Evidence map›Paper›PMID 34856968›Full record

ArticleBMC psychiatry2021

Short-term functional outcome in psychotic patients: results of the Turku early psychosis study (TEPS).

Raimo K R Salokangas, Tiina From, Tuula Ilonen, Sinikka Luutonen, Markus Heinimaa, Reetta-Liina Armio, Heikki Laurikainen, Maija Walta, Janina Paju, Anna Toivonen and 3 more

Open access · greenAbstract read
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Raimo K R SalokangasDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland. Raimo.K.R.Salokangas@utu.fi.
Tiina FromDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland.
Tuula IlonenDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland.
Sinikka LuutonenDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland.
Markus HeinimaaDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland.
Reetta-Liina ArmioDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland.
Heikki LaurikainenDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland.
Maija WaltaDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland.
Janina PajuDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland.
Anna ToivonenDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland.
Päivi JaloDepartment of Psychiatry, Turku University Hospital, Turku, Finland.
Lauri TuominenDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland.
Jarmo HietalaDepartment of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700, Turku, Finland.
University of Turku · FIRoyal Ottawa Mental Health Centre · CATurku University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFunctional recovery of patients with clinical and subclinical psychosis is associated with clinical, neuropsychological and developmental factors. Less is known about how these factors predict functional outcomes in the same models. We investigated functional outcomes and their predictors in patients with first-episode psychosis (FEP) or a confirmed or nonconfirmed clinical high risk of psychosis (CHR-P vs. CHR-N).

methodsAltogether, 130 patients with FEP, 60 patients with CHR-P and 47 patients with CHR-N were recruited and extensively examined at baseline (T0) and 9 (T1) and 18 (T2) months later. Global Assessment of Functioning (GAF) at T0, T1 and T2 and psychotic, depression, and anxiety symptoms at T1 and T2 were assessed. Functional outcomes were predicted using multivariate repeated ANOVA.

resultsDuring follow-up, the GAF score improved significantly in patients with FEP and CHR-P but not in patients with CHR-N. A single marital status, low basic education level, poor work situation, disorganization symptoms, perceptual deficits, and poor premorbid adjustment in patients with FEP, disorganization symptoms and poor premorbid adjustment in patients with CHR-P, and a low basic education level, poor work situation and general symptoms in patients with CHR-N predicted poor functional outcomes. Psychotic symptoms at T1 in patients with FEP and psychotic and depression symptoms at T1 and anxiety symptoms at T2 in patients with CHR-P were associated with poor functioning.

conclusionsIn patients with FEP and CHR-P, poor premorbid adjustment and disorganization symptomatology are common predictors of the functional outcome, while a low education level and poor work situation predict worse functional outcomes in patients with FEP and CHR-N. Interventions aimed at improving the ability to work and study are most important in improving the functioning of patients with clinical or subclinical psychosis.

Indexed as

Psychotic DisordersAnxietyHumansClinical high risk of psychosisDisorganization symptomsFunctional outcomeNegative symptomsPremorbid adjustmentPsychotic disorders

Identifiers

PMID34856968
PMCPMC8641211
OpenAlexW3127678411

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.