title: Psychological well-being and mental health recovery in the NIMH RAISE early treatment program.
abstract: Recovery-oriented practices that promote client-centered care, collaboration, and functional outcome have been recommended to improve treatment engagement, especially for individuals with serious mental illness (SMI). Psychological well-being (PWB) is related to recovery and refers to experiencing purpose and meaning in life through realizing one's potential. The recently completed Recovery After an Initial Schizophrenia Episode Early Treatment Program (RAISE ETP) study sought to improve quality of life, functional outcome, and well-being in individuals with first episode psychosis (FEP). Therefore, the primary aims of the present analysis were: 1) to examine the impact of treatment on PWB and mental health recovery trajectories, 2) to examine the impact of duration of untreated psychosis (DUP) on these outcomes, and 3) to examine the relationships among these outcomes and quality of life. Multilevel modeling was used given the nested data structure. Results revealed that PWB and mental health recovery improved over the course of the 2-year treatment; there were no significant treatment differences. In addition, DUP was associated with the Positive Relationships and Environmental Mastery dimensions of PWB. Finally, PWB, mental health recovery, and quality of life were all significantly correlated at baseline while controlling for depressive symptoms. Overall, the findings indicate that PWB and mental health recovery can improve in FEP, are related to yet distinct from quality of life, and that DUP may play a role in certain facets of these constructs.
authors.affiliation: Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Electronic address: jbrowne@unc.edu.
authors.forename: Julia
authors.initials: J
authors.lastname: Browne
authors.affiliation: Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Australian Catholic University, School of Psychology, Melbourne, VIC, Australia.
authors.forename: David L
authors.initials: DL
authors.lastname: Penn
authors.affiliation: Minnesota Center for Chemical and Mental Health, University of Minnesota School of Social Work, St. Paul, MN, USA.
authors.forename: Piper S
authors.initials: PS
authors.lastname: Meyer-Kalos
authors.affiliation: Center for Psychiatric Rehabilitation and Departments of Occupational Therapy, Psychology, & Psychiatry, Boston University, Boston, MA, USA.
authors.forename: Kim T
authors.initials: KT
authors.lastname: Mueser
authors.affiliation: Department of Social Medicine, University of North Carolina, Chapel Hill, NC, USA.
authors.forename: Sue E
authors.initials: SE
authors.lastname: Estroff
authors.affiliation: Geisel School of Medicine at Dartmouth, Lebanon, NH, USA; Bureau of Behavioral Health, DHHS, Concord, NH, USA.
authors.forename: Mary F
authors.initials: MF
authors.lastname: Brunette
authors.affiliation: The Zucker Hillside Hospital, Psychiatry Research, North Shore - Long Island Jewish Health System, Glen Oaks, NY, USA; Hofstra North Shore LIJ School of Medicine, Departments of Psychiatry and Molecular Medicine, Hempstead, NY, USA; The Feinstein Institute for Medical Research, Manhasset, NY, USA; Albert Einstein College of Medicine, Department of Psychiatry and Behavioral Sciences, Bronx, NY, USA.
authors.forename: Christoph U
authors.initials: CU
authors.lastname: Correll
authors.affiliation: Nathan Kline Institute, Orangeburg, NY, USA.
authors.forename: James
authors.initials: J
authors.lastname: Robinson
authors.affiliation: Yale Medical School, Department of Psychiatry, New Haven, CT, USA.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Rosenheck
authors.affiliation: The Zucker Hillside Hospital, Psychiatry Research, North Shore - Long Island Jewish Health System, Glen Oaks, NY, USA; SUNY Downstate Medical Center, Department of Psychiatry, Brooklyn, NY, USA.
authors.forename: Nina
authors.initials: N
authors.lastname: Schooler
authors.affiliation: The Zucker Hillside Hospital, Psychiatry Research, North Shore - Long Island Jewish Health System, Glen Oaks, NY, USA; Hofstra North Shore LIJ School of Medicine, Departments of Psychiatry and Molecular Medicine, Hempstead, NY, USA; The Feinstein Institute for Medical Research, Manhasset, NY, USA.
authors.forename: Delbert G
authors.initials: DG
authors.lastname: Robinson
authors.affiliation: Hotchkiss Brain Institute, Department of Psychiatry, University of Calgary, Calgary, Canada.
authors.forename: Jean
authors.initials: J
authors.lastname: Addington
authors.affiliation: The Zucker Hillside Hospital, Psychiatry Research, North Shore - Long Island Jewish Health System, Glen Oaks, NY, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Marcy
authors.affiliation: The Zucker Hillside Hospital, Psychiatry Research, North Shore - Long Island Jewish Health System, Glen Oaks, NY, USA; Hofstra North Shore LIJ School of Medicine, Departments of Psychiatry and Molecular Medicine, Hempstead, NY, USA; The Feinstein Institute for Medical Research, Manhasset, NY, USA; Albert Einstein College of Medicine, Department of Psychiatry and Behavioral Sciences, Bronx, NY, USA.
authors.forename: John M
authors.initials: JM
authors.lastname: Kane
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D018479:Early Intervention, Educational / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D000073038:Mental Health Recovery; D017063:Outcome Assessment, Health Care; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000523:psychology* / Q000628:therapy*; D011788:Quality of Life; D012189:Retrospective Studies; D012559:Schizophrenia / Q000175:diagnosis* / Q000628:therapy; D012565:Schizophrenic Psychology; D013997:Time Factors; D055815:Young Adult
keywords: Coordinated specialty care; First episode psychosis; Psychological well-being