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Early Intervention in Psychiatry

Jeffrey Olivet, Morgan Haselden, Sarah Piscitelli, Rachael Kenney, Alexander Shulman, Deborah Medoff, Lisa Dixon
AIM: Recent research on first episode psychosis (FEP) has demonstrated the effectiveness of coordinated specialty care (CSC) models to support young adults and their families, yet few tools exist to promote engagement in care. This study aimed to develop a prototype computer-based role-playing game (RPG) designed for young people who have experienced FEP, and conduct a pilot study to determine feasibility and test whether the game improves consumers' attitudes toward treatment and recovery...
March 15, 2018: Early Intervention in Psychiatry
Lorenzo Pelizza, Silvia Azzali, Federica Paterlini, Sara Garlassi, Ilaria Scazza, Luigi Rocco Chiri, Michele Poletti, Simona Pupo, Andrea Raballo
AIM: The 16-item Prodromal Questionnaire (PQ-16) is a versatile screen tool for routine screening of at-risk individuals. We wished to evaluate the psychometric properties of the Italian version of the PQ-16 (iPQ-16) in a sample of 72 help-seeking adolescents (age range 13-17 years) referred to child and adolescent neuropsychiatry services for diagnostic assessment. METHODS: Participants who completed iPQ-16 were subsequently interviewed with the Comprehensive Assessment of At-Risk Mental States (CAARMS) to confirm the psychosis high risk state...
March 14, 2018: Early Intervention in Psychiatry
Marianne Melau, Nikolai Albert, Merete Nordentoft
AIM: Specialized early intervention (SEI) treatment in meta-analysis has proven to be effective, compared to usual treatment, in treating first-episode psychosis, and the dissemination of SEI services is increasing. A prerequisite for upholding positive effects is to ensure fidelity to the treatment concept once tested. The aim of this study was to map programme fidelity of SEI teams in Denmark by testing a newly developed fidelity scale. METHODS: The 18-item SEI fidelity scale was assessed by visiting SEI teams in person...
March 12, 2018: Early Intervention in Psychiatry
Chunzhen Tan, Edimansyah Abdin, Wilfred Liang, Lye Yin Poon, Ngar Yee Poon, Swapna Verma
AIM: Early intervention programmes for first episode psychosis (FEP) aim to reduce the duration of untreated psychosis (DUP) and improve functional outcomes. The sustained maintenance of improved outcomes depends largely on patients' adherence to prescribed treatment. This paper examines the prevalence of non-adherence in a cohort of patients with FEP and the sociodemographic and clinical factors associated with non-adherent behaviour. METHODS: The sample included consecutive patients accepted from 2007 to 2012 into the Early Psychosis Intervention Programme (EPIP) in Singapore...
March 9, 2018: Early Intervention in Psychiatry
Steffie V Gundersen, Robert Goodman, Lars Clemmensen, Martin K Rimvall, Anja Munkholm, Charlotte Ulrikka Rask, Anne Mette Skovgaard, Jim Van Os, Pia Jeppesen
AIM: Valid instruments for the early identification of psychotic experiences (PE) and symptoms in youths are urgently needed for large-scale preventive interventions. A new section of The-Development-and-Well-Being Assessment (DAWBA) measuring child self-reported PE has yet to be validated. The current study aimed to investigate the concurrent validity of DAWBA-based self-reported PE (PE-S) with regard to interview-based measures of PE (PE-I). METHODS: Participants were 1571 (47...
March 8, 2018: Early Intervention in Psychiatry
Craigan Usher, Andie Thompson, Meridith Griebeler, Angela Senders, Celeste Seibel, Richard Ly, Charles Murchison, Kirsten Hagen, Keith-Allen Afong, Dennis Bourdette, Rachel Ross, Alena Borgatti, Lynne Shinto
AIM: The primary aim was to demonstrate adherence to a novel 6-week lifestyle intervention program ("Meals, Mindfulness, & Moving Forward" [M3 ]) designed to help improve lifestyle practices of youth with a history of at least 1 psychotic episode. METHODS: M3 used a non-equivalent control group design involving clients from a community early intervention program. Seventeen individuals in the active M3 program and 16 controls were assessed for secondary outcomes at baseline, 6-weeks, and 12-weeks (6 weeks post-intervention) on cardiometabolic and symptomatic outcomes...
March 7, 2018: Early Intervention in Psychiatry
Jack Cotter, Sandra Bucci, Richard J Drake, Alison R Yung, Rebekah Carney, Dawn Edge
AIM: Many young people at ultra-high risk (UHR) of developing psychosis exhibit marked and persistent impairments in social and occupational functioning. We aimed to explore UHR patients' subjective experiences of these difficulties and their causes. METHODS: We conducted semi-structured interviews with 20 UHR individuals recruited from Early Detection and Intervention Teams in Northwest England. Topics covered included how participants spent their time, their interpersonal relationships, academic and occupational performance, premorbid functioning and clinical treatment...
March 7, 2018: Early Intervention in Psychiatry
Shiraz Ahmed, Kate Zara Peters, Nandini Chakraborty
AIM: The present study aimed to determine the influence of demographic and clinical features on the likelihood of patients being discharge to primary vs secondary care. The overarching aim of this service evaluation is to assess factors affecting discharge and determine important modulators of discharge destination to inform care planning in services. METHOD: Clinical and demographic data were extracted from patient notes of those discharged from the Psychosis Intervention and Early Recovery (PIER) service in Leicestershire between January 2005 and December 2013...
March 7, 2018: Early Intervention in Psychiatry
Sarah Armstrong, Michael Wammes, Justin Arcaro, Amanda Hostland, Carolyn Summerhurst, Elizabeth Osuch
AIM: To compare young adults' expectations of psychiatric treatment to their actual experiences and identify myths and assumptions that youth might hold prior to receiving care. METHODS: We interviewed youth who engaged in at least 4 months of treatment at the First Episode Mood and Anxiety Program to theme saturation (N = 20). They were asked about their experience of treatment and the expectations they had prior to care. Transcribed interviews were analysed for themes...
March 7, 2018: Early Intervention in Psychiatry
Victoria N Mutiso, Christine W Musyimi, Abednego M Musau, Erick S Nandoya, Kwame Mckenzie, David M Ndetei
AIM: This paper aims at documenting the process of implementing "Kenya Integrated intervention model for Dialogue and Screening to promote children's mental wellbeing (KIDS)", with emphasis on activities, experiences, challenges and lessons learnt through the process that can inform improvement in Kenya and other social-economically and culturally similar settings. METHODS: KIDS aimed at providing early and integrated culturally acceptable intervention to promote child mental health in 6 to 13 year olds, targeting 5429 children in 24 schools...
February 21, 2018: Early Intervention in Psychiatry
Lindsay M Smith, Juliana Onwumere, Thomas Craig, Elizabeth Kuipers
AIM: Looking after someone in the early stages of psychosis can have a negative impact on caregivers, but there is little clarity about which interventions, if any, caregivers should be offered. This study investigated sleep disturbances in early psychosis caregivers and the relationship between their sleep quality and distress. METHOD: In all, 79 caregivers of patients with a recent first episode of psychosis completed self-report measures including the Pittsburgh Sleep Quality Index (PSQI), the RAND 36-item Health Survey 1...
February 8, 2018: Early Intervention in Psychiatry
Brian O'Donoghue
No abstract text is available yet for this article.
January 26, 2018: Early Intervention in Psychiatry
Natalia Jaworska, Allegra K Courtright, Elisea De Somma, Glenda M MacQueen, Frank P MacMaster
AIM: Major depressive disorder (MDD) onset generally occurs in adolescence/early adulthood. However, pharmacotherapy use in younger populations is restricted due to black box warnings. Aerobic exercise may be a viable treatment option for mild-to-moderate MDD, but little is known about its acceptability/effectiveness in young adults. METHODS: Unmedicated and relatively inactive 18-to-24 olds with MDD completed fitness/clinical assessments at baseline and after 12 weeks of supervised aerobic exercise (3×/wk; 30-minute sessions in target heart rate [HR] zone), with the aim of increasing cardiovascular fitness (VO2max -indexed)...
January 26, 2018: Early Intervention in Psychiatry
Kazunori Matsumoto, Noriyuki Ohmuro, Naohisa Tsujino, Shimako Nishiyama, Koichi Abe, Yumiko Hamaie, Masahiro Katsura, Naomi Inoue, Hiroo Matsuoka, Yasuhiro Kawasaki, Toshifumi Kishimoto, Michio Suzuki, Masafumi Mizuno
AIM: To date, most cognitive behavioural therapy (CBT) trials for individuals with at-risk metal state (ARMS) have been conducted in few Western countries and its feasibility in other regions, including Japan, has not been established. METHODS: We designed an open-label pilot study. Fourteen ARMS participants received CBT over 6 months and were followed-up for 6 months. RESULTS: Thirteen individuals completed the CBT intervention and assessments...
January 22, 2018: Early Intervention in Psychiatry
Oladunni Oluwoye, Maria Monroe-DeVita, Ekaterina Burduli, Lydia Chwastiak, Sterling McPherson, Jon M McClellan, Michael G McDonell
AIM: The primary aim of this study was to examine the effect of recent tobacco, alcohol and cannabis use on treatment outcomes among participants experiencing first episode psychosis (FEP). METHODS: Secondary data analyses were conducted on 404 participants enrolled in the Recovery After an Initial Schizophrenia Episode-Early Treatment Program (RAISE-ETP) study. RAISE-ETP investigated the effectiveness of a coordinated specialty care (CSC) intervention for FEP in community mental health agencies in the United States...
January 22, 2018: Early Intervention in Psychiatry
Kana Takahashi, Koki Takada, Kazuki Hirao
AIM: We developed a motion picture-reproducing smartphone application (app) designed to improve self-confidence in individuals with subthreshold depression (StD) and examined the feasibility and preliminary efficacy of an app intervention for individuals with StD. METHODS: We conducted an open-label, single-arm pre-post study of 22 young adults with StD. Our intervention involved app usage for at least 70 min/wk for 5 weeks. The primary outcome measure was the adherence rate...
January 22, 2018: Early Intervention in Psychiatry
Martin Brüne, Kim-Alisha Drommelschmidt, Seza Krüger-Özgürdal, Georg Juckel
AIMS: Improving diagnostic batteries to identify individuals at-risk for developing psychotic disorders as early as possible is an ongoing challenge in schizophrenia research. Here, we sought to explore whether metacognition in at-risk of developing psychosis would differ from that of first episode psychosis and unaffected controls and whether dysfunctional metacognitive beliefs would be associated with psychosocial functioning in the clinical groups. METHODS: Twenty-three subjects at-risk of psychosis were compared with a group of 15 first psychotic episode patients and 21 healthy controls with regard to their metacognitive beliefs and psychosocial functioning...
January 4, 2018: Early Intervention in Psychiatry
Amy E Lansing, Wendy Y Plante, Christine Fennema-Notestine, Shahrokh Golshan, Audrey N Beck
AIM: Psychotic-spectrum symptoms are linked to trauma, substance/alcohol use (SAU), criminality/violence and poor functional outcomes, supporting the need for early detection in vulnerable populations. To better understand high-risk girls' mental health, we assessed: (1) psychotic-spectrum symptoms; (2) cumulative trauma, adversity and loss exposures (C-TALE) and adversity-indicators (symptoms, maladaptive coping, stressor-reactivity); and SAU risk-factors; and (3) relationships among psychotic-spectrum symptoms, adversity-indicators and SAU risk-factors...
December 28, 2017: Early Intervention in Psychiatry
Barnaby Nelson, Jessica A Hartmann
No abstract text is available yet for this article.
December 26, 2017: Early Intervention in Psychiatry
Julia Sevilla-Llewellyn-Jones, Pablo Cano-Domínguez, Antonia de-Luis-Matilla, Alberto Espina-Eizaguirre, Berta Moreno-Kustner, Susana Ochoa
AIM: There is lack of research on the study of clinical personality traits in recent onset of psychosis (ROP) patients. The aims of this research were to study the relations among psychosocial, personality and clinical characteristics in ROP patients and also the effect that significant variables had on the different domains of Quality of Life (QoL). METHODS: Data for these analyses were obtained from 81 ROP patients. The Millon Clinical Multiaxial Inventory, the Positive and Negative Syndrome Scale and the World Health Organization Quality of Life Brief Scale were used to assess personality, symptoms and QoL...
December 26, 2017: Early Intervention in Psychiatry
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