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Psychosocial interventions for people with a first episode psychosis : between tradition and innovation
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Singh, Swaran P., Mohan, Mohapradeep and Giacco, Domenico (2021) Psychosocial interventions for people with a first episode psychosis : between tradition and innovation. Current Opinion in Psychiatry, 34 (5). pp. 460-466. doi:10.1097/YCO.0000000000000726 ISSN 0951-7367.
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Official URL: http://dx.doi.org/10.1097/YCO.0000000000000726
Abstract
Purpose of review:
Assessing recent evidence on psychosocial interventions for people with first episode psychosis (FEP).
Recent findings:
Family interventions (FI) reduce relapse rates, whilst cognitive behavioural therapy (CBT) shows a moderate effect in improving positive psychotic symptoms. Vocational interventions (VI) appear to be worthy of implementation within early intervention for psychosis (EIP) teams, but it is still unclear what is the most cost-effective strategy for their delivery. Promising interventions, which need more careful evaluation, focus on substance misuse, physical health comorbidities, improvement of social participation, peer support and the potential of new technologies.
Summary:
The first five years after the onset of psychotic symptoms are a ‘critical period’ in which psychosocial interventions can be particularly influential in determining prognosis. Traditional EIP interventions have different effectiveness profiles, i.e., FI reduce relapse rates, CBT has a moderate effectiveness on overall and positive symptoms and VI can improve educational and employment-related functioning. Newer interventions show promise on important targets for FEP treatment but require higher-quality evaluations. Decisions on which interventions to implement within EIP teams should be informed by high-quality evidence, but difficult choices will have to be made based on costs, professionals and technologies available, and local priorities.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RC Internal medicine | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Psychoses -- Treatment, Psychoses, Cognitive therapy | ||||||||
Journal or Publication Title: | Current Opinion in Psychiatry | ||||||||
Publisher: | Lippincott, Williams & Wilkins | ||||||||
ISSN: | 0951-7367 | ||||||||
Official Date: | September 2021 | ||||||||
Dates: |
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Volume: | 34 | ||||||||
Number: | 5 | ||||||||
Page Range: | pp. 460-466 | ||||||||
DOI: | 10.1097/YCO.0000000000000726 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Reuse Statement (publisher, data, author rights): | This is a non-final version of an article published in final form in Current Opinion in Psychiatry, 34 (5). pp. 460-466. | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
Date of first compliant deposit: | 21 October 2021 | ||||||||
Date of first compliant Open Access: | 16 July 2022 |
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