Preventing poor vocational functioning in psychosis through early intervention

Wenche Ten Velden Hegelstad; Kolbjorn S. Bronnick; Helene Eidsmo Barder; Julie Horgen Evensen; Ulrik Haahr; Inge Joa; Jan Olav Johannessen; Johannes Langeveld; Tor Ketil Larsen; Ingrid Melle; Stein Opjordsmoen; Bjørn Rishovd Rund; Jan Ivar Rossberg; Erik Simonsen; Per Wiggen Vaglum; Thomas H. McGlashan; Svein Friis

doi:10.1176/appi.ps.201500451

Preventing poor vocational functioning in psychosis through early intervention

Wenche Ten Velden Hegelstad^*, Kolbjorn S. Bronnick, Helene Eidsmo Barder, Julie Horgen Evensen, Ulrik Haahr, Inge Joa, Jan Olav Johannessen, Johannes Langeveld, Tor Ketil Larsen, Ingrid Melle, Stein Opjordsmoen, Bjørn Rishovd Rund, Jan Ivar Rossberg, Erik Simonsen, Per Wiggen Vaglum, Thomas H. McGlashan, Svein Friis

^*Corresponding author af dette arbejde

Psykiatrisk Forskningsenhed

Publikation: Bidrag til tidsskrift › Letter › Forskning › peer review

Abstract

Objective: This study tested the hypothesis that early detection of psychosis improves long-term vocational functioning through the prevention of negative symptom development. Methods: Generalized estimating equations and mediation analysis were conducted to examine the association between employment and negative symptoms over ten years among patients in geographic areas characterized by usual detection (N=140) or early detection (N=141) of psychosis. Results: Improved vocational outcome after ten years among patients in the early-detection area was mediated by lower levels of negative symptoms during the first five years. Regardless of symptoms, rates of full-time employment or study were lower among patients in the usual-detection versus the early-detection area. Conclusions: Patients from an early-detection area attained lower negative symptom levels earlier compared with patients from a usual-detection area, which seemed to have facilitated vocational careers.

Originalsprog	Engelsk
Sider (fra-til)	100-103
Antal sider	4
Tidsskrift	Psychiatric Services
Vol/bind	68
Udgave nummer	1
DOI	https://doi.org/10.1176/appi.ps.201500451
Status	Udgivet - 1 jan. 2017

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10.1176/appi.ps.201500451

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Ten Velden Hegelstad, W., Bronnick, K. S., Barder, H. E., Evensen, J. H., Haahr, U., Joa, I., Johannessen, J. O., Langeveld, J., Larsen, T. K., Melle, I., Opjordsmoen, S., Rund, B. R., Rossberg, J. I., Simonsen, E., Vaglum, P. W., McGlashan, T. H., & Friis, S. (2017). Preventing poor vocational functioning in psychosis through early intervention. Psychiatric Services, 68(1), 100-103. https://doi.org/10.1176/appi.ps.201500451

@article{4edf15c5c0d84ba182abb438ae6838a0,

title = "Preventing poor vocational functioning in psychosis through early intervention",

abstract = "Objective: This study tested the hypothesis that early detection of psychosis improves long-term vocational functioning through the prevention of negative symptom development. Methods: Generalized estimating equations and mediation analysis were conducted to examine the association between employment and negative symptoms over ten years among patients in geographic areas characterized by usual detection (N=140) or early detection (N=141) of psychosis. Results: Improved vocational outcome after ten years among patients in the early-detection area was mediated by lower levels of negative symptoms during the first five years. Regardless of symptoms, rates of full-time employment or study were lower among patients in the usual-detection versus the early-detection area. Conclusions: Patients from an early-detection area attained lower negative symptom levels earlier compared with patients from a usual-detection area, which seemed to have facilitated vocational careers.",

author = "{Ten Velden Hegelstad}, Wenche and Bronnick, {Kolbjorn S.} and Barder, {Helene Eidsmo} and Evensen, {Julie Horgen} and Ulrik Haahr and Inge Joa and Johannessen, {Jan Olav} and Johannes Langeveld and Larsen, {Tor Ketil} and Ingrid Melle and Stein Opjordsmoen and Rund, {Bj{\o}rn Rishovd} and Rossberg, {Jan Ivar} and Erik Simonsen and Vaglum, {Per Wiggen} and McGlashan, {Thomas H.} and Svein Friis",

year = "2017",

month = jan,

day = "1",

doi = "10.1176/appi.ps.201500451",

language = "English",

volume = "68",

pages = "100--103",

journal = "Psychiatric Services",

issn = "1075-2730",

publisher = "American Psychiatric Association",

number = "1",

}

Ten Velden Hegelstad, W, Bronnick, KS, Barder, HE, Evensen, JH, Haahr, U, Joa, I, Johannessen, JO, Langeveld, J, Larsen, TK, Melle, I, Opjordsmoen, S, Rund, BR, Rossberg, JI, Simonsen, E, Vaglum, PW, McGlashan, TH & Friis, S 2017, 'Preventing poor vocational functioning in psychosis through early intervention', Psychiatric Services, bind 68, nr. 1, s. 100-103. https://doi.org/10.1176/appi.ps.201500451

TY - JOUR

T1 - Preventing poor vocational functioning in psychosis through early intervention

AU - Ten Velden Hegelstad, Wenche

AU - Bronnick, Kolbjorn S.

AU - Barder, Helene Eidsmo

AU - Evensen, Julie Horgen

AU - Haahr, Ulrik

AU - Joa, Inge

AU - Johannessen, Jan Olav

AU - Langeveld, Johannes

AU - Larsen, Tor Ketil

AU - Melle, Ingrid

AU - Opjordsmoen, Stein

AU - Rund, Bjørn Rishovd

AU - Rossberg, Jan Ivar

AU - Simonsen, Erik

AU - Vaglum, Per Wiggen

AU - McGlashan, Thomas H.

AU - Friis, Svein

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Objective: This study tested the hypothesis that early detection of psychosis improves long-term vocational functioning through the prevention of negative symptom development. Methods: Generalized estimating equations and mediation analysis were conducted to examine the association between employment and negative symptoms over ten years among patients in geographic areas characterized by usual detection (N=140) or early detection (N=141) of psychosis. Results: Improved vocational outcome after ten years among patients in the early-detection area was mediated by lower levels of negative symptoms during the first five years. Regardless of symptoms, rates of full-time employment or study were lower among patients in the usual-detection versus the early-detection area. Conclusions: Patients from an early-detection area attained lower negative symptom levels earlier compared with patients from a usual-detection area, which seemed to have facilitated vocational careers.

AB - Objective: This study tested the hypothesis that early detection of psychosis improves long-term vocational functioning through the prevention of negative symptom development. Methods: Generalized estimating equations and mediation analysis were conducted to examine the association between employment and negative symptoms over ten years among patients in geographic areas characterized by usual detection (N=140) or early detection (N=141) of psychosis. Results: Improved vocational outcome after ten years among patients in the early-detection area was mediated by lower levels of negative symptoms during the first five years. Regardless of symptoms, rates of full-time employment or study were lower among patients in the usual-detection versus the early-detection area. Conclusions: Patients from an early-detection area attained lower negative symptom levels earlier compared with patients from a usual-detection area, which seemed to have facilitated vocational careers.

UR - http://www.scopus.com/inward/record.url?scp=85008147869&partnerID=8YFLogxK

U2 - 10.1176/appi.ps.201500451

DO - 10.1176/appi.ps.201500451

M3 - Letter

C2 - 27582238

AN - SCOPUS:85008147869

SN - 1075-2730

VL - 68

SP - 100

EP - 103

JO - Psychiatric Services

JF - Psychiatric Services

IS - 1

ER -

Preventing poor vocational functioning in psychosis through early intervention

Abstract

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