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Early detection and intervention evaluation for people at risk of psychosis : multisite randomised controlled trial

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Morrison, A. P., Stewart, S., French, P., Bentall, R. P. , Birchwood, M. J., Byrne, R. W., Davies, Linda, Fowler, David, Gumley, A. I., Jones, Peter B., Lewis, S. W., Murray, G. K., Patterson, Paul and Dunn, Graham (2011) Early detection and intervention evaluation for people at risk of psychosis : multisite randomised controlled trial. Early Intervention in Psychiatry, 5 (1). pp. 24-32. ISSN 1751-7885.

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Official URL: http://dx.doi.org/10.1111/j.1751-7893.2010.00254.x

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Abstract

Aims: Much research has begun to focus on the identification of people who are at high risk of developing psychosis, and clinical services have been initiated for this population. However, only a small number of studies have reported on the efficacy of interventions for preventing or delaying the onset of psychosis. The results of prior work suggest that cognitive therapy (CT) may be an effective, well-tolerated treatment. We report on the rationale and design for a large-scale, multi-site randomized, controlled trial of CT for people who are assessed to be at high risk of psychosis because of either state or state-plus-trait risk factors.

Methods: The study employs a single-blind design in which all participants receive frequent mental-state monitoring, which will efficiently detect transition to psychosis, and half are randomized to weekly sessions of CT for up to 6 months. Participants will be followed-up for a minimum of 12 months and to a maximum of 2 years.

Results: We report the characteristics of the final sample at baseline (n = 288).

Conclusions: Our study aimed to expand the currently limited evidence base for best practice in interventions for individuals at high risk of psychosis.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
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 -- Treatment, Psychoses -- Risk factors, Cognitive therapy, Evidence-based psychotherapy, Psychoses
Journal or Publication Title: Early Intervention in Psychiatry
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 1751-7885
Official Date: February 2011
Dates:
DateEvent
February 2011Published
27 January 2011Available
Volume: 5
Number: 1
Page Range: pp. 24-32
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
G0500264[MRC] Medical Research Councilhttp://dx.doi.org/10.13039/501100000265
UNSPECIFIEDDepartment of Healthhttp://dx.doi.org/10.13039/501100000276

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