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


Legislation targeting head shops selling new psychoactive substances and changes in drug-related psychiatric admissions: A national database study.

Early Interv Psychiatry 2019 Apr 4. Epub 2019 Apr 4.

School of Medicine, University College Dublin, Ireland.

Aim: New psychoactive substance (NPS) use can negatively impact mental health and may result in drug-related psychiatric admissions (DRPA). Irish youth reported very high rates of NPS use by international standards, the most common being synthetic cannabinoids and cathinones. This occurred in the context of a rapid expansion in specialist high street shops, called head shops, selling NPS in 2010. Read More

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http://dx.doi.org/10.1111/eip.12807DOI Listing

Structured activity and multiple group memberships as mechanisms of increased depression amongst young people not in employment, education or training.

Early Interv Psychiatry 2019 Mar 29. Epub 2019 Mar 29.

School of Psychology, University of Sussex, Brighton, UK.

Aims: Young people Not in Employment, Education and Training (NEET) are at increased risk of depression, yet mechanisms of this association are poorly understood. We hypothesised that being NEET has both behavioural and social identity consequences and that reductions in structured activity and multiple group memberships underlie increased depression in this group. Our purpose was to assess first whether depression was greater for NEET compared to non-NEET young people from the same geographical locality, and secondly, whether a loss of structured activity leading to a reduction in multiple group memberships explains the NEET-depression association. Read More

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http://dx.doi.org/10.1111/eip.12798DOI Listing

Designing easy access to care for first-episode psychosis in complex organizations.

Early Interv Psychiatry 2019 Mar 27. Epub 2019 Mar 27.

Institute of Clinical Medicine, KG Jebsen Centre for Psychosis Research and Norwegian Centre for Mental Disorders Research, Faculty of Medicine, University of Oslo, Oslo, Norway.

Aims: Developing early intervention services (EIS) in healthcare organizations (HCOs) is difficult because it is necessary to integrate service approaches across units. To accommodate the needs of patients and relatives, Oslo University Hospital (OUH) chose to use service design (SD) to redesign their first-episode services with an emphasis on easy access to care. This paper discusses the results and how SD can help to overcome known barriers to change in complex organizations. Read More

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http://dx.doi.org/10.1111/eip.12802DOI Listing

Motivations to quit smoking and challenges faced during cessation among individuals with first episode psychosis in Singapore.

Early Interv Psychiatry 2019 Mar 28. Epub 2019 Mar 28.

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

Aims: The prevalence of smoking has been noted to be higher among individuals with mental illness, particularly among those with schizophrenia and related psychosis than in the general population. The present paper sought to examine the motivations and challenges to quit smoking among first episode psychosis patients (N = 281) enrolled in the Early Psychosis Intervention Programme (EPIP) in Singapore.

Methods: Questionnaires were used to collect details on an individual's smoking status, cessation attempts, motivations to quit, and challenges to stop smoking. Read More

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http://dx.doi.org/10.1111/eip.12799DOI Listing

Clinical and psychosocial factors associated with depression in patients with psychosis according to stage of illness.

Early Interv Psychiatry 2019 Mar 27. Epub 2019 Mar 27.

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

Aim: This study investigated the clinical characteristics and psychosocial factors associated with depression in patients with early psychosis according to stage of illness.

Methods: The present study includes patients who fulfil the DSM-5 criteria for schizophrenia spectrum and other psychotic disorders. Patients were divided into two groups according to illness stage (the acute stage of first-episode psychosis and stabilization phase of recent-onset psychosis). Read More

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http://dx.doi.org/10.1111/eip.12806DOI Listing
March 2019
1 Read
1.744 Impact Factor

Fidelity scales, performance measures and early intervention in psychosis services.

Early Interv Psychiatry 2019 04;13(2):342-344

Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.

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http://dx.doi.org/10.1111/eip.12800DOI Listing

Service users' and carers' experiences of engaging with early intervention services: A meta-synthesis review.

Early Interv Psychiatry 2019 Mar 26. Epub 2019 Mar 26.

Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.

Aim: The provision and implementation of early intervention for psychosis services (early intervention services [EIS]) has received increasing attention over recent years. Maximizing engagement with EIS is of clinical and economic importance, and exploring the experiences of those who access EIS is vital. Although research has been conducted exploring the experiences of engaging with EIS from both a service user and carer/family member point of view, these data have not been systematically collated to generate new understanding. Read More

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http://dx.doi.org/10.1111/eip.12803DOI Listing

Co-designing a virtual world with young people to deliver social cognition therapy in early psychosis.

Early Interv Psychiatry 2019 Mar 25. Epub 2019 Mar 25.

Mental Health and Wellbeing Division, Warwick Medical School, University of Warwick, Coventry, UK.

Aims: Co-design implies genuine partnership in the generation of knowledge between service users and researchers. Service user involvement in research has been encouraged in government policy, but it is rarely achieved, especially at trial initial stages. Co-designed with service users, we adapted existing manualised social cognition intervention for people with a first episode of psychosis to a virtual world environment. Read More

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http://dx.doi.org/10.1111/eip.12804DOI Listing

Implementation of early detection and intervention services for psychosis in Central and Eastern Europe: Current status.

Early Interv Psychiatry 2019 Mar 22. Epub 2019 Mar 22.

Center for Gender Research and Early Detection, University of Basel Psychiatric Hospital, Basel, Switzerland.

Aim: Unequal development of early detection (ED) and early intervention (EI) programs/services for psychosis has been shown across Europe. The present report aims to fill in the knowledge gap regarding the implementation and several other important aspects of ED/EI services in Central and Eastern Europe (CEE), a region with highly underdeveloped mental health service research.

Methods: A 17-item questionnaire was created to address the information regarding ED/EI organization and factors limiting their implementation. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/eip.12805
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http://dx.doi.org/10.1111/eip.12805DOI Listing
March 2019
4 Reads

Piloting a more intensive 8-week mindfulness programme in early- and mid-adolescent school students.

Early Interv Psychiatry 2019 Mar 22. Epub 2019 Mar 22.

Department of Psychology, Flinders University, Adelaide, South Australia, Australia.

Aim: It is unclear how adult mindfulness-based interventions (MBIs) should be modified for youth, and at what ages programmes should be implemented for optimal impact. Recent non-replication with a 9-week programme in early adolescence suggested abbreviated programme content might be insufficient and/or that this age group are less receptive.

Method: This controlled quasi-experimental design tested a more intensive 8-week MBI (longer meditation and session duration, plus inquiry) in Year 8 (M  = 13. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/eip.12801
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http://dx.doi.org/10.1111/eip.12801DOI Listing
March 2019
8 Reads

Blending active and passive digital technology methods to improve symptom monitoring in early psychosis.

Early Interv Psychiatry 2019 Feb 28. Epub 2019 Feb 28.

Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Aims: Psychotic symptoms fluctuate over time and effective and regular monitoring may contribute to relapse prevention and improve long-term outcomes. In this proof-of-concept study we test the feasibility, acceptability and potential usefulness of a novel digital method assessing the association between physiological signals and psychotic symptom distress.

Methods: Fifteen participants with first episode psychosis were asked to use a self-assessment mobile phone application for psychotic symptom monitoring for 10 days while using a wrist worn device continuously recording heart rate variability (HRV) and electrodermal activity (EDA). Read More

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http://dx.doi.org/10.1111/eip.12796DOI Listing
February 2019

Multimodal prevention of first psychotic episode through N-acetyl-l-cysteine and integrated preventive psychological intervention in individuals clinically at high risk for psychosis: Protocol of a randomized, placebo-controlled, parallel-group trial.

Early Interv Psychiatry 2019 Feb 19. Epub 2019 Feb 19.

Department of Psychiatry and Psychotherapy, University of Cologne, Cologne, Germany.

Aim: Meta-analyses indicate positive effects of both antipsychotic and cognitive-behavioural interventions in subjects clinically at high risk (CHR) for psychosis in terms of a delay or prevention of psychotic disorders. However, these effects have been limited regarding social functioning and the relative efficacy of both types of interventions remains unclear. Furthermore, neuroprotective substances seem to be a promising alternative agent in psychosis-prevention as they are associated with few and weak side-effects. Read More

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http://dx.doi.org/10.1111/eip.12781DOI Listing
February 2019
2 Reads

Mental health literacy programs for school teachers: A systematic review and narrative synthesis.

Early Interv Psychiatry 2019 Feb 10. Epub 2019 Feb 10.

Department of Physical and Health Education, Graduate School of Education, University of Tokyo, Tokyo, Japan.

Aim: The prevalence of mental disorders increases sharply during adolescence. Therefore, school teachers are in a good position to provide initial assistance to students with mental health problems. Although effects of a number of mental health literacy programs aimed at teachers have been reported, they have not yet been reviewed in a systematic manner. Read More

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http://doi.wiley.com/10.1111/eip.12793
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http://dx.doi.org/10.1111/eip.12793DOI Listing
February 2019
12 Reads

Improving functional outcomes in early-stage bipolar disorder: The protocol for the REsearch into COgnitive and behavioural VERsatility trial.

Early Interv Psychiatry 2019 Feb 10. Epub 2019 Feb 10.

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

Aim: Young people with bipolar disorder (BD) commonly experience reduced quality of life, persistent symptoms and impaired functional recovery despite often superior school performance. Compromised long-term functioning can ensue. There is evidence that psychological therapies alongside pharmacology may be more efficacious earlier in the course of the disorder. Read More

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http://dx.doi.org/10.1111/eip.12797DOI Listing
February 2019
1 Read

Applying economic models to estimate local economic benefits of improved coverage of early intervention for psychosis.

Early Interv Psychiatry 2019 Feb 10. Epub 2019 Feb 10.

Division of Psychology and Mental Health, University of Manchester, Manchester, UK.

Aim: Early Intervention Psychosis Services (EIPS) for people experiencing First Episode Psychosis (FEP) offer important clinical and non-clinical benefits over standard care. Similarly, intervention for Clinical High Risk for Psychosis state (CHR-P) can prevent psychosis, ameliorate symptoms and have non-clinical benefits. This study aimed to estimate associated local economic benefits of FEP and CHR-P services compared with standard care. Read More

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http://dx.doi.org/10.1111/eip.12787DOI Listing
February 2019
1 Read

Perceived stress and psychosis: The effect of perceived stress on psychotic-like experiences in a community sample of adolescents.

Early Interv Psychiatry 2019 Feb 3. Epub 2019 Feb 3.

Divison of Psychology and Mental Health, School of Heath Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.

Aims: Psychotic-like experiences (PLE) are sub-threshold, non-clinical forms of psychosis which can place an individual at greater risk of development of a psychotic disorder. Subtypes of PLE have also been shown to exist (bizarre experiences, persecutory ideation, perceptual abnormalities and magical thinking). Perceived stress relates to how two individuals may deal with the same objectively stressful event in different ways. Read More

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http://dx.doi.org/10.1111/eip.12795DOI Listing
February 2019

Effects of socio-demographic characteristics, premorbid functioning, and insight on duration of untreated psychosis in first-episode schizophrenia or schizophreniform disorder in Northern Malawi.

Early Interv Psychiatry 2019 Feb 1. Epub 2019 Feb 1.

Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.

Aim: Long duration of untreated psychosis (DUP) is prevalent and has been shown to be associated with poorer prognosis. Thus, knowledge of its determinants may help to target early interventions to reduce DUP on the needed population. Previous studies seeking to understand determinants of DUP have been inconclusive. Read More

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http://dx.doi.org/10.1111/eip.12794DOI Listing
February 2019
1 Read

Perceived stress mediates the relationship between social adaptation and quality of life in individuals at ultra high risk of psychosis.

Early Interv Psychiatry 2019 Jan 28. Epub 2019 Jan 28.

Parc Taulí Hospital Universitari, I3PT, Universitat Autònoma de Barcelona, CIBERSAM, Sabadell, Spain.

Aim: Quality of life (QoL) and social functioning have emerged as good predictors of the outcome of psychotic disorders. Poor QoL and social functioning are usually present before the onset of the first episode of psychosis. Our study aimed to explore the relationship between social adaptation and QoL in young people at risk of psychosis (ultra-high-risk, UHR) and healthy controls (HCs), and to investigate potential mediating effects of stress measures (perceived stress, stressful life events). Read More

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http://dx.doi.org/10.1111/eip.12791DOI Listing
January 2019
6 Reads

Putative neuroprotective pharmacotherapies to target the staged progression of mental illness.

Early Interv Psychiatry 2019 Jan 28. Epub 2019 Jan 28.

IMPACT Strategic Research Centre, School of Medicine, Deakin University, Geelong, Victoria, Australia.

Aim: Neuropsychiatric disorders including depression, bipolar and schizophrenia frequently exhibit a neuroprogressive course from prodrome to chronicity. There are a range of agents exhibiting capacity to attenuate biological mechanisms associated with neuroprogression. This review will update the evidence for putative neuroprotective agents including clinical efficacy, mechanisms of action and limitations in current assessment tools, and identify novel agents with neuroprotective potential. Read More

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http://doi.wiley.com/10.1111/eip.12775
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http://dx.doi.org/10.1111/eip.12775DOI Listing
January 2019
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Treatment outcomes and associations in an adolescent-specific early intervention for psychosis service.

Early Interv Psychiatry 2019 Jan 28. Epub 2019 Jan 28.

CAMHS, NHS Lothian, Edinburgh, UK.

Aim: Compared with adult onset psychosis, adolescent psychosis has been associated with poorer outcomes in terms of social and cognitive functioning and negative symptoms. Young people experiencing first episode psychosis have developmental needs that frequently pre-date and are compounded by psychosis onset (a previous study). There is a lack of published studies of adolescent onset psychosis and further information is needed so that developmentally appropriate interventions can be developed. Read More

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http://dx.doi.org/10.1111/eip.12778DOI Listing
January 2019
1 Read

Aripiprazole compared with placebo for auditory verbal hallucinations in youth with borderline personality disorder: Protocol for the VERBATIM randomized controlled trial.

Early Interv Psychiatry 2019 Jan 28. Epub 2019 Jan 28.

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

Aim: Up to half of patients with borderline personality disorder report auditory verbal hallucinations that are phenomenologically indistinguishable from those in schizophrenia, occur early in the course of the disorder, and are enduring, distressing and disabling. In clinical practice, this symptom is widely assumed to be unresponsive to treatment with antipsychotic medication and early intervention is rarely offered. The Verbal Experiences Response in Borderline personality disorder to Aripiprazole TrIal Medication (VERBATIM) study aims to be the first controlled trial to investigate the effectiveness of conventional pharmacotherapy for this symptom in this patient group. Read More

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http://doi.wiley.com/10.1111/eip.12774
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http://dx.doi.org/10.1111/eip.12774DOI Listing
January 2019
14 Reads

Healthcare utilization costs of emerging adults with mood and anxiety disorders in an early intervention treatment program compared to a matched cohort.

Early Interv Psychiatry 2019 Jan 27. Epub 2019 Jan 27.

Department of Epidemiology & Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Aim: The First Episode Mood and Anxiety Disorder Program (FEMAP) provides treatment to emerging adults with mood and anxiety disorders in an accessible, youth-friendly environment. We sought to investigate FEMAP's impact on the costs of care.

Methods: We conducted a retrospective observational study of one-year health service costs using linked administrative datasets to compare emerging adults treated at FEMAP (FEMAP users) to propensity-score matched controls (non-users). Read More

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http://dx.doi.org/10.1111/eip.12790DOI Listing
January 2019
6 Reads

Staging model in psychiatry: Review of the evolution of electroencephalography abnormalities in major psychiatric disorders.

Early Interv Psychiatry 2019 Jan 27. Epub 2019 Jan 27.

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

Aim: Clinical staging in psychiatry aims to classify patients according to the severity of their symptoms, from stage 0 (increased risk, asymptomatic) to stage 4 (severe illness), enabling adapted treatment at each stage of the illness. The staging model would gain specificity if one or more quantifiable biological markers could be identified. Several biomarkers reflecting possible causal mechanisms and/or consequences of the pathophysiology are candidates for integration into the clinical staging model of psychiatric illnesses. Read More

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http://doi.wiley.com/10.1111/eip.12792
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http://dx.doi.org/10.1111/eip.12792DOI Listing
January 2019
8 Reads

Health literacy in clinical-high-risk individuals for psychosis: A systematic mixed-methods review.

Early Interv Psychiatry 2019 Jan 27. Epub 2019 Jan 27.

Department of Psychiatry and Psychotherapy, University Hospital Cologne, Cologne, Germany.

Objective: Numerous studies suggest that health literacy (HL) plays a crucial role in maintaining and improving individual health. Empirical findings highlight the relation between levels of a person's HL and her/his clinical outcome. To date, the role of HL in persons at-risk for psychosis has not been systematically reviewed. Read More

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http://doi.wiley.com/10.1111/eip.12776
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http://dx.doi.org/10.1111/eip.12776DOI Listing
January 2019
11 Reads

Clinical staging for youth at-risk for serious mental illness.

Early Interv Psychiatry 2019 Jan 22. Epub 2019 Jan 22.

Department of Psychiatry, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.

Aim: The first aim of this project was to identify a sample of youth who met different stages of risk for the development of a serious mental illness (SMI) based on a published clinical staging model. The second aim was to determine whether participants allocated to the different stages were a good fit to the model by comparing these groups on a range of clinical measures.

Methods: This two-site longitudinal study recruited 243 youth, ages 12 to 25. Read More

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http://doi.wiley.com/10.1111/eip.12786
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http://dx.doi.org/10.1111/eip.12786DOI Listing
January 2019
7 Reads

Understanding the implementation of coordinated specialty Care for Early Psychosis in New York state: A guide using the RE-AIM framework.

Early Interv Psychiatry 2019 Jan 22. Epub 2019 Jan 22.

Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York, New York.

Aim: Consistent evidence shows that early interventions for individuals with psychosis lead to improvements in symptoms, social functioning and treatment satisfaction. These results, combined with the allocation of specific funds for early psychosis services, have contributed to the emergence and dissemination of coordinated specialty care for early psychosis in the United States. Despite the rapid growth of such services across the country over the last 5 years, implementation processes are not yet well understood. Read More

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http://doi.wiley.com/10.1111/eip.12782
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http://dx.doi.org/10.1111/eip.12782DOI Listing
January 2019
6 Reads

Moving on from early intervention for psychosis services: Service user perspectives on the facilitators and barriers of transition.

Early Interv Psychiatry 2019 Jan 22. Epub 2019 Jan 22.

Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.

Aim: Early intervention for psychosis services (EIS) has been established worldwide and is offered to individuals experiencing a first episode of psychosis. Engagement with EIS typically lasts for 3 years, after which point, service users are either transferred to primary care or community mental health teams, according to perceived needs. Although UK National Institute for Clinical Excellence (NICE) guidelines recommend transfer of care should be arranged in conjunction with the receiving service, there exists little, if any, practical guidance as to how this should actually be managed. Read More

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http://doi.wiley.com/10.1111/eip.12780
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http://dx.doi.org/10.1111/eip.12780DOI Listing
January 2019
4 Reads

Early intervention service for first episode psychosis in Modena, Northern Italy: The first hundred cases.

Early Interv Psychiatry 2019 Jan 22. Epub 2019 Jan 22.

Dipartimento di Salute Mentale e Dipendenze Patologiche, AUSL Modena, Modena, Italy.

Aim: To report on the development of an early intervention service in Modena, Italy, with information relevant to the first 4 years of implementation.

Methods: The 2-year service was offered to people aged 18-35 with psychotic manifestations, within 2 years from psychosis onset/or naïve to antipsychotics, by teams placed within community mental health Centres, according to a "specialist within generalist" model. Treatment included pharmacological consultation, psychoeducation and social inclusion programs. Read More

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http://doi.wiley.com/10.1111/eip.12788
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http://dx.doi.org/10.1111/eip.12788DOI Listing
January 2019
7 Reads

Predictive validity of objective measures of physical fitness for the new onset of mental disorders in adolescents and young adults.

Early Interv Psychiatry 2019 Jan 21. Epub 2019 Jan 21.

Institute of Neuroscience, Newcastle University, Newcastle, UK.

Aim: To systematically review evidence that objectively assessed level of physical fitness is associated with future risk of adverse mental health outcomes during the peak age range for onset of adult mental disorders.

Methods: Searches of Electronic databases (EBSCOhost, SPORTDISCUS, EMBASE, MedLINE, Cochrane database, CINAHL, PsychInfo, and Dissertation Abstracts), supplemented by hand searches of journals, conference proceedings and citations. Random-effects meta-analysis models were used to pool the intervention effects. Read More

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http://doi.wiley.com/10.1111/eip.12783
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http://dx.doi.org/10.1111/eip.12783DOI Listing
January 2019
10 Reads

Effectiveness of a professional development training program in increasing knowledge of mental health clinicians specializing in early psychosis.

Early Interv Psychiatry 2019 Jan 21. Epub 2019 Jan 21.

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

Aim: For early psychosis services to be effective, it is essential to have staff that are trained in evidence-based interventions in this area. In this paper, we report on research undertaken by The Early Psychosis Prevention and Intervention Centre's Statewide Services (ESW) team. The focus was on assessing knowledge acquisition in early psychosis clinicians that had attended ESW's specialist training. Read More

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http://doi.wiley.com/10.1111/eip.12785
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http://dx.doi.org/10.1111/eip.12785DOI Listing
January 2019
10 Reads

Specialized, multi-component care for individuals with first-episode psychosis: Effects on autonomy, competence and relatedness.

Early Interv Psychiatry 2019 Jan 15. Epub 2019 Jan 15.

Early Psychosis Intervention Center (EPICENTER), Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, Ohio.

Aim: Self-determination theory (SDT) has demonstrated that human well-being is associated with the satisfaction of three basic psychological needs (ie, autonomy, competence and relatedness)-with more recent research highlighting the applicability of SDT to individuals with first-episode psychosis (FEP). These findings suggest that satisfaction of basic psychological need may be an important treatment target for specialized clinical programs for FEP.

Methods: We examined the effects of participation in specialized, multi-component care for FEP on basic psychological need satisfaction. Read More

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http://dx.doi.org/10.1111/eip.12784DOI Listing
January 2019
11 Reads

Dimensional structure of first episode psychosis.

Early Interv Psychiatry 2019 Jan 15. Epub 2019 Jan 15.

UOC Psichiatria, Azienda Ospedaliera Universitaria Integrata (AOUI) Verona, Verona, Italy.

Aim: Current diagnostic systems, DSM-5 and ICD-10, still adopt a categorical approach to classify psychotic disorders. The present study was aimed at investigating the structure of psychotic symptomatology in both affective and non-affective psychosis from a dimensional approach.

Methods: Participants with a first episode psychosis (FEP) were recruited from a cluster-randomized controlled trial (GET-UP PIANO TRIAL), offered to all Community Mental Health Centres (CMHCs) located across two northern Italian regions. Read More

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http://dx.doi.org/10.1111/eip.12789DOI Listing
January 2019
13 Reads

High prevalence of metabolic alterations in Latin American patients at initial stages of psychosis.

Early Interv Psychiatry 2019 Jan 15. Epub 2019 Jan 15.

Early Intervention Program, J. Horwitz Psychiatric Institute, Santiago, Chile.

Aim: Studies conducted in the United States have highlighted a higher prevalence of metabolic alterations (MA) in Latino population and Latino psychotic patients. Metabolic risk in psychosis is known to be present from initial stages of the disease. To better characterize this population, we explored the prevalence of MA and metabolic syndrome (MS) in early psychosis patients in a Latin American country. Read More

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http://doi.wiley.com/10.1111/eip.12777
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http://dx.doi.org/10.1111/eip.12777DOI Listing
January 2019
12 Reads

Family processes and duration of untreated psychosis among US Latinos.

Early Interv Psychiatry 2019 Jan 15. Epub 2019 Jan 15.

Department of Psychology, University of Southern California, Los Angeles, California.

Aim: Little is known about family processes and treatment seeking among Latinos with first-episode psychosis (FEP) living in the United States. This study examined family processes prior to treatment and their relation to duration of untreated psychosis (DUP) among Latinos with FEP and their family caregivers.

Methods: Thirty-three Latinos with FEP and their low-acculturated family caregivers (n = 33) participated in qualitative semi-structured interviews focused on treatment-seeking experience and family relationships. Read More

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http://doi.wiley.com/10.1111/eip.12779
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http://dx.doi.org/10.1111/eip.12779DOI Listing
January 2019
12 Reads

Investigating the prevalence of dissociative disorders and severe dissociative symptoms in first episode psychosis.

Early Interv Psychiatry 2018 Dec 25. Epub 2018 Dec 25.

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

Aim: Increasing evidence suggests that childhood trauma and dissociation are associated with psychotic symptoms and disorders. Significant rates of dissociative disorders and clinical levels of dissociative symptoms are found in chronic schizophrenia. To date, no studies have examined the prevalence of these in a first episode psychosis (FEP) group. Read More

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http://dx.doi.org/10.1111/eip.12773DOI Listing
December 2018
4 Reads

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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https://onlinelibrary.wiley.com/doi/abs/10.1111/eip.12772
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http://dx.doi.org/10.1111/eip.12772DOI Listing
December 2018
19 Reads

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

Early Interv Psychiatry 2019 Apr 11;13(2):328-334. 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436982PMC
April 2019
2 Reads

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

Early Interv Psychiatry 2019 Apr 11;13(2):322-327. 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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https://onlinelibrary.wiley.com/doi/abs/10.1111/eip.12759
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http://dx.doi.org/10.1111/eip.12759DOI Listing
April 2019
17 Reads

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

Early Interv Psychiatry 2019 Apr 11;13(2):335-341. 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
April 2019
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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
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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
3 Reads

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
18 Reads
1.744 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
3 Reads

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
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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
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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
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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://doi.wiley.com/10.1111/eip.12760
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http://dx.doi.org/10.1111/eip.12760DOI Listing
November 2018
8 Reads