Evidence map›Paper›PMID 36744381›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2023

Context and Expectations Matter: Social, Recreational, and Independent Functioning among Youth with Psychosis in Chennai, India and Montreal, Canada.

Srividya N Iyer, Thara Rangaswamy, Sally Mustafa, Nicole Pawliuk, Greeshma Mohan, Ridha Joober, Norbert Schmitz, Howard Margolese, Ramachandran Padmavati, Ashok Malla

Abstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Srividya N IyerDepartment of Psychiatry, McGill University, Montreal, Canada.ORCID 0000-0001-5367-9086
Thara RangaswamySchizophrenia Research Foundation (SCARF), Chennai, India.
Sally MustafaPrevention and Early Intervention Program for Psychosis (PEPP-Montreal), Douglas Mental Health University Institute, Montreal, Canada.ORCID 0000-0003-2439-203X
Nicole PawliukPrevention and Early Intervention Program for Psychosis (PEPP-Montreal), Douglas Mental Health University Institute, Montreal, Canada.
Greeshma MohanSchizophrenia Research Foundation (SCARF), Chennai, India.
Ridha JooberDepartment of Psychiatry, McGill University, Montreal, Canada.
Norbert SchmitzDepartment of Psychiatry, McGill University, Montreal, Canada.
Howard MargoleseDepartment of Psychiatry, McGill University, Montreal, Canada.
Ramachandran PadmavatiSchizophrenia Research Foundation (SCARF), Chennai, India.
Ashok MallaDepartment of Psychiatry, McGill University, Montreal, Canada.

Funding

Early Psychosis in India and Canada: Investigating outcomes and family factorsR01MH093303 · NIMH · MCGILL UNIVERSITY · PI MALLA, ASHOK · 2012 to 2016
$2.3M
NIMH NIH HHS R01 MH093303
6 · The paper itself

Abstract

objectivesMost cross-cultural psychosis research has focused on a limited number of outcomes (generally symptom-related) and perspectives (often clinician-/observer-rated). It is unknown if the purported superior outcomes for psychosis in some low- and middle-income countries extend to patient-reported measures of social, recreational, and independent functioning. Addressing this gap, this study aimed to compare these outcomes in first-episode psychosis at a high-income site and a lower middle-income site.

methodsPatients receiving similarly designed early intervention for psychosis in Chennai, India (

resultsLinear mixed models showed that prosocial, recreation, and independence-performance functioning scores were significantly higher in Montreal than Chennai and did not change over time. Expected independence-performance was also higher in Montreal and increased over time. Negative symptoms and education independently predicted prosocial, recreation, and expected independence-performance functioning. When added to the model, expected independence-performance predicted actual independence-performance and site was no longer significant. At both sites, prosocial and recreation scores were consistently lower (<40%) than independence-performance (40-65%).

conclusionThis is the first cross-cultural investigation of prosocial, recreation, and independent functioning in early psychosis. It demonstrates that these outcomes differ by socio-cultural context. Differing levels of expectations about patients, themselves shaped by cultural, illness, and social determinants, may contribute to cross-cultural variations in functional outcomes. At both sites, social, recreational, and independent functioning were in the low-to-moderate range and there was no improvement over time, underscoring the need for effective interventions specifically designed to impact these outcomes.

Indexed as

MotivationPsychotic DisordersAdolescentCanadaHumansIndiacross-culturalearly interventionfirst-episode psychosisfunctioningleisureLMICsrecreationsocial

Identifiers

PMID36744381
PMCPMC10517650

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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.