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 |
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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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