Validity of hospital admission as an outcome measure of services for first-episode psychosis

Psychiatr Serv. 2012 Mar;63(3):280-2. doi: 10.1176/appi.ps.201100118.

Abstract

Objective: The objective of this study was to assess the external validity of hospitalization as an outcome measure for first-episode psychosis services.

Methods: A two-year, prospective cohort design was used to examine the associations between hospitalization, general psychopathology, and quality of life in a cohort of 606 participants treated for a first episode of psychosis.

Results: In bivariate analyses, general psychopathology and quality of life were each significantly associated with hospitalization at both time points. After analyses controlled for all covariates in the logistic models, both clinical measures continued to be significantly correlated with hospitalization at both one and two years.

Conclusions: These results validate hospitalization as an outcome measure for first-episode psychosis services, and they extend the existing research showing a relationship between hospitalization and process measures to include other valid and reliable clinical measures.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Canada
  • Cohort Studies
  • Female
  • Hospitalization / statistics & numerical data*
  • Humans
  • Logistic Models
  • Male
  • Mental Health Services / standards*
  • Middle Aged
  • Outcome and Process Assessment, Health Care / methods
  • Outcome and Process Assessment, Health Care / standards*
  • Program Evaluation
  • Psychiatric Status Rating Scales
  • Psychotic Disorders / psychology
  • Psychotic Disorders / therapy*
  • Quality of Life*
  • Schizophrenia / therapy
  • Young Adult