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Association between financial strain, social network and five-year recovery from first episode psychosis

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Abstract

Despite much effort to positively affect long-term outcome in psychosis and schizophrenia many patients are still facing a poor outcome with persistent psychotic symptoms and decline in social functioning. The aim of this study was to examine the relationship between financial strain and social network and five-year outcome of first episode psychosis (FEP). FEP patients were divided into recovered (n = 52) and non-recovered (n = 19). Each person was matched according to age and gender with four persons (n = 284) from a longitudinal population-based study. All persons had answered an extensive questionnaire including social network, quantitative and qualitative, financial strain and mental health. Linear regression analysis showed that both financial strain and social network were associated, and had a unique contribution, to outcome. The results indicate that FEP patients might benefit from interventions that reduce financial strain thus facilitating daily life and cultural and social activities.

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Acknowledgments

This study was supported by grants from the Swedish Board of Health and Welfare and from the Development Unit of the Stockholm County Council. Ethical approval was obtained from the Karolinska Institutet D-nr 95–399.

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Authors and Affiliations

  1. Dept. of Psychiatry, R & D section – The Parachute Project, Danderyd Hospital, 18287, Stockholm, Sweden

    Maria Mattsson PhD

  2. Dept. of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, Sweden

    Maria Mattsson PhD & Yvonne Forsell MD, PhD

  3. Dept. of Social Work, Stockholm University, Stockholm, Sweden

    Alain Topor PhD

  4. Ersta Sköndal University College, Stockholm, Sweden

    Johan Cullberg MD, PhD

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  1. Maria Mattsson PhD
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  2. Alain Topor PhD
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  3. Johan Cullberg MD, PhD
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  4. Yvonne Forsell MD, PhD
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Correspondence to Maria Mattsson PhD.

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Mattsson, M., Topor, A., Cullberg, J. et al. Association between financial strain, social network and five-year recovery from first episode psychosis. Soc Psychiat Epidemiol 43, 947–952 (2008). https://doi.org/10.1007/s00127-008-0392-3

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  • DOI: https://doi.org/10.1007/s00127-008-0392-3

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