A Multidisciplinary First-Episode Psychosis Program

被引:0
作者
Schulz, S. Charles [1 ]
Murray, Aimee [1 ]
Silberschmidt, Amy [2 ]
Bond, David J. [1 ]
机构
[1] Univ Minnesota, Dept Psychiat, F282-2A West B,2450 Riverside Ave, Minneapolis, MN 55455 USA
[2] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA 15260 USA
关键词
TREATMENT OPTIMIZATION PROGRAM; PROSPECTIVE 12-MONTH DATA; 1ST MANIC EPISODE; BIPOLAR DISORDER; COGNITIVE REMEDIATION; ANTIPSYCHOTIC TREATMENT; TREATMENT RESPONSE; SCHIZOPHRENIA; METAANALYSIS; INTERVENTION;
D O I
10.3928/00485713-20151103-07
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Understanding that young patients with first-episode psychosis have many continuities with the characteristics of older patients was a step forward in the field and led to the development of initiating first-episode psychosis programs and reducing the duration of untreated psychosis. As programs have developed, so have strategies to develop initial evaluations to clarify the health of the young patient with psychosis. The next steps of treatment include medication, talk therapy, family therapy, and team work. Beyond starting treatment, there are significant emerging issues such as use of long-acting injectable medication and strategies for patients who do not respond to first-line treatments, such as using clozapine. The integration of cognitive-behavioral therapy, cognitive remediation, and a day treatment center for the first-episode psychosis program are integral.
引用
收藏
页码:561 / 568
页数:8
相关论文
共 59 条
  • [1] An Algorithm-Based Approach to First-Episode Schizophrenia: Response Rates Over 3 Prospective Antipsychotic Trials With a Retrospective Data Analysis
    Agid, Ofer
    Arenovich, Tamara
    Sajeev, Gautam
    Zipursky, Robert B.
    Kapur, Shitij
    Foussias, George
    Remington, Gary
    [J]. JOURNAL OF CLINICAL PSYCHIATRY, 2011, 72 (11) : 1439 - 1444
  • [2] Bawa Radhika, 2015, Innov Clin Neurosci, V12, P21
  • [3] Body Mass Index-Related Regional Gray and White Matter Volume Reductions in First-Episode Mania Patients
    Bond, David J.
    Ha, Tae Hyon
    Lang, Donna J.
    Su, Wayne
    Torres, Ivan J.
    Honer, William G.
    Lam, Raymond W.
    Yatham, Lakshmi N.
    [J]. BIOLOGICAL PSYCHIATRY, 2014, 76 (02) : 138 - 145
  • [4] The association of weight gain with mood symptoms and functional outcomes following a first manic episode: prospective 12-month data from the Systematic Treatment Optimization Program for Early Mania (STOP-EM)
    Bond, David J.
    Kunz, Mauricio
    Torres, Ivan J.
    Lam, Raymond W.
    Yatham, Lakshmi N.
    [J]. BIPOLAR DISORDERS, 2010, 12 (06) : 616 - 626
  • [5] Meta-analysis of Cognitive Impairment in First-Episode Bipolar Disorder: Comparison With First-Episode Schizophrenia and Healthy Controls
    Bora, Emre
    Pantelis, Christos
    [J]. SCHIZOPHRENIA BULLETIN, 2015, 41 (05) : 1095 - 1104
  • [6] Cardiometabolic Risk in Patients With First-Episode Schizophrenia Spectrum Disorders Baseline Results From the RAISE-ETP Study
    Correll, Christoph U.
    Robinson, Delbert G.
    Schooler, Nina R.
    Brunette, Mary F.
    Mueser, Kim T.
    Rosenheck, Robert A.
    Marcy, Patricia
    Addington, Jean
    Estroff, Sue E.
    Robinson, James
    Penn, David L.
    Azrin, Susan
    Goldstein, Amy
    Severe, Joanne
    Heinssen, Robert
    Kane, John M.
    [J]. JAMA PSYCHIATRY, 2014, 71 (12) : 1350 - 1363
  • [7] Brain Structural Abnormalities at the Onset of Schizophrenia and Bipolar Disorder: A Meta-analysis of Controlled Magnetic Resonance Imaging Studies
    De Peri, Luca
    Crescini, Alessandra
    Deste, Giacomo
    Fusar-Poli, Paolo
    Sacchetti, Emilio
    Vita, Antonio
    [J]. CURRENT PHARMACEUTICAL DESIGN, 2012, 18 (04) : 486 - 494
  • [8] DEGREEF G, 1992, ARCH GEN PSYCHIAT, V49, P531
  • [9] Randomized Controlled Trial of Clozapine and CBT for First-Episode Psychosis with Enduring Positive Symptoms: A Pilot Study
    Edwards, J.
    Cocks, J.
    Burnett, P.
    Maud, D.
    Wong, L.
    Yuen, H. P.
    Harrigan, S. M.
    Herrman-Doig, T.
    Murphy, B.
    Wade, D.
    McGorry, P. D.
    [J]. SCHIZOPHRENIA RESEARCH AND TREATMENT, 2011, 2011
  • [10] A prospective, open-label trial of olanzapine in adolescents with schizophrenia
    Findling, RL
    McNamara, NK
    Youngstrom, EA
    Branicky, LA
    Demeter, CA
    Schulz, SC
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2003, 42 (02) : 170 - 175