Early detection and integrated care for adolescents and young adults with psychotic disorders: the ACCESS III study
| Autor: | Jürgen Gallinat, Vivien Niehaus, Anne Karow, Daniel Schöttle, Klaus Wiedemann, Charlotte Gagern, Friederike Ruppelt, Linus Wittmann, Anne Daubmann, Thomas Bock, Anne-Lena Falk, Liz Rietschel, Benno G. Schimmelmann, Luise Antonia Nawara, Hans-Peter Unger, Karl Wegscheider, Sabine Ott, Georg Romer, Martin Lambert, Michael Schulte-Markwort, Anja Rohenkohl, Mary Sengutta, Christoph U. Correll, G Sarikaya, Britta Galling, Daniel Luedecke |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent endocrine system diseases Young Adult 03 medical and health sciences 0302 clinical medicine Quality of life Early Medical Intervention Internal medicine medicine Clinical endpoint Humans Prospective Studies Bipolar disorder Young adult Psychiatry medicine.disease 030227 psychiatry Integrated care Psychiatry and Mental health Early Diagnosis Psychotic Disorders Schizophrenia dup Linear Models Female Patient Care Psychology 030217 neurology & neurosurgery Follow-Up Studies Psychopathology |
| Zdroj: | Acta Psychiatrica Scandinavica. 136:188-200 |
| ISSN: | 0001-690X |
| DOI: | 10.1111/acps.12762 |
| Popis: | Objective The objective of the study was to investigate whether a combined intervention composed of early detection plus integrated care (EDIC) enhances outcomes in patients with early psychosis compared to standard care (SC). Methods ACCESS III is a prospective non-randomized historical control design 1-year study examining the efficacy of EDIC (n = 120) vs. SC (n = 105) in patients aged 12–29 years. Primary outcome was the rate of ≥6 months combined symptomatic and functional remission. Additional outcomes comprised the reduction of DUP and course of psychopathology, functioning, quality of life, and satisfaction with care. Results In observed cases, 48.9% in the EDIC and 15.2% in the SC group reached the primary endpoint. Remission was predicted by EDIC (OR = 6.8, CI: 3.15–14.53, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|