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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

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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
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
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:
DateEvent
2000Published
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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