Psychosocial Treatment for First-Episode Psychosis: A Research Update

Penn, David L.; Waldheter, Evan J.; Perkins, Diana O.; Mueser, Kim T.; Lieberman, Jeffrey A.

doi:10.1176/appi.ajp.162.12.2220

Cited by 218 publications

(171 citation statements)

References 88 publications

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“…Loss, guilt, confusion and high levels of emotional distress make the need the early intervention programmes focusing on psychosocial and familial interventions crucial [17,18]. It is possible that family intervention in the early stages of psychosis may prevent the development of a critical family atmosphere and the onset of the associated expressed emotion, and effectively postpone the onset of later relapses [19][20]. Care-giver burden may be somewhat alleviated with improved community-based services for preventative long-term care, including medication adherence (rather than multiple hospitalizations) [10].…”

Section: Future Researchmentioning

confidence: 99%

Involuntary First Admissions to a Tertiary Psychiatric Hospital in Cape Town: A Five Year Review of Family Referrals to Psychology

Thornton¹

2015

JPCPY

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Section: Future Researchmentioning

confidence: 99%

Involuntary First Admissions to a Tertiary Psychiatric Hospital in Cape Town: A Five Year Review of Family Referrals to Psychology

Thornton¹

2015

JPCPY

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“…Terapia individual, de grupo, terapia ocupacional, terapia familiar e serviço de assistência social (reinserção no mercado de trabalho) são ferramentas utilizadas na complementação da terapia medicamentosa. Alguns estudos com modelos de atendimento multidisciplinar apontam para redução dos sintomas, melhora da qualidade de vida e de funcionamento global, melhora cognitiva, menores taxas de readmissão hospitalar, melhora do insight, maior satisfação com o tratamento, menores taxas de uso abusivo de substâncias e menor incidência de comportamentos autoagressivos 53 . O Brasil, bem como o restante da América Latina, apresenta uma escassez de serviços especializados no atendimento do PEP, os chamados serviços de intervenção precoce.…”

Section: Medicaçõesunclassified

First-Episode Psychosis: Emergency Assistance

Gouvêa¹,

Noto²,

Bonadia³

et al. 2014

RDP

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16 revista debates em psiquiatria -Nov/Dez 2014 zar, é usado para descrever um estado mental em que o indivíduo perde o contato com a realidade, manifestando caracteristicamente delírios, alucinações, pensamento e/ou comportamento desorganizado. A etapa inicial de manifestação dos sintomas psicóticos, em que a intensidade dos mesmos leva uma quebra evidente do funcionamento, define o primeiro episódio psicótico (PEP FIRST-EPISODE PSYCHOSIS: EMERGENCY ASSISTANCEResumo O termo psicose é usado para descrever um estado mental em que o indivíduo perde o contato com a realidade, e a etapa inicial de manifestação dos sintomas psicóticos define o primeiro episódio psicótico (PEP). Este artigo apresenta conceitos e dados gerais sobre PEP, apresenta fatores de risco e provê orientações sobre o diagnóstico (inclusive diagnósticos diferenciais), tratamento e acompanhamento de pacientes com PEP, com destaque para o papel das emergências psiquiátricas. As diferentes fases das psicoses também são descritas. Como conclusão, os autores salientam a importância da identificação e investigação dos casos, o início precoce do tratamento e o acompanhamento aproximado e individualizado dos pacientes.Palavras-chave: Psicoses, primeiro episódio psicótico, emergência psiquiátrica. AbstractThe term psychosis is used to describe a mental state in which the individual loses contact with reality, and the first step in the manifestation of psychotic symptoms is referred to as first-episode psychosis. This article presents general concepts and data on first-episode psychosis, describes risk factors, and provides guidance on the diagnosis (including differential diagnosis), treatment, and follow-up of these patients, with special attention to the role played by psychiatric emergency centers. The different phases of psychoses are also described. The authors conclude by underscoring the importance of identifying and investigating cases of first-episode psychosis, beginning treatment as early as possible, and maintaining a close, individualized follow-up regimen.

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“…Nowadays, there is a broad consensus regarding the importance of an integral and early intervention of FESZ, as it reduces the risk of recurrence and long-term disability and being critical regarding the possibilities of recovery (Penn et al, 2005;Seikkula, Alakare, & Aaltonen, 2001). There are several clinical guidelines that provide recommendations for the treatment of FESZ based on the best available knowledge, both internationally (American Psychiatric Association, 2006;Dixon et al, , 2011Kreyenbuhl, Buchanan, Dickerson, & Dixon, 2010;Lehman & Steinwachs, 1998;NICE, 2014; Royal Australian and New Zealand College of Psychiatrists Team, 2005) and in Chile (Ministry of Health, 2009).…”

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confidence: 99%

Subjective experience of diagnosis and treatment in two adolescents with first-episode schizophrenia

Abarzúa

Venegas

Hidalgo

2016

ResPsy

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The results of a qualitative study on the subjective experience of two adolescents in treatment for first-episode schizophrenia (FESZ) are presented here. We reconstructed the relevant aspects of the diagnosis and treatment processes based on the elaboration of said experience carried out by the participants. We therefore incorporated the perspective of the patients, family members and psychotherapists. The recovery from FESZ, understood as a positive adaptation to the experience of psychosis, is closely connected with the possibility of the adolescent to re-embark on his/her biographical trajectory. In this sense, the concept of recovery from FESZ increasingly emphasizes the subjective dimension of this process. The aim of the study is to understand the subjective experience of diagnosis and treatment processes from the perspective of two patients with FESZ who received comprehensive treatment in the Chilean public health system, their family members and their psychotherapists. The study performed semi-structured interviews and a qualitative content analysis in order to understand and describe, from their perspectives, the subjective experiences associated with the processes of diagnosis and treatment of FESZ. The inclusion of patients, relatives and psychotherapists allowed complementing the perspectives on the phenomenon under study. The results suggest that the central phenomena of appropriation of FESZ and resistance to the appropriation of FESZ are relevant in the accounts of these two cases. The family's emotional climate associated with the experience of FESZ converge in these phenomena, as well as the participation of the adolescent in the processes of diagnosis and treatment, specifically as these processes favor or hinder an appropriation of the psychopathological experience and this enables the reestablishment of the autobiographical continuity. Appropriation of FESZ seems to rely on future prospects that preserve some possibility of performing prior potentialities and expectations, or at least to adapt them in a tolerable way for the adolescents and their environment. Such findings highlight the relevance of developing interventions that encourage more hopeful future perspectives for individuals facing a first psychotic episode and their families

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Psychosocial Treatment for First-Episode Psychosis: A Research Update

Cited by 218 publications

References 88 publications

Involuntary First Admissions to a Tertiary Psychiatric Hospital in Cape Town: A Five Year Review of Family Referrals to Psychology

Involuntary First Admissions to a Tertiary Psychiatric Hospital in Cape Town: A Five Year Review of Family Referrals to Psychology

First-Episode Psychosis: Emergency Assistance

Subjective experience of diagnosis and treatment in two adolescents with first-episode schizophrenia

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