The Key to Reducing Duration of Untreated First Psychosis: Information Campaigns

Joa, Inge; Johannessen, Jan Olav; Auestad, Bjørn; Friis, Svein; McGlashan, Thomas H.; Melle, Ingrid; Opjordsmoen, Stein; Simonsen, Erik; Vaglum, Per; Larsen, Tor Ketil

doi:10.1093/schbul/sbm095

Cited by 183 publications

(201 citation statements)

References 16 publications

(15 reference statements)

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“…The sample was recruited as part of the on-going TIPS 2 study (Early Treatment and Intervention in Psychosis) that commenced in 2002 15 and included persons experiencing a FEP. All participants completed baseline clinical assessment for TIPS 2 (see Joa et al 15 for details of method and assessment tools).…”

Section: Methodsmentioning

confidence: 99%

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Impact of Interpersonal Trauma on the Social Functioning of Adults With First-Episode Psychosis

Stain

Brønnick

Hegelstad

et al. 2013

Schizophrenia Bulletin

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Background: Social functioning is an important treatment outcome for psychosis, and yet, we know little about its relationship to trauma despite high rates of trauma in people with psychosis. Childhood trauma is likely to disrupt the acquisition of interpersonal relatedness skills including the desire for affiliation and thus lead to impaired social functioning in adulthood. Aims: We hypothesized that childhood trauma would be a predictor of poor social functioning for adults with psychosis and that further trauma in adulthood would moderate this relationship. Method: A first-episode psychosis sample aged 15-65 years (N = 233) completed measures of social functioning (Lehman's Quality of Life Interview and Strauss Carpenter Functioning Scale) and trauma (Brief Betrayal Trauma Survey), as well as clinical assessments. Results: Childhood trauma (any type) was associated with poorer premorbid functioning and was experienced by 61% of our sample. There were no associations with clinical symptoms. Interpersonal trauma in childhood was a significant predictor of social functioning satisfaction in adulthood, but this was not the case for interpersonal trauma in adulthood. However, 45% of adults who reported childhood interpersonal trauma also experienced adulthood interpersonal trauma. Conclusion: Our results emphasize the importance of early relationship experience such as interpersonal trauma, on the social functioning of adults with psychosis. We recommend extending our research by examining the impact of interpersonal childhood trauma on occupational functioning in psychosis.

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Section: Methodsmentioning

confidence: 99%

“…All participants completed baseline clinical assessment for TIPS 2 (see Joa et al 15 for details of method and assessment tools). The project was approved by the Regional Committee for Medical Research Ethics Health Region West, Norway (015.03).…”

Section: Methodsmentioning

confidence: 99%

Impact of Interpersonal Trauma on the Social Functioning of Adults With First-Episode Psychosis

Stain

Brønnick

Hegelstad

et al. 2013

Schizophrenia Bulletin

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“…Reducing the duration of untreated psychosis is, therefore, an important aim. Research has shown that combining awareness-raising campaigns with a readily available FEP service leads to a significant reduction in the duration of untreated psychosis (Joa et al, 2008).…”

Section: Ebr Iii-1mentioning

confidence: 99%

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders

Galletly

Castle

Dark

et al. 2016

Aust N Z J Psychiatry

646

672

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Objectives: This guideline provides recommendations for the clinical management of schizophrenia and related disorders for health professionals working in Australia and New Zealand. It aims to encourage all clinicians to adopt best practice principles. The recommendations represent the consensus of a group of Australian and New Zealand experts in the management of schizophrenia and related disorders. This guideline includes the management of ultra-high risk syndromes, first-episode psychoses and prolonged psychoses, including psychoses associated with substance use. It takes a holistic approach, addressing all aspects of the care of people with schizophrenia and related disorders, not only correct diagnosis and symptom relief but also optimal recovery of social function. Methods:The writing group planned the scope and individual members drafted sections according to their area of interest and expertise, with reference to existing systematic reviews and informal literature reviews undertaken for this guideline. In addition, experts in specific areas contributed to the relevant sections. All members of the writing group reviewed the entire document. The writing group also considered relevant international clinical practice guidelines. Evidence-based recommendations were formulated when the writing group judged that there was sufficient evidence on a topic. Where evidence was weak or lacking, consensus-based recommendations were formulated. Consensus-based recommendations are based on the consensus of a group of experts in the field and are informed by their agreement as a group, according to their collective clinical and research knowledge and experience. Key considerations were selected and reviewed by the writing group. To encourage wide community participation, the Royal Australian and New Zealand College of Psychiatrists invited review by its committees and members, an expert advisory committee and key stakeholders including professional bodies and special interest groups. RANZCP GuidelinesGalletly et al. 411 Australian & New Zealand Journal of Psychiatry, 50(5)Results: The clinical practice guideline for the management of schizophrenia and related disorders reflects an increasing emphasis on early intervention, physical health, psychosocial treatments, cultural considerations and improving vocational outcomes. The guideline uses a clinical staging model as a framework for recommendations regarding assessment, treatment and ongoing care. This guideline also refers its readers to selected published guidelines or statements directly relevant to Australian and New Zealand practice. Conclusions:This clinical practice guideline for the management of schizophrenia and related disorders aims to improve care for people with these disorders living in Australia and New Zealand. It advocates a respectful, collaborative approach; optimal evidence-based treatment; and consideration of the specific needs of those in adverse circumstances or facing additional challenges.

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“…[48,49] Joa et al [50] found in their study that the use of intensive information campaigns, educating the general public about the early signs and symptoms of schizophrenia and the importance of early intervention, significantly reduced DUPs, which raises the hope that educational efforts could have a positive impact on reducing DUP in the southeast Nigeria population. In the Nigerian context, therefore, such campaigns should, among other things, target traditional and faith healers in order to reduce the DUP and improve treatment outcomes for patients with schizophrenia.…”

Section: Discussionmentioning

confidence: 98%

Positive and negative symptoms of schizophrenia as correlates of help-seeking behaviour and the duration of untreated psychosis in south-east Nigeria

et al. 2014

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The Key to Reducing Duration of Untreated First Psychosis: Information Campaigns

Cited by 183 publications

References 16 publications

Impact of Interpersonal Trauma on the Social Functioning of Adults With First-Episode Psychosis

Impact of Interpersonal Trauma on the Social Functioning of Adults With First-Episode Psychosis

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders

Positive and negative symptoms of schizophrenia as correlates of help-seeking behaviour and the duration of untreated psychosis in south-east Nigeria

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