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Definition of poor outcome | Predictor of poor outcome |
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Poor clinical outcomes |
(i) More hospitalizations, rehospitalization after first episode [25–30] | Family history of psychosis Sociodemographic factors: father’s high social class Childhood development: earlier age of learning to stand or walk Illness-related factors: insidious mode of illness onset, suicidal ideations at first episode, short first hospitalization, long DUP in short-term, and short DUP in long-term Brain morphology: reduced density of the left limbic area |
(ii) More symptoms, lack of remission [27, 29, 31, 32] | Adolescence factors: smoking at age 14 years, poorer school performance at high school Illness-related factors: earlier age at onset, poor work adjustment at illness onset, single at illness onset, psychosocial stressor before illness onset, and more symptoms at first episode Temperament traits: lower reward dependence and persistence Brain morphology: decreased white matter volume |
(iii) Treatment resistance [33] | Higher birth length and weight |
|
Poor social outcomes |
(i) Poor occupational functioning (ii) Disability pension (iii) Low score on SOFAS [25, 29, 32, 34, 35] | Childhood and adolescence factors: lack of friends at childhood, poorer school performance at high school Illness-related factors: earlier age of illness onset, single at illness onset Temperament traits: lower persistence and higher harm avoidance Brain morphology: reduced density of the grey matter in left frontal lobe and left limbic area |
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