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Early Intervention in Psychiatry

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https://www.readbyqxmd.com/read/28627097/stability-of-outcomes-after-5-years-of-treatment-in-an-early-intervention-programme
#1
Ross M G Norman, Kelly K Anderson, Arlene MacDougall, Rahul Manchanda, Raj Harricharan, Priya Subramanian, Julie Richard, Sandra Northcott
AIM: It has been hypothesized that the first 5 years are critical in determining long-term recovery from psychotic disorders. We examine stability in recovery indices after 5 years for 56 patients treated in an early intervention programme for psychosis. METHODS: Assessments of symptom remission and functional recovery were carried out 5 and 10 years after initiation of treatment. RESULTS: Although overall rates of recovery were comparable at both times, there were significant changes for individuals reflecting both improvement and deterioration...
June 19, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28613411/outcome-in-patients-converting-to-psychosis-following-a-treated-clinical-high-risk-state
#2
Ashok Malla, Marianne de Bonneville, Jai Shah, Gerald Jordan, Marita Pruessner, Kia Faridi, Mark Rabinovitch, Srividya N Iyer, Ridha Joober
AIM: We explored 2-year outcomes in a sample of clinical high risk (CHR) patients who converted to psychosis despite receiving interventions. METHODS: Of 167 CHR patients, 18 had converted to psychosis and received treatment for their first episode of psychosis in an early intervention service over 2 years. RESULTS: Compared to patients admitted directly to the same early intervention service without having been identified as CHR prior to onset of psychosis, CHR converters were in remission for fewer months (M = 5 vs M = 10); were more likely to be prescribed more than 1 antipsychotic medication (90% vs 68%) and to receive clozapine treatment (38% vs 2%) over 2 years...
June 14, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28613407/school-mental-healthcare-services-using-internet-based-cognitive-behaviour-therapy-for-young-male-athletes-in-japan
#3
Ryo Sekizaki, Takahiro Nemoto, Naohisa Tsujino, Chieko Takano, Chie Yoshida, Taiju Yamaguchi, Naoyuki Katagiri, Yutaka Ono, Masafumi Mizuno
AIM: Preventive intervention and treatment using internet-based cognitive behaviour therapy (iCBT) can be easily administered to school students, as they are quite familiar with internet tools. This study aims to investigate the effectiveness and contribution of iCBT to mental healthcare in a school setting. METHODS: Eighty Japanese high school boys who were participating in a sports specialist course were enrolled in this study. The participants were randomly assigned to either the iCBT intervention group or the control group...
June 14, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28612984/understanding-the-relationship-between-duration-of-untreated-psychosis-and-outcomes-a-statistical-perspective
#4
Ailish Hannigan, Norma Bargary, Anthony Kinsella, Mary Clarke
AIM: Although the relationships between duration of untreated psychosis (DUP) and outcomes are often assumed to be linear, few studies have explored the functional form of these relationships. The aim of this study is to demonstrate the potential of recent advances in curve fitting approaches (splines) to explore the form of the relationship between DUP and global assessment of functioning (GAF). METHODS: Curve fitting approaches were used in models to predict change in GAF at long-term follow-up using DUP for a sample of 83 individuals with schizophrenia...
June 14, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28612979/research-and-practice-for-ultra-high-risk-for-psychosis-a-national-survey-of-early-intervention-in-psychosis-services-in-england
#5
Helen J Stain, Lauren Mawn, Stephanie Common, Marie Pilton, Andrew Thompson
BACKGROUND: Evidence from meta-analyses of randomized clinical trials show interventions for young people at ultra-high risk (UHR) of developing psychosis are effective both clinically and economically. While research evidence has begun to be integrated into clinical guidelines, there is a lack of research on the implementation of these guidelines. This paper examines service provision for UHR individuals in accordance with current clinical guidelines within the National Health Service (NHS) in England...
June 14, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28597553/attenuated-positive-psychotic-symptoms-and-the-experience-of-anhedonia
#6
Shanna Cooper, Ann M Kring, Lauren M Ellman
BACKGROUND: Deficits in anticipatory pleasure have been consistently shown among chronic, first-episode, and clinical high risk for psychosis populations, but much less attention has been given to non-clinical individuals experiencing attenuated positive psychotic symptoms (APPS). METHODS: Young adults (N = 1839) were administered the Temporal Experience of Pleasure Scale, which measures anticipatory and consummatory pleasure, and the Prodromal Questionnaire, which measures APPS...
June 9, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28560723/impact-of-distress-related-to-attenuated-psychotic-symptoms-in-individuals-at-ultra-high-risk-of-psychosis-findings-from-the-longitudinal-youth-at-risk-study
#7
Gurpreet Rekhi, Attilio Rapisarda, Jimmy Lee
AIM: Recent studies have highlighted that attenuated psychotic symptoms (APS) are an important source of distress in ultra high risk (UHR) individuals and that this distress is related to transition to psychosis (TTP). This study examined distress associated with APS in UHR individuals and investigated its association with TTP. METHODS: The Comprehensive Assessment of At-Risk Mental State (CAARMS) was used to identify 173 UHR individuals, who were included as participants in the study...
May 31, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28560861/what-impact-does-trauma-have-on-the-at-risk-mental-state-a-systematic-literature-review
#8
REVIEW
Benjamin Brew, Michael Doris, Ciaran Shannon, Ciaran Mulholland
Identification of individuals with an at-risk mental state (ARMS) who are at a heightened risk of developing psychosis allows researchers and clinicians to identify what factors are associated with poorer outcomes and transitions to psychosis. A number of socioenvironmental factors are linked to an increase risk of developing psychosis, of which childhood trauma is widely acknowledged. The current review aims to examine what impact trauma has on the ARMS by reviewing reported relationships between trauma variables and transition to psychosis, ARMS severity, adaptive functioning and comorbid symptomology from both cross sectional and prospective design studies...
May 30, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28560857/interpersonal-sensitivity-bullying-victimization-and-paranoid-ideation-among-help-seeking-adolescents-and-young-adults
#9
Alice Masillo, Lucia R Valmaggia, Riccardo Saba, Martina Brandizzi, Nella Lo Cascio, Ludovica Telesforo, Paola Venturini, Aniello Izzo, M Teresa Mattioli, Marco D'Alema, Paolo Girardi, Paolo Fiori Nastro
AIM: The effects of a negative interpersonal experience, such as bullying victimization in childhood and adolescence, can be strong and long lasting. Bullying victimization is associated with paranoid ideation and suspiciousness. Few studies have focused on personality traits of victims of bullying. The aim of this study is to investigate whether a particular personality trait called interpersonal sensitivity may be related to suspiciousness in those who experienced bullying victimization...
May 30, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28524644/comparing-predictors-of-part-time-and-no-vocational-engagement-in-youth-primary-mental-health-services-a-brief-report
#10
Alice J Cairns, David J Kavanagh, Frances Dark, Steven M McPhail
AIM: This investigation aims to identify if correlates of not working or studying were also correlated with part-time vocational participation. METHODS: Demographic and vocational engagement information was collected from 226 participant clinical charts aged 15 to 25 years accessing a primary youth health clinic. Multinomial logistic regressions were used to examine potential correlates no and part-time vocational engagement compared to those full-time. RESULTS: A total of 33% were not working or studying and 19% were part-time...
May 19, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28524542/negative-schemata-about-the-self-and-others-and-paranoid-ideation-in-at-risk-states-and-those-with-persisting-positive-symptoms
#11
Hendrik Müller, Walter de Millas, Wolfgang Gaebel, Jutta Herrlich, Alkomiet Hasan, Birgit Janssen, Georg Juckel, Anne Karow, Tilo Kircher, Stefanie Kiszkenow-Bäker, Stefan Klingberg, Joachim Klosterkötter, Seza Krüger-Özgürdal, Martin Lambert, Marion Lautenschlager, Wolfgang Maier, Tanja Maria Michel, Stefanie Mehl, Bernhard W Müller, Verena Pützfeld, Franziska Rausch, Michael Riedel, Gudrun Sartory, Frank Schneider, Michael Wagner, Georg Wiedemann, Andreas Wittorf, Thomas Wobrock, Wolfgang Wölwer, Mathias Zink, Andreas Bechdolf
BACKGROUND: The objective of this study is to test the conflicting theories concerning the association of negative self and other schemata and paranoid ideation. METHODS: A risk-based approach, including risk stratification, is used to gain insight into the association of the negative self and other schemata that may be shared by individuals or differentiate between individuals at clinical high risk (CHR) for a first-episode psychosis and those with full-blown psychosis...
May 19, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28524541/-worried-about-relapse-family-members-experiences-and-perspectives-of-relapse-in-first-episode-psychosis
#12
Shalini Lal, Ashok Malla, Gina Marandola, Joanie Thériault, Phil Tibbo, Rahul Manchanda, Richard Williams, Ridha Joober, Nicola Banks
BACKGROUND: The purpose of this study was to gain an in-depth understanding on the subject of relapse from the perspectives of family members of young people receiving services for a first-episode psychosis (FEP). METHODS: A qualitative descriptive approach, using focus group methods, was used to elicit experiences, understandings, and knowledge of relapse in FEP. Family members were recruited from 4 specialized early intervention programmes for psychosis in Canada...
May 19, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28523839/algorithm-based-pharmacotherapy-for-first-episode-schizophrenia-involuntarily-hospitalized-a-retrospective-analysis-of-real-world-practice
#13
Bunta Yoshimura, Kojiro Sato, Manabu Takaki, Norihito Yamada
BACKGROUND: Little is known about the clinical outcomes of severely ill patients with first-episode schizophrenia spectrum disorders (FES) who are considered to lack the capacity to consent to clinical trials. We investigated the feasibility of an algorithm-based pharmacotherapy (ABP) and clinical outcomes of patients with FES involuntarily hospitalized and treated with ABP. METHODS: We conducted a retrospective chart review of 160 patients admitted involuntarily between October 2012 and October 2015...
May 19, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28517041/modifying-illness-beliefs-in-recent-onset-psychosis-carers-evaluating-the-impact-of-a-cognitively-focused-brief-group-intervention-in-a-routine-service
#14
Juliana Onwumere, Naomi Glover, Sarah Whittaker, Shireen Rahim, Lai Chu Man, Gareth James, Sanna Khan, Roya Afsharzadegan, Saal Seneviratne, Raythe Harvey, Anna Georgiades, David Raune
AIMS: At first-episode psychosis (FEP), many patients will be routed within familial networks and supported by informal carers who are predominately close family members such as parents. Carer burden, distress and poorer coping styles are associated with different illness beliefs. The current study sought to examine the impact and acceptability of a 3 session, cognitively informed, group intervention targeting illness beliefs previously linked to distress and poorer caregiving experiences in FEP carers...
May 18, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28516734/does-co-occurring-borderline-personality-disorder-influence-acute-phase-treatment-for-first-episode-psychosis
#15
Shona M Francey, Martina Jovev, Christina Phassouliotis, Sue M Cotton, Andrew M Chanen
BACKGROUND: This aims of this study were: (1) to determine the prevalence of co-occurring borderline personality disorder (BPD) in a first-episode psychosis (FEP) sample; (2) to determine differences between patients with and without BPD on demographics, comorbidities and clinical risks and other variables; and (3) to examine whether BPD comorbidity influenced treatment received by patients for FEP during their first 3 months after service entry to a specialist early psychosis service...
May 18, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28516480/development-and-feasibility-of-smartphone-application-for-cognitive-behavioural-case-management-of-individuals-with-early-psychosis
#16
Sung-Wan Kim, Ga-Young Lee, Hye-Young Yu, Eun-I Jung, Ju-Yeon Lee, Seon-Young Kim, Jae-Min Kim, Il-Seon Shin, Jin-Sang Yoon
BACKGROUND: This article describes the development of the smartphone application for cognitive-behavioural case management of young individuals with early psychosis and examines the acceptance and potential clinical benefits of this application through a pilot survey. METHODS: Gwangju Bukgu-Community Mental Health Center developed and launched a smartphone application (Heal Your Mind [HYM]) for cognitive-behavioural case management and symptom monitoring. The HYM application for clients includes 6 main modules including thought record, symptom record, daily life record, official notices, communication and scales...
May 18, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28516465/makingthelink-a-school-based-intervention-to-improve-help-seeking-for-substance-use-problems
#17
Dan I Lubman, Ali Cheetham, Bonita J Berridge, Lisa McKay-Brown
BACKGROUND: Many young people are reluctant to seek professional help for alcohol and other substance use problems, preferring to rely on family and friends. MAKINGtheLINK is a school-based intervention that teaches adolescents how to help their peers overcome barriers to engaging with professional help. The current study examined the effect of the MAKINGtheLINK programme in a sample of 12- to 15-year-old students. METHODS: Participants included 247 Grade 8 students (49% male, 51% female) recruited from 3 schools in Victoria, Australia...
May 18, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28509391/common-mental-disorder-including-psychotic-experiences-trailblazing-a-new-recovery-pathway-within-the-improving-access-to-psychological-therapies-programme-in-england
#18
Jesus Perez, Debra A Russo, Jan Stochl, James Clarke, Zoe Martin, Christina Jassi, Paul French, David Fowler, Peter B Jones
Psychotic experiences, depressive and anxiety symptoms may be manifestations of a latent continuum of common mental distress. The Improving Access to Psychological Therapies (IAPT) programme has increased the reach of psychological treatments to people with common mental disorders in England. However, psychotic experiences are neither measured nor considered in therapy. We aimed to confirm the presence of psychotic experiences among IAPT service-users and determine whether these experiences are associated with higher depression/anxiety levels and poorer recovery...
May 16, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28509390/pilot-study-of-client-outcomes-from-exercise-physiology-in-a-youth-mental-health-service
#19
Gina Woodhead, Danielle Hitch, Kate Bolton, Dianne Albiston, Eoin Killackey
The aim of this pilot study was to evaluate the utilisation and experience of an exercise physiology programme, known as Bod Squad at a youth mental health service. Individual sessions were offered in an outpatient setting, while both group and individual sessions occurred in an inpatient unit. This pilot study used a mixed methodology to collect data from young people who attended Bod Squad. A database of exercise physiology records for 47 young people were analysed for attendance and physiological indicators...
May 16, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28488387/open-access-evidence-database-of-controlled-trials-and-systematic-reviews-in-youth-mental-health
#20
Stefanie De Silva, Alan P Bailey, Alexandra G Parker, Alice E Montague, Sarah E Hetrick
AIM: To present an update to an evidence-mapping project that consolidates the evidence base of interventions in youth mental health. To promote dissemination of this resource, the evidence map has been translated into a free online database (https://orygen.org.au/Campus/Expert-Network/Evidence-Finder or https://headspace.org.au/research-database/). Included studies are extensively indexed to facilitate searching. METHODS: A systematic search for prevention and treatment studies in young people (mean age 6-25 years) is conducted annually using Embase, MEDLINE, PsycINFO and the Cochrane Library...
May 10, 2017: Early Intervention in Psychiatry
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