Abstract:
AIM:Existing clinical guidelines have not yet identified an optimal duration of maintenance antipsychotic drug treatment for stable, remitted first-episode psychosis patients. This study compares the perception of relapse risk and attitudes towards maintenance medication among professionals in nursing and social work fields who have direct clinical experience with first-episode psychosis patients. We explore a perception model that identifies the decision-making factors in the clinical dilemma between relapse and maintenance. METHODS:A specially designed survey addressing perceptions of relapse risk and optimal duration of maintenance treatment was conducted among 63 experienced health-care professionals (30 nurses and 33 social workers) in the field of early psychosis in Hong Kong. RESULTS:Two clinically relevant themes were identified that affected professionals' judgment on the optimal duration of maintenance treatment in stable, remitted first-episode psychosis patients: (i) the remission period; and (ii) professionals' perceptions of relapse risk involved in medication discontinuation. The remission period was a significant predictor of the perceived relapse risk. Compared with social workers, mental health nurses perceived a higher relapse risk for patients before Bonferroni adjustment. CONCLUSIONS:The three key clinical components discussed--remission period, perceived relapse risk and perceived optimal duration of maintenance treatment--are interconnected, collectively influencing health-care professionals' attitudes towards relapse and maintenance for patients. Our study identified differences between the perceptions of nursing and social work professionals, indicating a need for communication and discussion among professional groups in order to arrive at a coherent, efficacious team consensus.
journal_name
Early Interv Psychiatryjournal_title
Early intervention in psychiatryauthors
Chan KK,Chin QP,Tang JY,Longenecker J,Hui CL,Chiu CP,Lam MM,Wong GH,Chen EYdoi
10.1111/j.1751-7893.2011.00268.xsubject
Has Abstractpub_date
2011-11-01 00:00:00pages
324-34issue
4eissn
1751-7885issn
1751-7893journal_volume
5pub_type
杂志文章abstract:AIM:Gender differences in the current symptomatology of patients with psychotic disorders have previously been described in the literature. However, it has not yet been investigated whether gender differences exist in the very first self-perceived signs or symptoms of illness onset. The aim of this study was to investi...
journal_title:Early intervention in psychiatry
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更新日期:2019-06-01 00:00:00
abstract:AIM:Although the reasons behind the stigmatization of psychosis are manifold, poor mental health literacy among the general public is likely to be a major factor. In Hong Kong, the Early Psychosis Foundation (EPISO) was established in 2007 to tackle this issue by providing educational and mental health promotional acti...
journal_title:Early intervention in psychiatry
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journal_title:Early intervention in psychiatry
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journal_title:Early intervention in psychiatry
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journal_title:Early intervention in psychiatry
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journal_title:Early intervention in psychiatry
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journal_title:Early intervention in psychiatry
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更新日期:2020-08-01 00:00:00
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journal_title:Early intervention in psychiatry
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Early intervention in psychiatry
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journal_title:Early intervention in psychiatry
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
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journal_title:Early intervention in psychiatry
pub_type: 杂志文章,评审
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更新日期:2018-08-01 00:00:00
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journal_title:Early intervention in psychiatry
pub_type: 杂志文章,评审
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更新日期:2012-11-01 00:00:00
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journal_title:Early intervention in psychiatry
pub_type: 杂志文章
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更新日期:2014-02-01 00:00:00
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journal_title:Early intervention in psychiatry
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