Skip to main content

Prevalence and correlates of comorbidity 8 years after a first psychotic episode

Buy Article:

$48.00 plus tax (Refund Policy)

Abstract:

Farrelly S, Harris MG, Henry LP, Purcell R, Prosser A, Schwartz O, Jackson H, McGorry PD. Prevalence and correlates of comorbidity 8 years after a first psychotic episode. Objective: 

While rates and correlates of comorbidity have been investigated in the early course of psychosis, little is known about comorbidity in the medium-to-longer term or its relationship with outcome. Method: 

A total of 182 first-episode psychosis (FEP) patients who met DSM-IV criteria for a current psychotic disorder 8 years after index presentation were grouped according to concurrent comorbidity [no concurrent axis I disorder; concurrent substance use disorder (SUD); other concurrent axis I disorder; concurrent SUD and other axis I disorder]. Outcomes were compared between groups controlling for relevant covariates. Results: 

As much as 39% met criteria for one or more concurrent axis 1 diagnoses. Comorbidity was associated with greater severity of general psychopathology, but not with measures of functioning, treatment or negative symptoms. Conclusion: 

Specific combinations of comorbid disorders may influence patterns of psychotic symptomatology. Routine examination of axis I disorders is warranted in the ongoing management of psychosis.

Keywords: axis I; comorbidity; first episode; outcome; psychosis; substance abuse

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1600-0447.2006.00922.x

Affiliations: 1: ORYGEN Research Centre & Department of Psychiatry, The University of Melbourne, Parkville 2: Department of Psychology, The University of Melbourne, Parkville, Melbourne, Victoria, Australia

Publication date: July 1, 2007

mksg/acp/2007/00000116/00000001/art00009
dcterms_title,dcterms_description,pub_keyword
6
5
20
40
5

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more