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Early Intervention in Psychiatry

Ariana Kular, Benjamin I Perry, Luke Brown, Ruchika Gajwani, Rubina Jasini, Zoebia Islam, Max Birchwood, Swaran P Singh
AIM: Mental health-related stigma is considered a significant barrier to help-seeking and accessing care in those experiencing mental illness. Long duration of untreated psychosis is associated with poorer outcomes. The impact of stigma on the duration of untreated psychosis, in first-episode psychosis remains unexplored. To examine the association between mental health-related stigma and access to care in people experiencing first-episode psychosis in Birmingham, UK. METHODS: We collected data on a prospective cohort of first-episode psychosis...
November 9, 2018: Early Intervention in Psychiatry
Heather B Ward, Michael T Lawson, Jean Addington, Carrie E Bearden, Kristin S Cadenhead, Tyrone D Cannon, Barbara A Cornblatt, Clark D Jeffries, Daniel H Mathalon, Thomas H McGlashan, Larry J Seidman, Ming T Tsuang, Elaine F Walker, Scott W Woods, Diana O Perkins
AIM: To evaluate the role of tobacco use in the development of psychosis in individuals at clinical high risk. METHOD: The North American Prodrome Longitudinal Study is a 2-year multi-site prospective case control study of persons at clinical high risk that aims to better understand predictors and mechanisms for the development of psychosis. The cohort consisted of 764 clinical high risk and 279 healthy comparison subjects. Clinical assessments included tobacco and substance use and several risk factors associated with smoking in general population studies...
October 25, 2018: Early Intervention in Psychiatry
Jit H Tan, Shazana Shahwan, Pratika Satghare, Laxman Cetty, Swapna Verma, Jagan R Sendren, Siow Ann Chong, Mythily Subramaniam
AIM: This study examines the prevalence and correlates of binge drinking and its association with expectancies of alcohol use, within a sample of patients with first-episode psychosis enrolled in the Early Psychosis Intervention Programme (EPIP) in Singapore's Institute of Mental Health. METHODS: A total of 280 patients from the EPIP were recruited for an on-going longitudinal study examining cigarette smoking and alcohol habits. Only baseline data were used, pertaining to socio-demographics, alcohol use, clinical symptomology, quality of life, and expectancies of alcohol use...
October 21, 2018: Early Intervention in Psychiatry
Kubra Goz, Vidyendaran Rudhran, Julie Blackburn, Miriam R Schäfer, Brian O'Donoghue
INTRODUCTION: The use of restrictive interventions is one of the most controversial practices in medicine. They are utilized in an inpatient setting to manage agitated or aggressive behaviour or to ensure that an individual receives the necessary treatments. However, restrictive interventions remove autonomy and adverse events can be associated with their practice. Youth-specific inpatient units (IPUs) are now being established and it is imperative that the use of restrictive interventions is reduced...
October 16, 2018: Early Intervention in Psychiatry
Arlene G MacDougall, Elizabeth Price, Matthew R J Vandermeer, Chantelle Lloyd, Richelle Bird, Rickinder Sethi, Aturan Shanmugalingam, Jason Carr, Kelly K Anderson, Ross M G Norman
AIM: To assess the feasibility of a randomized pilot trial that evaluated the acceptability and potential clinical utility of the Mindfulness Ambassador Program (MAP), a unique, standardized 12-session facilitated group mindfulness-based intervention (MBI) for youth experiencing early psychosis. METHODS: Twenty-one patients of an early psychosis intervention program were randomized to receive MAP (n = 11) or treatment as usual (n = 10). Acceptability was measured by group attendance rate and client satisfaction; feasibility of the study design was measured by the recruitment and retention rate...
October 15, 2018: Early Intervention in Psychiatry
Debra Rickwood, Marie Paraskakis, Diana Quin, Nathan Hobbs, Vikki Ryall, Jason Trethowan, Patrick McGorry
AIM: headspace is Australia's innovation in youth mental healthcare and comprises the largest national network of enhanced primary care, youth mental health centres world-wide. headspace centres aim to intervene early in the development of mental ill-health for young people aged 12 to 25 years by breaking down the barriers to service access experienced by adolescents and emerging adults and providing holistic healthcare. Centres have been progressively implemented over the past 12 years and are expected to apply a consistent model of integrated youth healthcare...
October 12, 2018: Early Intervention in Psychiatry
Jacqueline Mayoral-van Son, María Juncal-Ruiz, Víctor Ortiz-García de la Foz, David Cantarero-Prieto, Carla Blázquez-Fernández, María Paz-Zulueta, Paula Paras-Bravo, José L Ayuso-Mateos, Benedicto Crespo-Facorro
AIM: Early intervention psychiatric services for patients with psychosis aim to limit the most damaging outcomes and reduce the patient's risk of social drift, decreasing illness severity and thus containing healthcare costs. There is a scarcity of studies that focus on first-episode psychosis (FEP), and those few that have been published only looked at direct health costs, but not at indirect costs, which make up the bulk of the budget. Our study aims to explore the short-term (1-year follow-up) economic cost of a FEP Program, including both direct and indirect costs...
October 12, 2018: Early Intervention in Psychiatry
Eduardo Fonseca-Pedrero, Javier Ortuño-Sierra, José Muñiz, Julio Bobes
AIM: The main goal of the present study was to explore the latent structure of schizotypy as an indicator of psychosis liability, in a community-derived sample of adolescents. Links to mental health difficulties, prosocial behaviour, suicidal ideation, bipolar-like experiences and psychotic-like experiences (PLEs) (severity and distress) were compared across schizotypy latent profiles. METHOD: The present research included 1588 adolescents selected by a stratified random cluster sampling...
October 12, 2018: Early Intervention in Psychiatry
Emily Rosenich, Shane Gill, Patrick Clarke, Tom Paterson, Lisa Hahn, Cherrie Galletly
AIM: Depression is common in young people, and there is a need for safe, effective treatments. This study examined the efficacy of repetitive transcranial magnetic stimulation in a sample of young people aged 17 to 25 years. METHODS: This retrospective study included 15 people aged 17 to 25 years referred by their private psychiatrists affiliated with Ramsay Health Care, South Australia Mental Health Services. All patients met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for treatment-resistant Major Depressive Disorder...
October 10, 2018: Early Intervention in Psychiatry
Sarah V McIlwaine, Gerald Jordan, Marita Pruessner, Ashok Malla, Kia Faridi, Srividya N Iyer, Ridha Joober, Jai L Shah
AIMS: To explore the impact of a targeted case identification intervention, with training and education regarding first-episode psychosis and clinical high-risk syndromes, on the referral and identification of those at high risk. METHODS: Using a historical control design, referral information from pre-intervention and post-intervention periods was collected via administrative data and clinician notes from a catchment-based early psychosis service. RESULTS: A significant increase in the number of referrals sent to the service's clinical high-risk unit was observed following the intervention (P = 0...
October 10, 2018: Early Intervention in Psychiatry
Michaela C Pascoe, Alexandra G Parker
AIM: The aim of this narrative summary was to examine the efficacy of physical activity and exercise as a universal prevention for depression in young people. METHODS: We conducted a search of the literature in the open-access evidence database of controlled trials and systematic reviews in youth mental health, an initiative between Orygen, The National Centre of Excellence in Youth Mental Health and headspace, National Youth Mental Health Foundation. In April 2018, we searched for all papers published between 1980 and 2017 relating to "Depressive Disorder" under the "Universal Prevention" illness stage and classified as "Physical activity/Exercise" under the treatment/intervention classification...
October 10, 2018: Early Intervention in Psychiatry
Eva Burkhardt, Andrea Pfennig, Gwendolin Breitling, Steffi Pfeiffer, Cathrin Sauer, Andreas Bechdolf, Christoph U Correll, Michael Bauer, Karolina Leopold
AIM: The association between bipolar disorder and creativity may be related to symptoms of the disorder itself or personality traits present before the onset. To further explore the relationship between creativity and clinical risk for bipolar disorder, creativity among individuals with a history of depressive disorder and varying risk for future (hypo-)manic episodes was assessed and compared. METHODS: Thirty-eight participants completed the diagnostic process, including Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) Diagnosis, Hamilton Depression Scale and Young Mania Rating Scale...
October 10, 2018: Early Intervention in Psychiatry
Deena Ashoorian, Kristy-Lee Albrecht, Casey Baxter, Erin Giftakis, Rhonda Clifford, Jayden Greenwell-Barnden, Tricia Wylde
AIM: University students have high rates of mental health problems; however, most delay or fail to seek help altogether. Tertiary settings can offer educational and social programmes to increase mental health awareness and in turn increase the number of students seeking help for their problems. This study aimed to explore students' and staffs' knowledge of mental health issues, confidence to intervene and application of skills following Mental Health First Aid (MHFA) training. METHODS: Students and staff at an Australian university who had completed MHFA training in the previous 24 months were invited to complete a validated online questionnaire...
October 10, 2018: Early Intervention in Psychiatry
Vasilios P Bozikas, Aikaterini Dardagani, Eleni Parlapani, Evangelos Ntouros, Athanasios Lagoudis, Stella Tsotsi
AIM: The present study aimed at assessing whether impaired facial affect recognition (FAR) in patients with first-episode psychosis (FEP) would improve after a brief intervention targeting FAR specifically. METHODS: Thirty-five outpatients and 38 healthy controls were administered an intervention which involved training to recognize emotional information, conveyed by changes in facial features. Using a pre- and post-intervention design, two measurements of FAR were conducted using an experimental procedure with alternative sets of stimuli...
October 8, 2018: Early Intervention in Psychiatry
Yasutaka Ojio, Jerome C Foo, Satoshi Usami, Taruto Fuyama, Megumi Ashikawa, Kumiko Ohnuma, Norihito Oshima, Shuntaro Ando, Fumiharu Togo, Tsukasa Sasaki
AIM: A concise teacher-led program for mental health literacy (MHL), suitable for schools with tight schedules was developed, and its effects were examined in pre-teens. METHODS: Participants comprised 662 grade 5 to 6 students from nine Japanese elementary schools. The program consisted of a 45-minute session, delivered by school teachers using a 10-minute animated film. Program focuses included: mental health problems are common, can be associated with lifestyle and that seeking help from reliable adults is a key to finding solutions...
October 2, 2018: Early Intervention in Psychiatry
Suat Kucukgoncu, Urska Kosir, Elton Zhou, Erin Sullivan, Vinod H Srihari, Cenk Tek
AIM: To compare the differences of glucose metabolism outcomes between treatment-naïve, patients with first episode psychosis (FEP) and mood disorders. METHODS: We conducted a systematic review and meta-analysis of glucose intolerance in treatment-naïve, first episode patients with severe mental illnesses (SMIs). RESULTS: We identified 31 eligible studies. Compared to healthy controls, FEP group have higher insulin and insulin resistance levels, and both groups have higher glucose tolerance test results...
October 2, 2018: Early Intervention in Psychiatry
Predrag Duric, Sanja Harhaji, Fiona O'May, Larisa Boderscova, Jana Chihai, Ariel Como, Georgi L Hranov, Adriana Mihai, Eugjen Sotiri
AIM: To assess and compare general practitioners' (GPs') views of diagnosing and treating depression in five southeastern European countries. METHODS: A cross-sectional study was conducted in Albania, Bulgaria, Moldova, Romania, and Serbia. The sample included 467 GPs who completed a hard-copy self-administered questionnaire, consisting of self-assessment questions related to diagnosing and treating depression. RESULTS: The most common barriers to managing depression in general practice reported by GPs were: patients' unwillingness to discuss depressive symptoms (92...
October 2, 2018: Early Intervention in Psychiatry
David M Ndetei, Victoria Mutiso, Isaiah Gitonga, Emeka Agudile, Albert Tele, Lilian Birech, Christine Musyimi, Kwame McKenzie
AIM: Documented evidence shows that training in life skills for school going children improves their physical and mental health status. Although Kenya has a curriculum and a policy for life-skills training in schools, these have not been implemented because lack of local evidence for efficacy. Therefore, the objective of this study was to determine the efficacy and effectiveness of the life-skill training curriculum for primary schools developed by the Ministry of Education, Kenya. METHODS: We randomly selected 23 schools from two randomly selected sub-counties representing urban/peri-urban and rural contexts in Kenya...
October 2, 2018: Early Intervention in Psychiatry
Warwick Smith, Michael Sitas, Pradeep Rao, Craig Nicholls, Polly McCann, Tony Jonikis, Julian James, Stephen Cohen, Jason Ellis, Flavie Waters
BACKGROUND: Multiple services are often needed to address the needs of young people with complex emotional or behavioural needs. The Youth Wraparound model of service aims to provide all health and supportive services from one coordinating agency. While this has been researched overseas, there are currently few examples of this described in the Australian psychiatric context. AIM: To document the implementation and evaluation of a Youth Wraparound service which was provided to a young person with exceptionally complex and challenging needs for 6 months...
September 6, 2018: Early Intervention in Psychiatry
Tomoyuki Kawada
No abstract text is available yet for this article.
September 4, 2018: Early Intervention in Psychiatry
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