Stability of outcomes after 5 years of treatment in an early intervention programme.

Autor: Norman RMG; Department of Psychiatry, University of Western Ontario, London, Ontario, Canada.; Prevention and Early Intervention for Psychoses Program, London Health Sciences Centre, London, Ontario, Canada.; Department of Epidemiology and Biostatistics, University of Western Ontario, London, Ontario, Canada., Anderson KK; Department of Psychiatry, University of Western Ontario, London, Ontario, Canada.; Prevention and Early Intervention for Psychoses Program, London Health Sciences Centre, London, Ontario, Canada.; Department of Epidemiology and Biostatistics, University of Western Ontario, London, Ontario, Canada., MacDougall A; Department of Psychiatry, University of Western Ontario, London, Ontario, Canada.; Prevention and Early Intervention for Psychoses Program, London Health Sciences Centre, London, Ontario, Canada.; Department of Epidemiology and Biostatistics, University of Western Ontario, London, Ontario, Canada., Manchanda R; Department of Psychiatry, University of Western Ontario, London, Ontario, Canada.; Prevention and Early Intervention for Psychoses Program, London Health Sciences Centre, London, Ontario, Canada., Harricharan R; Department of Psychiatry, University of Western Ontario, London, Ontario, Canada.; Prevention and Early Intervention for Psychoses Program, London Health Sciences Centre, London, Ontario, Canada., Subramanian P; Department of Psychiatry, University of Western Ontario, London, Ontario, Canada.; Prevention and Early Intervention for Psychoses Program, London Health Sciences Centre, London, Ontario, Canada., Richard J; Department of Psychiatry, University of Western Ontario, London, Ontario, Canada.; Prevention and Early Intervention for Psychoses Program, London Health Sciences Centre, London, Ontario, Canada., Northcott S; Department of Psychiatry, University of Western Ontario, London, Ontario, Canada.
Jazyk: angličtina
Zdroj: Early intervention in psychiatry [Early Interv Psychiatry] 2018 Aug; Vol. 12 (4), pp. 720-725. Date of Electronic Publication: 2017 Jun 19.
DOI: 10.1111/eip.12450
Abstrakt: Aim: It has been hypothesized that the first 5 years are critical in determining long-term recovery from psychotic disorders. We examine stability in recovery indices after 5 years for 56 patients treated in an early intervention programme for psychosis.
Methods: Assessments of symptom remission and functional recovery were carried out 5 and 10 years after initiation of treatment.
Results: Although overall rates of recovery were comparable at both times, there were significant changes for individuals reflecting both improvement and deterioration.
Conclusions: Evidence concerning the critical period hypothesis should examine stability in individuals rather than relying on cumulative indices.
(© 2017 John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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