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Conference Paper: The Hong Kong Outcome of Psychosis Evaluation (HOPE) Study: a naturalistic longitudinal study of Early Intervention Service

TitleThe Hong Kong Outcome of Psychosis Evaluation (HOPE) Study: a naturalistic longitudinal study of Early Intervention Service
Authors
Issue Date2014
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://easap.asia/index.htm
Citation
The 2014 Regional Congress of the World Psychiatric Association (WPA), Hong Kong, 12-14 December 2014. In East Asian Archives of Psychiatry, 2014, v. 24 n. 4 suppl., p. 65, abstract OP2.3.3 How to Cite?
AbstractOBJECTIVES: In 2011, the Hospital Authority of Hong Kong extended the early psychosis service to cover older adults up to the age of 64 years. Our study group aimed to define the longitudinal outcomes of patients entering the early intervention service and their associated factors in our locality. METHODS: Consecutive patients aged 15 to 64 years presenting with first-episode psychosis to the early intervention services of Kwai Chung Hospital and Queen Mary Hospital were recruited. Psychopathology and functioning levels were assessed using standard instruments. Subjects were reassessed at 6 months, 1 year, 2 years, and 3 years after entry into our service. RESULTS: Since 1 February 2013, 170 subjects with valid data were recruited. More than half (57.4%) suffered from schizophrenia. Around half of them (55.9%) received psychiatric treatment before service contact. The mean scores for Positive and Negative Syndrome Scale positive, negative, cognitive, depressive, and excitement were 14.9, 11.1, 8.1, 7.7, and 4.7, respectively. The mean score for Scale for the Assessment of Negative Symptoms was 5.5. The means for Social and Occupational Functioning Assessment Scale (SOFAS) and Role Functioning Scale (RFS) were 54.5 and 22.3, respectively. Valid data at 6 months were available for 79 subjects. Subjects had significant improvements in all symptom domains except negative symptoms, manic symptoms, and insight. They also had significant improvements in functioning, with mean SOFAS of 63.2 (t = –5.286, p < 0.001) and RFS of 24.1 (t = –3.870, p < 0.001). Seventeen (21.5%) subjects suffered from some degree of relapse within the period. CONCLUSION: This is a systematic attempt to study the longitudinal outcomes of people suffering from first-episode psychosis in Hong Kong. Further data will be collected to enrich the database.
DescriptionCongress Theme: Yin and Yang of Mental Health in Asia - Balancing Polarities
Oral Presentation 2.3 – Severe Mental Illness (II): no. OP2.3.3
Persistent Identifierhttp://hdl.handle.net/10722/214253
ISSN
2015 SCImago Journal Rankings: 0.331

 

DC FieldValueLanguage
dc.contributor.authorChong, C-
dc.contributor.authorSiu, MW-
dc.contributor.authorChan, KW-
dc.contributor.authorChang, WC-
dc.contributor.authorHui, LM-
dc.contributor.authorLee, HM-
dc.contributor.authorChen, YH-
dc.contributor.authorLo, TL-
dc.date.accessioned2015-08-21T11:03:33Z-
dc.date.available2015-08-21T11:03:33Z-
dc.date.issued2014-
dc.identifier.citationThe 2014 Regional Congress of the World Psychiatric Association (WPA), Hong Kong, 12-14 December 2014. In East Asian Archives of Psychiatry, 2014, v. 24 n. 4 suppl., p. 65, abstract OP2.3.3-
dc.identifier.issn2078-9947-
dc.identifier.urihttp://hdl.handle.net/10722/214253-
dc.descriptionCongress Theme: Yin and Yang of Mental Health in Asia - Balancing Polarities-
dc.descriptionOral Presentation 2.3 – Severe Mental Illness (II): no. OP2.3.3-
dc.description.abstractOBJECTIVES: In 2011, the Hospital Authority of Hong Kong extended the early psychosis service to cover older adults up to the age of 64 years. Our study group aimed to define the longitudinal outcomes of patients entering the early intervention service and their associated factors in our locality. METHODS: Consecutive patients aged 15 to 64 years presenting with first-episode psychosis to the early intervention services of Kwai Chung Hospital and Queen Mary Hospital were recruited. Psychopathology and functioning levels were assessed using standard instruments. Subjects were reassessed at 6 months, 1 year, 2 years, and 3 years after entry into our service. RESULTS: Since 1 February 2013, 170 subjects with valid data were recruited. More than half (57.4%) suffered from schizophrenia. Around half of them (55.9%) received psychiatric treatment before service contact. The mean scores for Positive and Negative Syndrome Scale positive, negative, cognitive, depressive, and excitement were 14.9, 11.1, 8.1, 7.7, and 4.7, respectively. The mean score for Scale for the Assessment of Negative Symptoms was 5.5. The means for Social and Occupational Functioning Assessment Scale (SOFAS) and Role Functioning Scale (RFS) were 54.5 and 22.3, respectively. Valid data at 6 months were available for 79 subjects. Subjects had significant improvements in all symptom domains except negative symptoms, manic symptoms, and insight. They also had significant improvements in functioning, with mean SOFAS of 63.2 (t = –5.286, p < 0.001) and RFS of 24.1 (t = –3.870, p < 0.001). Seventeen (21.5%) subjects suffered from some degree of relapse within the period. CONCLUSION: This is a systematic attempt to study the longitudinal outcomes of people suffering from first-episode psychosis in Hong Kong. Further data will be collected to enrich the database.-
dc.languageeng-
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://easap.asia/index.htm-
dc.relation.ispartofEast Asian Archives of Psychiatry-
dc.relation.ispartof東亞精神科學志-
dc.rightsEast Asian Archives of Psychiatry. Copyright © Hong Kong Academy of Medicine Press.-
dc.titleThe Hong Kong Outcome of Psychosis Evaluation (HOPE) Study: a naturalistic longitudinal study of Early Intervention Service-
dc.typeConference_Paper-
dc.identifier.emailChan, KW: kwsherry@hku.hk-
dc.identifier.emailChang, WC: changwc@hku.hk-
dc.identifier.emailHui, LM: christyh@hkucc.hku.hk-
dc.identifier.emailLee, HM: edwinlhm@hku.hk-
dc.identifier.emailChen, YH: eyhchen@hku.hk-
dc.identifier.emailLo, TL: lotl@hku.hk-
dc.identifier.authorityChan, KW=rp00539-
dc.identifier.authorityChang, WC=rp01465-
dc.identifier.authorityHui, LM=rp01993-
dc.identifier.authorityLee, HM=rp01575-
dc.identifier.authorityChen, YH=rp00392-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.hkuros249127-
dc.identifier.volume24-
dc.identifier.issue4 suppl.-
dc.identifier.spage65, abstract OP2.3.3-
dc.identifier.epage65, abstract OP2.3.3-
dc.publisher.placeHong Kong-

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