RT Journal Article
T1 Neighborhood vulnerability and disability in first episode of psychosis: a multi level study
A1 Izquierdo Zarzo, Ana
A1 Muñoz Madrigal, José Luis
A1 Mac-Dowell Mata, Karina Soledad
A1 Rodríguez Jiménez, Roberto
A1 Rentero, David
A1 Ayora, Miriam
A1 Martínez Díaz-Caneja, María Covadonga
A1 Abregú Crespo, Renzo
A1 Mellor Marsá, Blanca
A1 Díaz Marsa, Marina Francisca
A1 Ayuso Mateos, José Luis
AB Objective: Neighborhood socioeconomic status seems to be related to functioning in patients with first episode of psychosis (FEP). The present study aimed to assess if neighborhood vulnerability and risk of social exclusion could predict functional outcomes in people with FEP after controlling for other key variables identified in previous literature.Methods: A total of 137 patients with FEP (DSM-IV-TR criteria) and 90 controls comprised the study sample from February 2013 to May 2019. Functioning was assessed with the WHO Disability Assessment Schedule. Neighborhood vulnerability was measured using a multidimensional socioeconomic deprivation index; data for the index were collected by the Madrid City Council and based on the participant's home address. Multilevel mixed-effects regression analyses were conducted to estimate the effects of neighborhood vulnerability on functioning.Results: Our results show that FEP patients could be more vulnerable to the effects of neighborhood-level characteristics than healthy controls (B = 1,570.173; z = 3.91; P < .001). In addition, our findings suggest that higher neighborhood vulnerability is related to greater functional disability in people with FEP, after controlling for other relevant confounders (B = 1,230.332; z = 2.59; P = .010).Conclusions: These results highlight the importance of incorporating contextual factors into assessment of patients with FEP, since psychosocial difficulties observed in these patients could be partially related to the quality of neighborhood social-related resources.
PB Physicians Postgraduate Press
SN 0160-6689
YR 2023
FD 2023-03-01
LK https://hdl.handle.net/20.500.14352/110001
UL https://hdl.handle.net/20.500.14352/110001
LA eng
NO Izquierdo A, Cabello M, Leal I, Torio I, Madrigal JLM, MacDowell KS, Rodriguez-Jimenez R, Rentero D, Ibáñez Á, Ayora M, Díaz-Caneja CM, Abregú-Crespo R, Mellor-Marsá B, Díaz-Marsá M, Malpica N, Bravo-Ortiz MF, Baca-García E, Arango C, Ayuso-Mateos JL; AGES-CM Group. Neighborhood Vulnerability and Disability in First Episode of Psychosis: A Multilevel Study. J Clin Psychiatry. 2023 Mar 13;84(2):22m14401. doi: 10.4088/JCP.22m14401
DS Docta Complutense
RD 18 abr 2025