.03; 95 % CI 0.02, 2.03), and psychological distress (β coefficient 3.37; 95 % CI 1.29, 5.45). Family burden was found to be significantly related to both symptom severity (β coefficient 3.01; 95 % CI 1.50, 4.51) and patient’s functioning (β coefficient −2.04; 95 % CI −3.55, −0.53). No significant interaction effect of chronicity was observed in the afore-mentioned associations. These findings indicate that severe psychopathology and patient’s low psychosocial functioning are associated with poor family functioning. It appears that the effect for family function is significant from the early stages of the illness. Thus, early psychoeducational interventions should focus on patients with severe symptomatology and impaired functioning and their families.

AB - The aim of the present study was to assess the relationship between illness-related characteristics, such as symptom severity and psychosocial functioning, and specific aspects of family functioning both in patients experiencing their first episode of psychosis (FEP) and chronically ill patients. A total of 50 FEP and 50 chronic patients diagnosed with schizophrenia or bipolar disorder (most recent episode manic severe with psychotic features) and their family caregivers participated in the study. Family functioning was evaluated in terms of cohesion and flexibility (FACES IV Package), expressed emotion (FQ), family burden (FBS) and caregivers’ psychological distress (GHQ-28). Patients’ symptom severity (BPRS) and psychosocial functioning (GAS) were assessed by their treating psychiatrist within 2 weeks from the caregivers’ assessment. Increased symptom severity was associated with greater dysfunction in terms of family cohesion and flexibility (β coefficient −0.13; 95 % CI −0.23, −0.03), increased caregivers’ EE levels on the form of emotional overinvolvement (β coefficient 1.03; 95 % CI 0.02, 2.03), and psychological distress (β coefficient 3.37; 95 % CI 1.29, 5.45). Family burden was found to be significantly related to both symptom severity (β coefficient 3.01; 95 % CI 1.50, 4.51) and patient’s functioning (β coefficient −2.04; 95 % CI −3.55, −0.53). No significant interaction effect of chronicity was observed in the afore-mentioned associations. These findings indicate that severe psychopathology and patient’s low psychosocial functioning are associated with poor family functioning. It appears that the effect for family function is significant from the early stages of the illness. Thus, early psychoeducational interventions should focus on patients with severe symptomatology and impaired functioning and their families.

UR - http://www.scopus.com/inward/record.url?scp=84939505628&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84939505628&partnerID=8YFLogxK

U2 - 10.1007/s10597-015-9916-y

DO - 10.1007/s10597-015-9916-y

M3 - Article

C2 - 26286079

AN - SCOPUS:84939505628

VL - 52

SP - 710

EP - 723

JO - Community Mental Health Journal

JF - Community Mental Health Journal

SN - 0010-3853

IS - 6

ER -