The family-oriented Open Dialogue approach in the treatment of first-episode psychosis : nineteen–year outcomes

Autor: Jukka Aaltonen, Tomi Bergström, Jyri J. Taskila, Pirjo Mäki, Birgitta Alakare, Asko Tolvanen, Päivi Köngäs-Saviaro, Jaakko Seikkula
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Family therapy
Psychological intervention
long-term follow-up
work capability
law.invention
Cohort Studies
0302 clinical medicine
Randomized controlled trial
law
Outcome Assessment
Health Care
Medicine
työkyky
Registries
Finland
disability pension
perheterapia
Middle Aged
Psychiatry and Mental health
Schizophrenia
Female
family therapy
seurantatutkimus
Cohort study
Adult
kuolleisuus
medicine.medical_specialty
Adolescent
Young Adult
03 medical and health sciences
Early Medical Intervention
First episode psychosis
Humans
Psychiatry
Biological Psychiatry
Aged
skitsofrenia
business.industry
Disability pension
medicine.disease
mortality
ta3124
030227 psychiatry
schizophrenia
antipsychotics
hospital admission
Psychotic Disorders
työkyvyttömyyseläkkeet
Observational study
business
030217 neurology & neurosurgery
Zdroj: Psychiatry Research. 270:168-175
ISSN: 0165-1781
Popis: Open Dialogue (OD) is a family-oriented early intervention approach which has demonstrated good outcomes in the treatment of first-episode psychosis (FEP). Nevertheless, more evidence is needed. In this register-based cohort study the long-term outcomes of OD were evaluated through a comparison with a control group over a period of approximately 19 years. We examined the mortality, the need for psychiatric treatment, and the granting of disability allowances. Data were obtained from Finnish national registers regarding all OD patients whose treatment for FEP commenced within the time of the original interventions (total N = 108). The control group consisted of all Finnish FEP patients who had a follow-up of 19–20 years and who were guided to other Finnish specialized mental healthcare facilities (N = 1763). No difference between the samples was found regarding the annual incidence of FEP, the diagnosis, and suicide rates. Over the entire follow-up, the figures for durations of hospital treatment, disability allowances, and the need for neuroleptics remained significantly lower with OD group. Findings indicated that many positive outcomes of OD are sustained over a long time period. Due to the observational nature of the study, randomized trials are still needed to provide more information on effectiveness of approach. peerReviewed
Databáze: OpenAIRE
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