2.50
Hdl Handle:
http://hdl.handle.net/10755/157981
Type:
Presentation
Title:
Predictors of Level of Functioning over time for youth with Schizophrenia
Abstract:
Predictors of Level of Functioning over time for youth with Schizophrenia
Conference Sponsor:Western Institute of Nursing
Conference Year:2005
Author:Schepp, Karen, PhD, APRN, BC
P.I. Institution Name:University of Washington School of Nursing, Mailstop SC-76
Title:Associate Professor
Contact Address:Box 357263, Seattle, WA, 98195-7263, USA
Contact Telephone:206-685-3213
Co-Authors:Michael Kennedy, Jenny Hsin-Chun Tsai
Purpose: The purpose of this study is to examine the predictors of level of functioning of youth with schizophrenia across four time periods in a randomized clinical trial. Background: Schizophrenia is the most severe of all mental illnesses. Youth who develop schizophrenia often experience a sudden deteriorating change in their level of functioning in all areas of their life. Knowing what predicts the youth's level of functioning provides a measure of certainly in a typically chaotic and uncertain world both for the individual and for the family. Sample: The sample consists of 30 youth who screened into the study. There were 6 females and 24 males ages 15 - 19. The youth met the DSM-IV criteria for having schizophrenia. The youth and their family members are part of a larger study examining the effectiveness of a symptom management program for these youth. Methods: The family centered symptom management intervention tested in this trial involved a 12 session intervention over the course of 14 months. Data were collected at 4 points in time, at baseline, at 6 weeks, at 8 months and at 14 months. The Child & Adolescent Functional Assessment Interview Schedule for Young Adults (CAFAS) was used to assess level of functioning. The CAFAS assesses role performance in school, home, community, behavior toward others, mood, thinking, self-harm, and substance use. Scores ranged from 10 (high level of functioning) to 210 (low level of functioning). Interrater reliability was established above 90% agreement. Multiple regression analysis was used with CAFAS as the dependent variable and other measures such as KGAS for global assessment, and Symptoms of Stress inventory and Family Attitude and prior CAFAS scores as the predictor variables. Results: The Time 1 predictors of level functioning were the KGAS (B=-.411) and Symptoms of Stress (B=.361) (Adjusted R square = .35). Time 2 predictors were KGAS T2 (B=-.541) and Family Attitude (B=367) (Adjusted R square = .510. Time 3 predictor was the T2 CAFAS (B=.631) (Adjusted R square = .362). Time 4 predictors were the T4 KGAS (B=-.457) and T3 CAFAS (B=.437) (Adjusted R square = .552). Conclusion: Symptom management interventions to improve the level of functioning of severely mentally ill youth requires accurate assessment of the functioning and knowledge of the underlying predictors over time.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePredictors of Level of Functioning over time for youth with Schizophreniaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157981-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Predictors of Level of Functioning over time for youth with Schizophrenia</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schepp, Karen, PhD, APRN, BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Washington School of Nursing, Mailstop SC-76</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Box 357263, Seattle, WA, 98195-7263, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">206-685-3213</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kschepp@u.washington.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Michael Kennedy, Jenny Hsin-Chun Tsai</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of this study is to examine the predictors of level of functioning of youth with schizophrenia across four time periods in a randomized clinical trial. Background: Schizophrenia is the most severe of all mental illnesses. Youth who develop schizophrenia often experience a sudden deteriorating change in their level of functioning in all areas of their life. Knowing what predicts the youth's level of functioning provides a measure of certainly in a typically chaotic and uncertain world both for the individual and for the family. Sample: The sample consists of 30 youth who screened into the study. There were 6 females and 24 males ages 15 - 19. The youth met the DSM-IV criteria for having schizophrenia. The youth and their family members are part of a larger study examining the effectiveness of a symptom management program for these youth. Methods: The family centered symptom management intervention tested in this trial involved a 12 session intervention over the course of 14 months. Data were collected at 4 points in time, at baseline, at 6 weeks, at 8 months and at 14 months. The Child &amp; Adolescent Functional Assessment Interview Schedule for Young Adults (CAFAS) was used to assess level of functioning. The CAFAS assesses role performance in school, home, community, behavior toward others, mood, thinking, self-harm, and substance use. Scores ranged from 10 (high level of functioning) to 210 (low level of functioning). Interrater reliability was established above 90% agreement. Multiple regression analysis was used with CAFAS as the dependent variable and other measures such as KGAS for global assessment, and Symptoms of Stress inventory and Family Attitude and prior CAFAS scores as the predictor variables. Results: The Time 1 predictors of level functioning were the KGAS (B=-.411) and Symptoms of Stress (B=.361) (Adjusted R square = .35). Time 2 predictors were KGAS T2 (B=-.541) and Family Attitude (B=367) (Adjusted R square = .510. Time 3 predictor was the T2 CAFAS (B=.631) (Adjusted R square = .362). Time 4 predictors were the T4 KGAS (B=-.457) and T3 CAFAS (B=.437) (Adjusted R square = .552). Conclusion: Symptom management interventions to improve the level of functioning of severely mentally ill youth requires accurate assessment of the functioning and knowledge of the underlying predictors over time.</td></tr></table>en_GB
dc.date.available2011-10-26T20:23:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:23:32Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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