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Early Intervention in Psychiatry

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https://www.readbyqxmd.com/read/29770569/frontal-cortical-thickness-correlates-positively-with-impulsivity-in-early-psychosis-male-patients
#1
Philipp S Baumann, Paul Klauser, Alessandra Griffa, Philippe Golay, Julie Palix, Luis Alameda, Valérie Moulin, Patric Hagmann, Kim Q Do, Philippe Conus
AIM: Impulsive behaviours, which are frequent in young people suffering from psychosis have been linked to risky and violent behaviours and participate to the burden of psychotic illness. Given that morphological brain correlates of impulsivity in schizophrenia have been poorly investigated especially in young adults, the aim of this study was to investigate the relationship between impulsivity and cortical thickness in early psychosis (EP) patients. METHOD: A total of 17 male subjects in the early phase of psychosis were recruited...
May 17, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29749710/attenuated-psychotic-symptom-interventions-in-youth-at-risk-of-psychosis-a-systematic-review-and-meta-analysis
#2
REVIEW
Daniel J Devoe, Megan S Farris, Parker Townes, Jean Addington
AIM: Attenuated psychotic symptoms (APSs) have been the primary emphasis in youth at clinical high risk (CHR) for psychosis for assessing symptomology and determining subsequent transition to a psychotic disorder. Previous reviews primarily focused on the efficacy of cognitive behavioural therapy (CBT) on APS; however, a comprehensive assessment of other interventions to date is lacking. Therefore, we conducted a systematic review and meta-analysis of all intervention studies examining APS in CHR youth...
May 11, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29740953/recent-violence-and-legal-involvement-among-young-adults-with-early-psychosis-enrolled-in-coordinated-specialty-care
#3
Stephanie A Rolin, Leslie A Marino, Leah G Pope, Michael T Compton, Rufina J Lee, Barry Rosenfeld, Merrill Rotter, Ilana Nossel, Lisa Dixon
AIM: Individuals with serious mental illnesses have a small increased risk of engaging in violence or legal involvement compared to the general population. This seems to be particularly true for young adults experiencing early stages of psychosis. This study analysed the prevalence of and risk factors for reports of violence and legal involvement in a sample of young adults receiving Coordinated Specialty Care for early non-affective psychosis. METHODS: A total of 373 young adults (ages 16-30) within 2 years of the onset of non-affective psychosis were enrolled in 10 Coordinated Specialty Care sites in New York State from October 2013 to August 2016...
May 9, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29740952/help-seeking-beliefs-for-mental-disorders-among-medical-and-nursing-students
#4
Louisa Picco, Esmond Seow, Boon Yiang Chua, Rathi Mahendran, Swapna Verma, Huiting Xie, Jia Wang, Siow Ann Chong, Mythily Subramaniam
AIM: The current study aimed to investigate beliefs about help-seeking, treatment options and expected outcomes for people with alcohol abuse, dementia, depression, obsessive-compulsive disorder and schizophrenia, using a vignette-based approach, among a sample of nursing and medical students. METHODS: This was a cross-sectional online study among medical and nursing students (n = 1002) who were randomly assigned 1 of 5 vignettes. Questions were asked about whom could best help the person in the vignette, the likely helpfulness of a broad range of interventions, and the likely outcome for the person in the vignette with and without appropriate help...
May 9, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29726625/sharing-information-about-diagnosis-and-outcome-of-first-episode-psychosis-in-patients-presenting-to-early-intervention-services
#5
Saeed Farooq, Debra J Green, Swaran P Singh
AIM: First-episode psychosis (FEP) can be a serious and debilitating disease, but there is limited literature on how to inform patients and carers about its diagnosis and outcome. We aimed to examine the attitudes, practices and views of clinicians working in Early Intervention Service about sharing information on diagnosis and outcome of FEP. METHODS: A 26-item questionnaire was sent electronically to clinical staff who have been involved in the discussion of FEP diagnosis in Early Intervention Services in the West Midlands, UK...
May 4, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29726591/psychosis-screening-practices-in-schools-a-survey-of-school-based-mental-health-providers
#6
Emily R Kline, Cole Chokran, Janine Rodenhiser-Hill, Larry J Seidman, Kristen A Woodberry
AIM: Many school districts in the United States employ mental health professionals to provide assessment, counselling and crisis interventions within the school setting; however, little is known about actual clinical practices of psychosis screening in schools. The aim of the present study is to examine attitudes and practices regarding psychosis screening among school mental health providers in metropolitan Boston, Massachusetts. METHODS: School-based mental health clinicians (N = 100) completed an anonymous survey assessing familiarity, screening, and involvement with psychosis and psychosis risk prior to attending trainings on psychosis...
May 4, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29717820/mobile-intensive-care-unit-a-case-management-team-dedicated-to-early-psychosis-in-france
#7
Laurent Lecardeur, Sophie Meunier-Cussac, Sonia Dollfus
AIM: To present the activities of a Mobile Intensive Care Unit in France. METHODS: We summarize participant recruitment as well as the diagnostic procedures and therapeutic interventions offered to individuals with an at-risk mental state or first-episode psychosis (FEP). RESULTS: Since its inception in 2010, 266 individuals from 16 to 30 years old living in an area of 120 000 citizens have been recruited by the Mobile Intensive Care Unit...
May 2, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29708310/early-intervention-for-everyone-a-review-of-cross-cultural-issues-and-their-treatment-in-ultra-high-risk-uhr-cohorts
#8
REVIEW
Valentina Deriu, Marie Rose Moro, Laelia Benoit
AIM: Over the past 20 years, early management of psychosis has become both a research and policy priority. In Western countries, psychotic disorders appear more prevalent in migrant and minority ethnic groups than in native or dominant groups. Moreover, disparities exist in health conditions and access to care among immigrants and minority ethnic groups, compared with native-born and majority groups. Appropriate early detection tools are necessary for the different groups. METHODS: This systematic review provides a synthesis of the assessment and discussion of transcultural issues in ultra-high-risk (UHR) cohorts...
April 30, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29708308/externalizing-depression-symptoms-among-canadian-males-with-recent-suicidal-ideation-a-focus-on-young-men
#9
Simon M Rice, David Kealy, John L Oliffe, John S Ogrodniczuk
AIM: The primary aim was to quantify, relative to older men, young men's externalizing of depression symptoms and past-month suicidal ideation. METHODS: A non-probability national sample of 1000 Canadian men self-reported internalizing and externalizing symptoms of depression and past-month suicidal ideation. Stratification quotas reflected Canadian census data to age and region. RESULTS: Young men (18-25 years) were at markedly higher risk of past-month suicidal ideation than were older men...
April 30, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29707910/disagreement-between-service-users-and-clinicians-assessment-of-physical-health-during-early-psychosis
#10
Laoise Renwick, Jonathan Drennan, Ann Sheridan, John Lyne, Anthony Kinsella, Eadbhard O' Callaghan, Mary Clarke
AIMS: Physical illnesses account for the majority of excess deaths following psychosis; access to care and treatment is inequitable and schizophrenia has now been dubbed the life-shortening disease. We compared service-users and clinician's perspectives of their physical health assuming that one of the fundamental issues in prompting screening and treatment is the view that health is poor. METHODS: Data comprising sample characteristics, diagnosis, symptoms, insight, antecedents to psychosis and physical health perspectives were obtained prospectively as part of a larger epidemiological study of first-episode psychosis...
April 30, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29696795/the-approved-italian-version-of-the-comprehensive-assessment-of-at-risk-mental-states-caarms-ita-field-test-and-psychometric-features
#11
Lorenzo Pelizza, Federica Paterlini, Silvia Azzali, Sara Garlassi, Ilaria Scazza, Simona Pupo, Magenta Simmons, Barnaby Nelson, Andrea Raballo
AIM: The Comprehensive Assessment of At-Risk Mental States (CAARMS) was specifically developed to assess and detect young people at ultra-high risk (UHR) of developing psychosis. The current study was undertaken to test the reliability and validity of the authorized Italian version of the CAARMS (CAARMS-ITA) in a help-seeking population. METHODS: Psychometric properties of the CAARMS-ITA were established using a sample of 223 Italian adolescents and young adults aged between 13 and 35 years, who were divided into 3 groups according to the CAARMS criteria: UHR-negative individuals (UHR [-]; n = 64), UHR-positive (UHR [+]; n = 55) and individuals with a first-episode psychosis (FEP; n = 104)...
April 26, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29696781/duration-of-untreated-psychosis-and-clinical-outcomes-of-first-episode-psychosis-an-observational-and-an-instrumental-variables-analysis
#12
Sarah A Sullivan, Robert Carroll, Tim J Peters, Tim Amos, Peter B Jones, Max Marshall, Max Birchwood, David Fowler, Sonia Johnson, Helen L Fisher, Barnaby Major, Nikola Rahaman, John Joyce, Nick Chamberlain-Kent, Jo Lawrence, Paul Moran, Kate Tilling
AIM: Duration of untreated psychosis (DUP) is considered as a key prognostic variable in psychosis. Yet, it is unclear whether a longer DUP causes worse outcomes or whether reported associations have alternative explanations. METHODS: Data from 2 cohorts of patients with first episode psychosis were used (n = 2134). Measures of DUP were assessed at baseline and outcomes at 12 months. Regression models were used to investigate the associations between DUP and outcomes...
April 26, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29624917/essential-ingredients-of-engagement-when-working-alongside-people-after-their-first-episode-of-psychosis-a-qualitative-meta-synthesis
#13
REVIEW
Rachel M Tindall, Magenta B Simmons, Kelly Allott, Bridget E Hamilton
AIM: Early intervention services (EISs) for first-episode psychosis (FEP) have been established internationally, however, service disengagement is a recurrent concern resulting in unplanned treatment cessation. The implications of this are far-reaching due to the financial and personal costs associated with untreated symptoms. The aim of this meta-synthesis was to collect, interpret and synthesize qualitative research about how engagement is experienced within EISs for FEP. METHODS: A systematic search was conducted in PsycINFO, Ovid MEDLINE and Ovid Emcare from date of conception to November 2016...
April 6, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29603625/psychopathology-cognition-and-outcome-in-dutch-and-immigrant-first-episode-psychosis-patients
#14
Luyken H Stouten, Wim Veling, Winfried Laan, Mark Van der Gaag
AIM: The primary aim was to examine differences in baseline symptom expression, neurocognition, social cognition and psychosocial functioning between Dutch, first-generation immigrants and second-generation immigrants with a first-episode psychosis (FEP). The secondary aim was to examine functional and symptomatic change and between-group differences at 12-months follow-up. Associations between migration, baseline characteristics and outcome were explored. METHODS: Forty-six Dutch, 56 second-generation- and 60 first-generation immigrant patients completed baseline measures for 6 symptom dimensions (positive symptoms, negative symptoms, neurocognitive functioning, social cognitive functioning, excitement and emotional distress) and 5 domains of psychosocial functioning (general functioning, work and study, relationships, self-care and disturbing behaviour)...
March 30, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29602244/internalized-stigma-in-adults-with-early-phase-versus-prolonged-psychosis
#15
Ruth L Firmin, Paul H Lysaker, Lauren Luther, Philip T Yanos, Bethany Leonhardt, Alan Breier, Jenifer L Vohs
AIM: Although internalized stigma is associated with negative outcomes among those with prolonged psychosis, surprisingly little work has focused on when in the course of one's illness stigma is internalized and the impact of internalization on symptoms or social functioning over the course of the illness. Therefore, this study investigated whether (1) internalized stigma is greater among those later in the course of psychosis and (2) whether internalized stigma has a stronger negative relationship with social functioning or symptoms among those with prolonged compared to early phase psychosis...
March 30, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29582562/description-evaluation-and-scale-up-potential-of-a-model-for-rapid-access-to-early-intervention-for-psychosis
#16
Kathleen MacDonald, Ashok Malla, Ridha Joober, Jai L Shah, Karen Goldberg, Sherezad Abadi, Madeline Doyle, Srividya N Iyer
AIM: This paper aims to describe the entry protocol of the Prevention and Early Intervention for Psychosis Program (PEPP)-Montreal, an early intervention program for psychosis. The protocol is designed to fulfil a key objective of the early intervention movement-reducing delays to accessing high-quality care. The paper also aims to describe how this rapid entry protocol can be deployed in other services interested in reducing delays in initiating treatment. METHODS: PEPP provides rapid, easy access to quality care by placing a single, well-trained professional, the intake clinician, at the point of entry...
March 26, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29582556/implementing-the-access-and-waiting-time-standard-for-early-intervention-in-psychosis-in-the-united-kingdom-an-evaluation-of-referrals-and-post-assessment-outcomes-over-the-first-year-of-operation
#17
Vidyah Adamson, Emma Barrass, Stephen McConville, Chantelle Irikok, Kim Taylor, Steve Pitt, Rob Van Duyn, Susan Bennett, Lisa Jackson, Jon Carroll, Mark Andrews, Ann Parker, Caroline Wright, Katie Greathead, David Price
AIM: Improving timely access to evidence-based treatment for people aged 14-65 years experiencing a first episode psychosis (FEP) or an at-risk mental state (ARMS) for psychosis is a national priority within the United Kingdom. An early intervention in psychosis (EIP) access and waiting time standard has been set which has extended the age range and acceptance criteria for services. METHODS: This descriptive evaluation reports upon the referrals and access to treatment times within an EIP service over the first year of operating in line with the access and waiting time standard...
March 26, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29575804/clinical-and-functional-correlates-of-financially-deprived-women-with-first-episode-psychosis
#18
Christy L M Hui, Wai Tung Ko, Wing Chung Chang, Edwin H M Lee, Sherry K W Chan, Eric Y H Chen
BACKGROUND: Women, especially those with low-socio-economic status and financial deprivation, are found to be affected by mental illnesses disproportionately. We compared the clinical, functioning and cognitive characteristics between the financially deprived women with first-episode psychosis and their non-deprived women counterparts. METHOD: A cross-sectional analysis of consecutively recruited first-episode psychosis women patients was conducted. A total of 93 financially deprived women patients and 105 non-deprived women patients aged 25 to 55 years were compared in terms of demographic, premorbid and help-seeking characteristics, baseline clinical characteristics, baseline functioning and baseline cognitive functioning...
March 25, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29575746/experience-of-associative-stigma-in-parents-of-adolescents-at-risk-for-psychosis
#19
Julia Baron, Melina Salvador, Rachel Loewy
AIM: This qualitative study examined the lived experience of associative stigma for parents of adolescents at clinical high risk for psychosis. A central goal was to empower families to tell their stories and to use the themes that emerge from this narrative data to make recommendations that might support families coping with a loved one being diagnosed with risk for psychosis. METHODS: Twelve parents of adolescents diagnosed with the clinical high risk for psychosis syndrome were interviewed using a semi-structured approach...
March 25, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29575691/individual-factors-influencing-the-duration-of-untreated-psychosis
#20
Lama Souaiby, Claire Gauthier, Mathilde Kazes, Célia Mam-Lam-Fook, Claire Daban, Marion Plaze, Raphaël Gaillard, Marie-Odile Krebs
AIM: Duration of untreated psychosis (DUP), or the time between onset of psychosis and treatment initiation, is a prognostic factor of schizophrenia. However, few studies evaluated the relative influence of individual-related factors on this duration. The objective of this study was to evaluate the influence of socio-demographic, clinical and cannabis use on DUP. METHODS: This study was part of a large prospective study in help-seeking individuals referred to our specialized early detection / intervention clinic in the Service Hospitalo-Universitaire of Sainte-Anne Hospital in Paris (ICAAR study)...
March 25, 2018: Early Intervention in Psychiatry
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