Objective: Social impairment is a long-recognized core feature of schizophrenia and is common in other psychotic disorders. Still, to date the long-term trajectories of social impairment in psychotic disorders have rarely been studied systematically.
Method: Data came from the Suffolk County Mental Health Project, a 20-year prospective study of first-admission patients with psychotic disorders. A never-psychotic comparison group was also assessed. Latent class growth analysis was applied to longitudinal data on social functioning from 485 respondents with schizophrenia spectrum disorders and psychotic mood disorders, and associations of the empirically derived trajectories with premorbid social adjustment, diagnosis, and 20-year outcomes were examined.
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The participant will discover details about the onset and course of social impairment in psychotic disorders that may carry implications about the best time to intervene.
This program is designed for all psychiatrists in clinical practice, residents in Graduate Medical Education programs, medical students interested in psychiatry, and other physicians who wish to advance their current knowledge of clinical medicine.
Duration: 1 hour
Begin Date: November 1, 2017
End Date: October 31, 2019
In order to earn CME credit, subscribers should read through the material presented in the article. After reading the article, complete the quiz and submit your evaluation and study hours (up to 1 AMA PRA Category 1 Credit™). A score of 60% or higher is required to receive credit.
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Title: The 20-Year Longitudinal Trajectories of Social Functioning in Individuals With Psychotic Disorders
Authors: Eva Velthorst, Ph.D., Anne-Kathrin J. Fett, Ph.D., Avraham Reichenberg, Ph.D., Greg Perlman, Ph.D., Jim van Os, M.D., Ph.D., Evelyn J. Bromet, Ph.D., Roman Kotov, Ph.D.
Affiliations: From the Department of Psychiatry and the Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York (E.V., A.R.); the Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands (E.V.); the Department of Educational Neuroscience and Research Institute LEARN! Faculty of Behavioural and Movement Sciences, VU University, Amsterdam, the Netherlands (A.K.J.F.); the Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, U.K. (A.K.J.F., A.R., J.V.O.); the Department of Psychiatry, Stony Brook University, Stony Brook, N.Y. (G.P., E.J.B., R.K.); and the Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, EURON, Maastricht University Medical Centre, Maastricht, the Netherlands (J.V.O.).
Disclosures: The authors report no financial relationships with commercial interests.
Discussion of unapproved or investigational use of products*: No.
*APA policy requires disclosure by CME authors of unapproved or investigational use of products discussed in CME programs. Off-label use of medications by individual physicians is permitted and common. Decisions about off-label use can be guided by scientific literature and clinical experience.
Robert Freedman, M.D. (Editor-in-Chief, AJP); Susan K. Schultz, M.D. (Deputy Editor, AJP); Michael D. Roy (Editorial Director, AJP); Michael A. Pogachar (Online Content Manager, Journals).
Dr. Schultz has received research support from the Alzheimer’s Disease Cooperative Study for projects conducted in partnership with Toyama Chemical Company and in partnership with Eli Lilly and Company. Dr. Freedman, Mr. Roy, and Mr. Pogachar report no financial relationships with commercial interests.
Optimal System Configuration:
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- Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit
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