Sense of mastery in first-episode psychosis—a one-year follow-up study
IntroductionA sense of mastery refers to beliefs about having control over one’s life and has been found to protect health and buffer the effect of stressful experiences.MethodsWe investigated sense of mastery in first-episode psychosis (FEP) patients and population controls at baseline and at one-y...
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| Format: | Article |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1200669/full |
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| author | Maija Lindgren Sebastian Therman Tiina From Jarmo Hietala Jarmo Hietala Heikki Laurikainen Heikki Laurikainen Raimo K. R. Salokangas Jaana Suvisaari |
| author_facet | Maija Lindgren Sebastian Therman Tiina From Jarmo Hietala Jarmo Hietala Heikki Laurikainen Heikki Laurikainen Raimo K. R. Salokangas Jaana Suvisaari |
| author_sort | Maija Lindgren |
| collection | DOAJ |
| description | IntroductionA sense of mastery refers to beliefs about having control over one’s life and has been found to protect health and buffer the effect of stressful experiences.MethodsWe investigated sense of mastery in first-episode psychosis (FEP) patients and population controls at baseline and at one-year follow-up. Pearlin and Schooler’s Sense of Mastery scale was completed by 322 participants at baseline and by 184 participants at follow-up.ResultsPeople having experienced FEP reported lower mastery than controls at both time points, but a modest increase was seen in patients at follow-up. The strongest correlates of high baseline mastery in FEP were lower depressive symptoms and higher perceived social support, whereas positive or negative psychotic symptoms did not associate with mastery. Current depressive symptoms also correlated with mastery at the follow-up point, and change in depressive symptoms correlated with change in mastery. Higher mastery at treatment entry predicted remission of psychotic symptoms one year later. Sense of mastery was also found to mediate the association of perceived social support with depressive symptoms.DiscussionThe usefulness of mastery measures should be further tested for estimations of patient prognosis in early psychosis. |
| first_indexed | 2024-03-12T02:01:49Z |
| format | Article |
| id | doaj.art-06a1a28c818a45be9d92ed6509af1c82 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-12T02:01:49Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-06a1a28c818a45be9d92ed6509af1c822023-09-07T11:31:03ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-09-011410.3389/fpsyt.2023.12006691200669Sense of mastery in first-episode psychosis—a one-year follow-up studyMaija Lindgren0Sebastian Therman1Tiina From2Jarmo Hietala3Jarmo Hietala4Heikki Laurikainen5Heikki Laurikainen6Raimo K. R. Salokangas7Jaana Suvisaari8Mental Health, Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, FinlandMental Health, Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, FinlandDepartment of Psychiatry, University of Turku and Turku University Hospital, Turku, FinlandDepartment of Psychiatry, University of Turku and Turku University Hospital, Turku, FinlandTurku PET Centre, University of Turku, Turku, FinlandDepartment of Psychiatry, University of Turku and Turku University Hospital, Turku, FinlandTurku PET Centre, University of Turku, Turku, FinlandDepartment of Psychiatry, University of Turku and Turku University Hospital, Turku, FinlandMental Health, Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, FinlandIntroductionA sense of mastery refers to beliefs about having control over one’s life and has been found to protect health and buffer the effect of stressful experiences.MethodsWe investigated sense of mastery in first-episode psychosis (FEP) patients and population controls at baseline and at one-year follow-up. Pearlin and Schooler’s Sense of Mastery scale was completed by 322 participants at baseline and by 184 participants at follow-up.ResultsPeople having experienced FEP reported lower mastery than controls at both time points, but a modest increase was seen in patients at follow-up. The strongest correlates of high baseline mastery in FEP were lower depressive symptoms and higher perceived social support, whereas positive or negative psychotic symptoms did not associate with mastery. Current depressive symptoms also correlated with mastery at the follow-up point, and change in depressive symptoms correlated with change in mastery. Higher mastery at treatment entry predicted remission of psychotic symptoms one year later. Sense of mastery was also found to mediate the association of perceived social support with depressive symptoms.DiscussionThe usefulness of mastery measures should be further tested for estimations of patient prognosis in early psychosis.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1200669/fullmasterypsychosisschizophreniaremissiondepressionsocial support |
| spellingShingle | Maija Lindgren Sebastian Therman Tiina From Jarmo Hietala Jarmo Hietala Heikki Laurikainen Heikki Laurikainen Raimo K. R. Salokangas Jaana Suvisaari Sense of mastery in first-episode psychosis—a one-year follow-up study Frontiers in Psychiatry mastery psychosis schizophrenia remission depression social support |
| title | Sense of mastery in first-episode psychosis—a one-year follow-up study |
| title_full | Sense of mastery in first-episode psychosis—a one-year follow-up study |
| title_fullStr | Sense of mastery in first-episode psychosis—a one-year follow-up study |
| title_full_unstemmed | Sense of mastery in first-episode psychosis—a one-year follow-up study |
| title_short | Sense of mastery in first-episode psychosis—a one-year follow-up study |
| title_sort | sense of mastery in first episode psychosis a one year follow up study |
| topic | mastery psychosis schizophrenia remission depression social support |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1200669/full |
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