Abstract:
OBJECTIVE:About one-third of patients referred to services for people at high risk for psychosis may have already developed a first episode of psychosis (FEP). We compared clinical outcomes in FEP patients who presented to either high risk or conventional mental health services. METHOD:Retrospective study comparing duration of hospital admission, referral-to-diagnosis time, need for compulsory hospital admission and frequency of admission in patients with FEP who initially presented to a high-risk service (n = 164) to patients with FEP who initially presented to conventional mental health services (n = 2779). Regression models were performed, controlling for several confounders. RESULTS:FEP patients who had presented to a high-risk service spent 17 fewer days in hospital [95% CI: -33.7 to (-0.3)], had a shorter referral-to-diagnosis time [B coefficient -74.5 days, 95% CI: -101.9 to -(47.1)], a lower frequency of admission [IRR: 0.49 (95% CI: 0.39-0.61)] and a lower likelihood of compulsory admission [OR: 0.52 (95% CI: 0.34-0.81)] in the 24 months following referral, as compared to FEP patients who were first diagnosed at conventional services. CONCLUSION:Services for people at high risk for psychosis are associated with better clinical outcomes in patients who are already psychotic.
journal_name
Acta Psychiatr Scandjournal_title
Acta psychiatrica Scandinavicaauthors
Fusar-Poli P,Díaz-Caneja CM,Patel R,Valmaggia L,Byrne M,Garety P,Shetty H,Broadbent M,Stewart R,McGuire Pdoi
10.1111/acps.12480subject
Has Abstractpub_date
2016-01-01 00:00:00pages
76-85issue
1eissn
0001-690Xissn
1600-0447journal_volume
133pub_type
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journal_title:Acta psychiatrica Scandinavica
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journal_title:Acta psychiatrica Scandinavica
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journal_title:Acta psychiatrica Scandinavica
pub_type: 杂志文章
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journal_title:Acta psychiatrica Scandinavica
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journal_title:Acta psychiatrica Scandinavica
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journal_title:Acta psychiatrica Scandinavica
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journal_title:Acta psychiatrica Scandinavica
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doi:10.1111/j.1600-0447.1985.tb02610.x
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journal_title:Acta psychiatrica Scandinavica
pub_type: 杂志文章
doi:10.1111/j.1600-0447.1986.tb02681.x
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pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
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doi:10.1111/j.1600-0447.1977.tb00154.x
更新日期:1977-03-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:1977-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1600-0447.1999.tb10865.x
更新日期:1999-10-01 00:00:00
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journal_title:Acta psychiatrica Scandinavica
pub_type: 杂志文章
doi:10.1111/j.1600-0447.1996.tb09869.x
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVE:The endocannabinoid (EC) system is widely distributed throughout the brain and modulates many functions. It is involved in mood and related disorders, and its activity may be modified by exogenous cannabinoids. This article examines the therapeutic potential of cannabinoids in psychiatric disorders. METHOD:A...
journal_title:Acta psychiatrica Scandinavica
pub_type: 杂志文章,评审
doi:10.1111/j.1600-0447.2011.01687.x
更新日期:2011-10-01 00:00:00