947 results match your criteria Early Intervention in Psychiatry [Journal]


Canadian response to need for transformation of youth mental health services: ACCESS Open Minds (Esprits ouverts).

Early Interv Psychiatry 2018 Dec 16. Epub 2018 Dec 16.

ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.

Aim: Youth mental health is of paramount significance to society globally. Given early onset of mental disorders and the inadequate access to appropriate services, a meaningful service transformation, based on globally recognized principles, is necessary. The aim of this paper is to describe a national Canadian project designed to achieve transformation of mental health services and to evaluate the impact of such transformation on individual and system related outcomes. Read More

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http://dx.doi.org/10.1111/eip.12772DOI Listing
December 2018

Early psychosis detection program in Chile: A first step for the South American challenge in psychosis research.

Early Interv Psychiatry 2018 Dec 11. Epub 2018 Dec 11.

Department of North Psychiatry, Faculty of Medicine, University of Chile, Santiago, Chile.

Aim: Early detection and intervention (EDI) is a main challenge in psychosis research. The Chilean schizophrenia (SZ) national program has universal support and treatment by law for all SZ patients, but this does not yet extend to earlier stages of illness. Therefore, we have piloted an ultra-high risk (UHR) program to demonstrate the utility and feasibility of this public health approach in Chile. Read More

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http://dx.doi.org/10.1111/eip.12766DOI Listing
December 2018

Key performance indicators and administrative data in an early psychosis service.

Early Interv Psychiatry 2018 Dec 11. Epub 2018 Dec 11.

Rehabilitation Academic Clinical Unit, Metro South Addiction and Mental Health Service, Queensland, Australia.

Aim: This study aimed to introduce a set of administrative key performance indicators (KPIs) for Early Psychosis Services.

Methods: The study design was longitudinal with data retrieved from a 4-year period between January 2009 and December 2013 included in the study. Descriptive statistics and t tests were used to evaluate the KPIs. Read More

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http://dx.doi.org/10.1111/eip.12759DOI Listing
December 2018

Peer-driven family support services in the context of first-episode psychosis: Participant perceptions from a Canadian early intervention programme.

Early Interv Psychiatry 2018 Dec 11. Epub 2018 Dec 11.

Douglas Mental Health University Institute, Montreal, Canada.

Aim: This paper aims to advance our understanding of the experience of participating in peer support groups for family members of persons with psychosis and to expand the scant body of literature on peer support in the context of early intervention services for psychosis. Such an examination is relevant because the implementation and uptake of family-focused interventions remain inconsistent in early intervention services, despite their proven benefits.

Methods: To enable family caregivers to support one another, a family peer support project was initiated at an early intervention service for psychosis in Montreal, Canada. Read More

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http://dx.doi.org/10.1111/eip.12771DOI Listing
December 2018

Simulated long-term outcomes of early use of long-acting injectable antipsychotics in early schizophrenia.

Early Interv Psychiatry 2018 Dec 9. Epub 2018 Dec 9.

RAND's Health Care Research Division, RAND Corporation, Boston, Massachusetts.

Aim: Duration of untreated psychosis in early schizophrenia impacts long-term outcomes. Because long-acting injectable (LAI) antipsychotic drugs improve adherence in early-stage patients, they could reduce additional time in uncontrolled psychosis (TUP) during the critical period of the illness. However, the long-term benefit of early LAI use over oral formulations has not been quantified. Read More

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http://dx.doi.org/10.1111/eip.12770DOI Listing
December 2018

Talking about trauma in therapy: Perspectives from young people with post-traumatic stress symptoms and first episode psychosis.

Early Interv Psychiatry 2018 Dec 9. Epub 2018 Dec 9.

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Victoria, Australia.

Aim: Despite recommendations from national guidelines, individuals with first episode psychosis (FEP) are currently unlikely to have the effects of their traumatic experiences assessed and treated within psychosis treatment. This may be due to the mismatch between the objectives of trauma-specific treatments (directly targeting post-traumatic stress symptoms by talking about the trauma) and trauma-informed care (limiting practices that may retraumatise clients). We aimed to gain an understanding of what it was like for young people to talk about trauma in FEP treatment, and how their experiences related to the broad conceptualisations of trauma-informed and trauma-specific treatment approaches. Read More

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http://dx.doi.org/10.1111/eip.12761DOI Listing
December 2018

Early clinical predictors of long-term morbidity in major depressive disorder.

Early Interv Psychiatry 2018 Dec 3. Epub 2018 Dec 3.

Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.

Aims: To identify early clinical factors predictive of later morbidity in major depressive disorder (MDD).

Methods: We analysed factors associated with long-term depressive morbidity (%-time ill) between a first-lifetime major depressive episode and last follow-up of 116 adults diagnosed with DSM-IV major depressive disorder. Bivariate comparisons were followed by multivariable linear regression modelling. Read More

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http://doi.wiley.com/10.1111/eip.12768
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http://dx.doi.org/10.1111/eip.12768DOI Listing
December 2018
4 Reads
1.740 Impact Factor

Can antipsychotic dose reduction lead to better functional recovery in first-episode psychosis? A randomized controlled-trial of antipsychotic dose reduction. The reduce trial: Study protocol.

Early Interv Psychiatry 2018 Nov 29. Epub 2018 Nov 29.

Orygen, the National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia.

Antipsychotic medication has been the mainstay of treatment for psychotic illnesses for over 60 years. This has been associated with improvements in positive psychotic symptoms and a reduction in relapse rates. However, there has been little improvement in functional outcomes for people with psychosis. Read More

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http://doi.wiley.com/10.1111/eip.12769
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http://dx.doi.org/10.1111/eip.12769DOI Listing
November 2018
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Do childhood psychotic experiences improve the prediction of adolescent psychopathology? A longitudinal population-based study.

Early Interv Psychiatry 2018 Nov 29. Epub 2018 Nov 29.

Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin 2, Ireland.

Aims: (a) To investigate the utility of childhood PE as a predictor of adolescent psychopathology while accounting for three known risk factors: childhood mental disorder; traumatic experiences and poor childhood functioning, and (b) to investigate the additive effects of including childhood PE in predictive clinical model of adolescent psychopathology.

Method: The study sample comprised of 86 Irish youths who completed two waves of the "Adolescent Brain Development" study (baseline age: 11.7 and follow-up age: 15. Read More

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http://dx.doi.org/10.1111/eip.12762DOI Listing
November 2018
1 Read

The perceived knowledge, skill and clinical practice of psychologists, naturopaths and fitness instructors when working with eating disorders.

Early Interv Psychiatry 2018 Nov 29. Epub 2018 Nov 29.

School of Psychology, The University of Queensland, Brisbane, Queensland, Australia.

Aims: When it comes to working with eating disorders (EDs), few studies have explored: the clinical practice; service provision barriers; and self-perceptions of knowledge/skill and the ability to detect EDs in practice against measured ability to do so, of common health providers including psychologists, naturopaths and fitness instructors.

Methods: Of the 115 participants, 90.4% were female with a mean age of 40. Read More

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http://doi.wiley.com/10.1111/eip.12764
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http://dx.doi.org/10.1111/eip.12764DOI Listing
November 2018
3 Reads

Factors that hindered care seeking among people with a first diagnosis of psychosis.

Early Interv Psychiatry 2018 Nov 28. Epub 2018 Nov 28.

Kaiser Permanente Northwest Center for Health Research, Portland, Oregon.

Aim: Evidence-based treatment can improve psychosis outcomes, but service providers need to understand and address the reasons people experiencing first episode psychosis avoid or delay care seeking. The goal of this study was to identify reasons care seeking might be postponed, from the points of view of patients, caregivers and health care professionals in a large health care delivery system, in the United States, without an early psychosis intervention program.

Methods: About 22 patients who had received an initial psychosis diagnosis and 10 of their caregivers were interviewed about their experiences and pathways to care. Read More

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http://dx.doi.org/10.1111/eip.12758DOI Listing
November 2018
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Psychiatrists' opinion towards medication discontinuation in remitted first-episode psychosis: A multi-site study of the Asian Network for Early Psychosis.

Early Interv Psychiatry 2018 Nov 28. Epub 2018 Nov 28.

Department of Psychiatry, Chonbuk National University Medical School, Jeonju, Korea.

Aim: The study investigated psychiatrists' views towards the issue of medication discontinuation for patients in remission from first-episode psychosis in four countries (Hong Kong, Korea, Singapore and Japan) that are part of the Asian Network for Early Psychosis, focusing on whether the views of these countries differ with one another.

Methods: A questionnaire was distributed to psychiatrists for completion. The questionnaire contained three sections: direct questions probing at views on medication discontinuation, case vignettes to assess applied decision-making and a checklist of criteria psychiatrists may view as necessary for the patient to satisfy before discontinuation. Read More

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http://dx.doi.org/10.1111/eip.12765DOI Listing
November 2018

Exploratory comparison of auditory verbal hallucinations and other psychotic symptoms among youth with borderline personality disorder or schizophrenia spectrum disorder.

Early Interv Psychiatry 2018 Nov 28. Epub 2018 Nov 28.

Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia.

Objective: This study explored phenomenological aspects of auditory verbal hallucinations (AVH) and other psychotic symptoms among youth with borderline personality disorder (BPD).

Methods: Sixty-eight outpatients, aged 15 to 25 years, were categorized into three groups according to their primary Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnosis and AVH symptom profile; BPD + AVH (n = 23), schizophrenia spectrum disorder (SZ) + AVH (n = 22) and BPD with no AVH (n = 23).

Results: No differences in AVH were found between BPD + AVH and SZ + AVH. Read More

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http://dx.doi.org/10.1111/eip.12763DOI Listing
November 2018
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Severe conduct problems in adolescence and risk of schizophrenia in early adulthood.

Early Interv Psychiatry 2018 Nov 28. Epub 2018 Nov 28.

National Institute for Health and Welfare, Mental Health Unit, Helsinki, Finland.

Aim: Reform school (RS) is a foster care institution for adolescents with severe conduct problems. Both instability of early rearing environment and severe conduct problems in adolescence may associate with later psychotic disorders. We studied whether the risk of schizophrenia in adulthood is elevated in RS adolescents, and whether it is related to the age at first foster care placement or placement instability. Read More

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http://dx.doi.org/10.1111/eip.12767DOI Listing
November 2018
4 Reads

Objective and subjective cognitive functioning in relation to psychopathology among women with early psychosis.

Early Interv Psychiatry 2018 Nov 28. Epub 2018 Nov 28.

School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong.

Background: Subjective cognitive impairment (SCI) among early psychosis is under-recognized and under-studied. However, SCI is as important as objective impairment to be understood, since it assesses cognitive difficulties in real-life situations from a personal perspective and is therefore an essence of individualized medicine. This study aims to explore the associations between the objective and subjective measures of cognitive impairments and to identify factors contributing to SCI among people with early psychosis. Read More

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http://dx.doi.org/10.1111/eip.12760DOI Listing
November 2018

Can youth at high risk of illness progression be identified by measures of rumination and sleep-wake disturbance.

Early Interv Psychiatry 2018 Nov 28. Epub 2018 Nov 28.

Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia.

Aim: Clinical staging models offer a useful framework for understanding illness trajectories, where individuals are located on a continuum of illness progression from stage 0 (at-risk but asymptomatic) to stage 4 (end-stage disease). Importantly, clinical staging allows investigation of risk factors for illness progression with the potential to target trans-diagnostic mechanisms at an early stage, especially in help-seeking youth who often present with sub-threshold syndromes. While depressive symptoms, rumination and sleep-wake disturbances may worsen syndrome outcomes, the role of these related phenomena has yet to be examined as risk factors for trans-diagnostic illness progression in at-risk youth. Read More

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http://dx.doi.org/10.1111/eip.12757DOI Listing
November 2018

Transdiagnostic school-based intervention for adolescents with early persistent psychiatric symptoms: An initial single-group effect study.

Early Interv Psychiatry 2018 Nov 26. Epub 2018 Nov 26.

Department of Child and Adolescent Psychiatry, VU Medical Centre, Amsterdam, the Netherlands.

Aim: Mental health intervention programs for adolescents generally focus on specific symptoms, such as anxiety or depression. Psychiatric symptoms in adolescence are often heterogeneous, transient and shift over time. These characteristics require a transdiagnostic approach with emphasis on positive psychological development. Read More

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http://doi.wiley.com/10.1111/eip.12755
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http://dx.doi.org/10.1111/eip.12755DOI Listing
November 2018
4 Reads

22q11 microdeletion syndrome and ultra-high risk for psychosis: The role of neurological soft signs as an independent marker of vulnerability for psychosis.

Early Interv Psychiatry 2018 Nov 26. Epub 2018 Nov 26.

Department of Systems Medicine, Unit of Child Neurology and Psychiatry, "Tor Vergata" University of Rome, Rome, Italy.

Aim: 22q11 microdeletion syndrome has an increased risk for psychosis, similar to subjects at ultra-high risk for psychosis. Neurological soft signs are considered an endophenotype of psychotic disorders and a marker of vulnerability to Schizophrenia, consisting of overflow movements, dysrhythmia and speed of timed activities. To date, there are no studies that have evaluated the presence of the neurological soft signs in subjects with 22q11 microdeletion syndrome and there are a few studies that have analysed this issue in subjects at ultra-high risk. Read More

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http://doi.wiley.com/10.1111/eip.12754
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http://dx.doi.org/10.1111/eip.12754DOI Listing
November 2018
7 Reads

Characterization of children and adolescents with psychosis risk syndrome: The Children and Adolescents Psychosis Risk Syndrome (CAPRIS) study.

Early Interv Psychiatry 2018 Nov 26. Epub 2018 Nov 26.

Department of Child and Adolescent Psychiatry and Psychology, Hospital Universitari of Barcelona. CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), (2014SGR489), Barcelona, Spain.

Aim: Despite the interest in psychosis risk syndrome (PRS) in children and adolescents, information on the syndrome in this population is scarce.

Methods: Prospective naturalistic multi-site study in which 10- to 17-year-old help-seeking subjects who met PRS criteria (positive or negative attenuated symptoms; brief limited intermittent psychotic symptoms; genetic risk or schizotypal personality disorder plus impairment in functioning) were included, along with 45 age and sex-matched healthy controls (HC). All subjects were clinically and functionally assessed. Read More

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http://dx.doi.org/10.1111/eip.12728DOI Listing
November 2018
2 Reads

Prevalence and clinicians' awareness of psychiatric comorbidities among first-episode schizophrenia.

Early Interv Psychiatry 2018 12 9;12(6):1128-1136. Epub 2017 Jun 9.

Department of Psychiatry, Kwai Chung Hospital, Hong Kong SAR, China.

Background: To explore the prevalence and clinicians' awareness of psychiatric comorbidities, and to identify factors associated with current psychiatric comorbidities in first-episode schizophrenia (FES) patients.

Method: In this cross-sectional study, 128 patients with FES, who were in symptomatic remission, were consecutively recruited from a local early intervention clinic. All patients were interviewed using the Chinese bilingual version of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Axis I Disorders, Positive and Negative Syndrome Scales, Scale to Assess Unawareness of Mental Disorder, Social and Occupational Functioning Assessment Scale, Simpson-Angus Scale, Barnes Akathisia Rating Scale and Abnormal Involuntary Movement Scale. Read More

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http://dx.doi.org/10.1111/eip.12426DOI Listing
December 2018
4 Reads

Stigma and access to care in first-episode psychosis.

Early Interv Psychiatry 2018 Nov 9. Epub 2018 Nov 9.

Department of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.

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. Read More

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http://doi.wiley.com/10.1111/eip.12756
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http://dx.doi.org/10.1111/eip.12756DOI Listing
November 2018
18 Reads

Tobacco use and psychosis risk in persons at clinical high risk.

Early Interv Psychiatry 2018 Oct 25. Epub 2018 Oct 25.

Department of Psychiatry, University of North Carolina, Chapel Hill, North Carolina.

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. Read More

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http://doi.wiley.com/10.1111/eip.12751
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http://dx.doi.org/10.1111/eip.12751DOI Listing
October 2018
8 Reads

Binge drinking: Prevalence, correlates, and expectancies of alcohol use among individuals with first-episode psychosis.

Early Interv Psychiatry 2018 Oct 21. Epub 2018 Oct 21.

Research Division, Institute of Mental Health, Singapore, Singapore.

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. Read More

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http://dx.doi.org/10.1111/eip.12744DOI Listing
October 2018

Prevalence and predictors of restrictive interventions in a youth-specific mental health inpatient unit.

Early Interv Psychiatry 2018 Oct 16. Epub 2018 Oct 16.

Orygen, the National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia.

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. Read More

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http://dx.doi.org/10.1111/eip.12739DOI Listing
October 2018

Youth-focused group mindfulness-based intervention in individuals with early psychosis: A randomized pilot feasibility study.

Early Interv Psychiatry 2018 Oct 15. Epub 2018 Oct 15.

Department of Psychiatry, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.

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. Read More

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http://dx.doi.org/10.1111/eip.12753DOI Listing
October 2018

Australia's innovation in youth mental health care: The headspace centre model.

Early Interv Psychiatry 2018 Oct 12. Epub 2018 Oct 12.

Orygen: The National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia.

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. Read More

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http://dx.doi.org/10.1111/eip.12740DOI Listing
October 2018
6 Reads

Understanding the direct and indirect costs of a first episode of psychosis program: Insights from PAFIP of Cantabria, Spain, during the first year of intervention.

Early Interv Psychiatry 2018 Oct 12. Epub 2018 Oct 12.

School of Medicine, University of Cantabria, Santander, Spain.

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. Read More

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http://doi.wiley.com/10.1111/eip.12752
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http://dx.doi.org/10.1111/eip.12752DOI Listing
October 2018
1 Read

Does rTMS reduce depressive symptoms in young people who have not responded to antidepressants?

Early Interv Psychiatry 2018 Oct 10. Epub 2018 Oct 10.

Discipline of Psychiatry, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia.

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. Read More

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http://doi.wiley.com/10.1111/eip.12743
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http://dx.doi.org/10.1111/eip.12743DOI Listing
October 2018
2 Reads

Does an integrated outreach intervention targeting multiple stages of early psychosis improve the identification of individuals at clinical high risk?

Early Interv Psychiatry 2018 Oct 10. Epub 2018 Oct 10.

Prevention and Early Intervention Program for Psychosis (PEPP-Montreal), Douglas Mental Health University Institute, Montreal, Quebec, Canada.

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. Read More

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http://doi.wiley.com/10.1111/eip.12750
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http://dx.doi.org/10.1111/eip.12750DOI Listing
October 2018
10 Reads

Physical activity and exercise as a universal depression prevention in young people: A narrative review.

Early Interv Psychiatry 2018 Oct 10. Epub 2018 Oct 10.

Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia.

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. Read More

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http://dx.doi.org/10.1111/eip.12737DOI Listing
October 2018

Creativity in persons at-risk for bipolar disorder-A pilot study.

Early Interv Psychiatry 2018 Oct 10. Epub 2018 Oct 10.

Department of Psychiatry and Psychotherapy, Universitätsklinikum Carl Gustav Carus, Medical Faculty, Technische Universität Dresden, Dresden, Germany.

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. Read More

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http://dx.doi.org/10.1111/eip.12748DOI Listing
October 2018
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Evaluation of Mental Health First Aid skills in an Australian university population.

Early Interv Psychiatry 2018 Oct 10. Epub 2018 Oct 10.

Health Promotion Unit, University of Western Australia, Perth, Western Australia, Australia.

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. Read More

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http://dx.doi.org/10.1111/eip.12742DOI Listing
October 2018

Improved facial affect recognition in patients with first-episode psychosis.

Early Interv Psychiatry 2018 Oct 8. Epub 2018 Oct 8.

Centre for Research in Child Development, National Institute of Education, Nanyang Technological University, Singapore, Singapore.

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. Read More

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http://dx.doi.org/10.1111/eip.12738DOI Listing
October 2018

Effects of a school teacher-led 45-minute educational program for mental health literacy in pre-teens.

Early Interv Psychiatry 2018 Oct 2. Epub 2018 Oct 2.

Department of Physical and Health Education, The University of Tokyo, Tokyo, Japan.

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. Read More

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http://doi.wiley.com/10.1111/eip.12746
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http://dx.doi.org/10.1111/eip.12746DOI Listing
October 2018
15 Reads

Glucose metabolism dysregulation at the onset of mental illness is not limited to first episode psychosis: A systematic review and meta-analysis.

Early Interv Psychiatry 2018 Oct 2. Epub 2018 Oct 2.

Yale University Department of Psychiatry, Connecticut Mental Health Hospital, New Haven, Connecticut.

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. Read More

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http://dx.doi.org/10.1111/eip.12749DOI Listing
October 2018
11 Reads

General practitioners' views towards diagnosing and treating depression in five southeastern European countries.

Early Interv Psychiatry 2018 Oct 2. Epub 2018 Oct 2.

Tirana University Hospital Centre, Tirana, Albania.

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. Read More

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http://dx.doi.org/10.1111/eip.12747DOI Listing
October 2018
3 Reads

World Health Organization life-skills training is efficacious in reducing youth self-report scores in primary school going children in Kenya.

Early Interv Psychiatry 2018 Oct 2. Epub 2018 Oct 2.

Department of Psychiatry, Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada.

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. Read More

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http://doi.wiley.com/10.1111/eip.12745
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http://dx.doi.org/10.1111/eip.12745DOI Listing
October 2018
7 Reads

Intensive community treatment and support "Youth Wraparound" service in Western Australia: A case and feasibility study.

Early Interv Psychiatry 2018 Sep 6. Epub 2018 Sep 6.

Youth Mental Health Program, North Metropolitan Health Service, Perth, Western Australia, Australia.

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. Read More

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http://dx.doi.org/10.1111/eip.12734DOI Listing
September 2018

Predictors of borderline personality disorder.

Authors:
Tomoyuki Kawada

Early Interv Psychiatry 2018 12 4;12(6):1250. Epub 2018 Sep 4.

Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan.

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http://dx.doi.org/10.1111/eip.12736DOI Listing
December 2018
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Prospective memory in individuals with first-episode schizophrenia: A two-year longitudinal study.

Early Interv Psychiatry 2018 Sep 3. Epub 2018 Sep 3.

Neuropsychology and Applied Cognitive Neuroscience Laboratory, CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, China.

Aim: The present study aimed to explore the two-year naturalistic trajectory of time- and event-based prospective memory (PM) in patients with first-episode schizophrenia.

Methods: We administered a computer-based dual-task PM paradigm to 57 individuals with first-episode schizophrenia at baseline and after 6 months, 12 months and 24 months. Forty-eight healthy controls were also recruited and completed all the measures at baseline. Read More

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http://dx.doi.org/10.1111/eip.12733DOI Listing
September 2018
4 Reads

Effects of antenatal depression screening and intervention among Chinese high-risk pregnant women with medically defined complications: A randomized controlled trial.

Early Interv Psychiatry 2018 Aug 30. Epub 2018 Aug 30.

Nursing Department, Fudan University affiliated Huashan Hospital, Shanghai, China.

Aim: High-risk pregnant women with antenatal depression are prone to postpartum depression. The purpose of this study was to evaluate the effectiveness of an antenatal depression screening and intervention among Chinese high-risk pregnant women with medically defined complications.

Methods: Using a randomized controlled trial design, we enrolled 352 pregnant women with obstetrical complications and an Edinburgh postnatal depression scale (EPDS) ≥9 or postpartum depression screen scale (PDSS) ≥60. Read More

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http://dx.doi.org/10.1111/eip.12731DOI Listing
August 2018
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The headspace Brief Interventions Clinic: Increasing timely access to effective treatments for young people with early signs of mental health problems.

Early Interv Psychiatry 2018 Aug 30. Epub 2018 Aug 30.

Victoria University, Institute for Health and Sport, Melbourne, Victoria, Australia.

Aim: Timely access to treatment in the early stages of mental illness is pivotal to recovery and prevention of longer-term disablement. Yet, this can be challenging at times of growing service demands. The headspace Brief Interventions Clinic (BIC) is an innovative treatment model aiming to promote quick access to evidence-based interventions for young people presenting with early signs of mental disorders. Read More

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http://dx.doi.org/10.1111/eip.12729DOI Listing
August 2018
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1.744 Impact Factor

Mental health service use decision-making among young adults at clinical high risk for developing psychosis.

Early Interv Psychiatry 2018 Aug 28. Epub 2018 Aug 28.

Silver School of Social Work, New York University, New York, New York.

Aim: Research has shown that young adults at clinical high risk (CHR) for developing psychosis have the capability to recognize that they have a problem and initiate mental health services, yet there is a paucity of theoretically based research examining this decision-making process. This is critical to study because there are high rates of underutilization of mental health services among these young people. The following study explored the decision-making process among young adults at CHR in order to understand mental health services utilization at a CHR clinic. Read More

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http://dx.doi.org/10.1111/eip.12725DOI Listing

Fixity of thinking and the foundations of identity: An argument for the evolutionary adaptiveness of delusions.

Early Interv Psychiatry 2018 Aug 24. Epub 2018 Aug 24.

Graduate School of Social Service, Fordham University, New York, New York.

Epidemiological evidence suggests that psychosis occurs along a continuum of severity in the general population. Although clinical psychotic symptoms are associated with distress and impairment, less is known about sub-threshold delusion-like experiences. The present paper conceptually explores the possibility that fixed ideas or mildly illogical thinking may be adaptive at low to moderate severity levels. Read More

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http://dx.doi.org/10.1111/eip.12732DOI Listing

Does future resource input reflect need in first-episode psychosis: Examining the association between individual characteristics and 5-year costs.

Early Interv Psychiatry 2018 Aug 22. Epub 2018 Aug 22.

Danish Centre for Health Economics (DaCHE), University of Southern Denmark, Odense, Denmark.

Aim: Coupling data on future resource consumption with baseline characteristics can provide vital information of future consumption patterns for newly diagnosed patients. This study tested whether higher need (as measured by severity of illness) and other baseline characteristics of newly diagnosed patients were associated with higher future service costs.

Method: Five hundred forty-seven patients between 18 and 45 years randomized to the OPUS trial was analysed in the study. Read More

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http://dx.doi.org/10.1111/eip.12727DOI Listing

Resilience as a multimodal dynamic process.

Early Interv Psychiatry 2018 Aug 20. Epub 2018 Aug 20.

Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, UK.

Aim: Resilience is rapidly gaining momentum in mental health literature. It provides a new understanding of the highly variable trajectories of mental illness, and has consistently been linked with improved mental health outcomes. The present review aims to clarify the definition of resilience and to discuss new directions for the field. Read More

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http://dx.doi.org/10.1111/eip.12726DOI Listing

Predictors of employment in young adults with psychiatric work disability.

Early Interv Psychiatry 2018 Aug 20. Epub 2018 Aug 20.

Finnish Institute of Occupational Health, Helsinki, Finland.

Aim: Mental disorders are the leading cause of work disability among young adults in the industrialized world. Factors predicting employment after long-term psychiatric work disability are largely unknown.

Methods: We linked personal and clinical information from the benefit applications and medical certificates of 1163 young adults (18-34 years) with a new-onset fixed-term psychiatric disability pension in 2008 with employment records between 2005 and 2013. Read More

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http://dx.doi.org/10.1111/eip.12730DOI Listing
August 2018
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Barriers and facilitators to "moving on" from early intervention in psychosis services.

Early Interv Psychiatry 2018 Jul 27. Epub 2018 Jul 27.

Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.

Aim: Transition from early intervention in psychosis services (EIPS) to ongoing care can be challenging for staff and service users. This study aims to explore staff views of the barriers and facilitators to transition from EIPS.

Methods: Eighteen EIPS staff were interviewed about their experiences of discharge processes and interviews were analysed thematically. Read More

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http://dx.doi.org/10.1111/eip.12708DOI Listing
July 2018
11 Reads