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Three-year outcome of first-episode psychoses in an established community psychiatric service
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Singh, Swaran P., Croudace, Tim, Amin, Shazad, Kwiecinski, Rosemary, Medley, Ian and Jones, Peter B. (2000) Three-year outcome of first-episode psychoses in an established community psychiatric service. The British Journal of Psychiatry, Volume 176 (Number 3). pp. 210-216. doi:10.1192/bjp.176.3.210 ISSN 0007-1250.
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Official URL: http://dx.doi.org/10.1192/bjp.176.3.210
Abstract
Background Changes in service provision, secular trends in substance misuse and changing social structures might affect outcome in psychosis.
Aims To assess the three-year outcome of an inception cohort of first-episode psychoses treated in a modern, community-oriented service; to compare outcomes with an earlier cohort treated in hospital-based care; and to examine the predictive validity of ICD—10 diagnostic criteria.
Method Three-year follow-up (1995-1997) of an inception cohort of first-episode psychoses and comparison with two-year follow-up (1980-1982) of the Determinants of Outcome of Severe Mental Disorders (DOSMED) Nottingham cohort.
Results On most outcome measures, non-affective psychoses had a worse outcome than affective psychoses. Affective psychoses had better outcome than previously reported. Substance-related psychoses had very poor occupational outcome. Similar proportions of the current and DOSMED cohort were in remission but the former were rated as having greater disability.
Conclusions In a modern community service, 30-60% of patients with first-episode psychoses experience a good three-year outcome. The ICD—10 criteria have good predictive validity.
| Item Type: | Journal Article | ||||
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| Subjects: | R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry | ||||
| Divisions: | 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, Community mental health services -- Great Britain -- Evaluation | ||||
| Journal or Publication Title: | The British Journal of Psychiatry | ||||
| Publisher: | Royal College of Psychiatrists | ||||
| ISSN: | 0007-1250 | ||||
| Official Date: | 2000 | ||||
| Dates: |
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| Volume: | Volume 176 | ||||
| Number: | Number 3 | ||||
| Page Range: | pp. 210-216 | ||||
| DOI: | 10.1192/bjp.176.3.210 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Funder: | NHS Executive. Research and Development Directorate, Stanley Foundation, Medical Research Council (Great Britain) (MRC) |
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