F126. IMPACT OF TREATMENT ON CLIENT QUALITY OF LIFE IN A CANADIAN FIRST EPISODE PSYCHOSIS PROGRAM
Bibliographic record
Abstract
Quality of life has become one of the most important components assessing outcomes in first episode psychosis populations as it measures broad aspects of life including satisfaction, functioning, socialization, physical health, and psychological well-being. The main aim of this study was to assess quality of life of clients with first episode psychosis following treatment in a community-based mental health outpatient program specialized in assessment and treatment of early psychosis. The program is based on a recovery model and offers comprehensive treatment for up to 3 years to individuals aged 16 to 35 years residing in North-Eastern Ontario, Canada. The study used a longitudinal approach to evaluate the impact of the treatment on clients’ quality of life one- and two-years following treatment. All patients with a schizophrenia spectrum diagnosis were included for the period between September 2008 and 2018. Quality of life was assessed through a standardized self-reported Wisconsin Quality of Life (WQoL) questionnaire which measures eight domains including General Satisfaction, Activities and Occupation, Psychological Well-being, Symptoms, Physical Health, Social Relationship and Support, Money, and Activities of Daily Living. The WQoL was completed at three time points: baseline (T0) + 3 months of enrollment, one year (T1), and two years (T2) following start of treatment. In total 394 WQoL questionnaires were completed (T0=150, T1=150, T2= 94). Most patients reported being single (91%), white (60%), and male (65%), with an average age of 25 years (SD=5.5). The majority also reported living with their parents (65%) and having completed high school (74%). Paired or repeated measures analysis indicated a highly significant improvement on all quality of life domains from baseline to one- and two-years post treatment (p<0.001- 0.001); however, only Psychological Well-being domain had a significant mean change from one year to two years following treatment (t(43)=6.2, p<0.001). Client Weighted Quality of Life Index also improved significantly from baseline to one year (t(93)=6.8, p<0.001) and two years post treatment (t(46)=6.2, p<0.001). Clients also reported a higher Quality of Life Index from one year to two years following the treatment (t(62)=2.9, p=0.004). In conclusion, our findings demonstrate that quality of life of patients with first episode psychosis improved significantly in various domains following one and two years of comprehensive medical and psychological treatment in a specialized early intervention program.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.004 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".