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First Episode Psychosis (FEP)

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First Episode Psychosis (FEP)
INTRODUCTION

First episode psychosis (FEP) usually affects the adolescents and young adults, presenting with positive symptoms, negative and cognitive symptoms (O’Donoghue et al., 2015; Baldwin et al., 2005; Austin et al., 2015; Kenney et al., 2015). Along with these symptoms, these individuals also show difficulties in managing social and daily activities (Sullivan et al., 2013, 2014). Even though early identification and treatment with antipsychotic medication leads to the improvement in positive, negative and cognitive symptoms, improvement in the daily activities and social functioning are not readily evident (Schooler et al., 2005; Keefe et al., 2004; Malla et al., 2002; Robinson et al., 2004). Individuals with first episode psychosis
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When the FEP individuals face difficulties in managing their daily routine and engaging in meaningful community activities, this not only affect the individuals themselves but also the primary caregivers. This leads to physical, emotional and financial distress to the caregivers (Jansen et al., 2015; McCann et al., 2011; Patel et al., 2014). Hence, adequate assessment of social deficits at all stages of treatment and prompt management of the deficits in FEP is of utmost importance.

Few studies have explored the use of LPS in first episode psychosis to assess the social functioning (Aoyama et al., 2011; Malla et al., 2002; Poloni et al., 2013). Moreover, most of the studies done using LPS in schizophrenia were cross-sectional in design and have not evaluated the changes in LPS after treatment in a prospective design.

The aim of the current study was to assess the social functioning by using life skills profile scale in individuals with first episode psychosis at baseline and to compare the same after one-year follow-up.

MATERIALS AND METHODS
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The subjects were administered the following scale: Positive and Negative Syndrome Scale (PANSS) to assess the psychopathology and Global assessment of Functioning (GAF) to assess the functioning in daily activities.

Life Skills Profile (LSP) scale was used to measure the daily and social functioning in the individuals with FEP. This scale is subdivided into five subscales measuring various domains such as self-care, non-turbulence, social contact, communication and responsibility. Individual and total scores can be measured. Assessments were done within one month of entry into the study group for the baseline data and were repeated at the end of one year.

Statistical analysis

Statistical analysis was performed using SPSS version 16. Groups were compared by student t-test. The statistical significance was set at p<0.05 using a two-tailed

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