@article{ref1,
title="Family environment and depressive episode are associated with relapse after first-episode psychosis",
journal="Journal of Psychiatric and Mental Health Nursing",
year="2021",
author="da Silva, Amanda Heloisa Santana and de Freitas, Larissa Amorim and Shuhama, Rosana and Del-Ben, Cristina Marta and Vedana, Kelly Graziani Giacchero and Dos Santos Martin, Isabela and Zanetti, Ana Carolina Guidorizzi",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Psychotic relapse may be associated with relatives' high emotional over-involvement (EOI) and with a diagnosis of major depressive episode (MDE) among first-episode psychosis (FEP) patients, but the results are still inconsistent across different cultures. <br><br>AIM: Evaluated the predictors of relapse in FEP patients. <br><br>METHOD: Prospective cohort study with 6-month follow-up conducted with 65 dyads of patients and relatives from an early intervention unit in Brazil. At the baseline interview, relatives answered to a sociodemographic data form and to the Family Questionnaire. Patients provided sociodemographic and clinical data and answered the Measurement of Treatment Adherence; the Alcohol, Smoking and Substance Involvement Screening Test; the Severity of Dependence Scale to assess cannabis dependence, and the MDE module of the Mini-International Neuropsychiatric Interview. Psychotic relapses were evaluated using items from the Brief Psychiatric Rating Scale. The data were analyzed using multiple logistic regression. <br><br>RESULTS: 29.2% of the patients presented at least one psychotic relapse. High-EOI and MDE were predictors of psychotic relapses. <br><br>DISCUSSION: These findings expand knowledge about the cultural specificity of EOI and the role of depression in psychotic relapse. IMPLICATIONS FOR PRACTICE: Family nursing interventions and the appropriate treatment of MDE must be considered in the care of FEP patients.<p /> <p>Language: en</p>",
language="en",
issn="1351-0126",
doi="10.1111/jpm.12735",
url="http://dx.doi.org/10.1111/jpm.12735"
}