Evidence-based psychotherapy for the prevention and treatment of first-episode psychosis.
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| Title: | Evidence-based psychotherapy for the prevention and treatment of first-episode psychosis. |
|---|---|
| Authors: | Müller, Hendrik, Laier, Sonja, Bechdolf, Andreas |
| Source: | European Archives of Psychiatry & Clinical Neuroscience. Nov2014 Supplement, Vol. 264, p17-25. 9p. |
| Subjects: | Evidence-based psychotherapy, Psychiatric treatment, Antipsychotic agents, Psychoses, Quality of life, Cognitive therapy, Prevention |
| Abstract: | The aim of psychotherapy among individuals at clinical high risk (CHR) for psychosis is to prevent transition to full-blown psychosis. Psychotherapy in individuals with a first-episode psychosis (FEP) aims to reduce relapse rates. Remission of (pre-) psychotic symptoms, psychosocial functioning, quality of life, comorbid disorders and self-esteem are also important outcomes in individuals at CHR and with FEP. Antipsychotics, Qmega-3-Fatty acids and psychotherapy have been found to be effective in CHR for most of these aims. Thereby psychotherapy presents a better benefit/risk ratio than antipsychotic medication. The most evidence-based intervention is cognitive-behavioral therapy (CBT). Psychotherapy is mostly offered to FEP patients within specialized early intervention services (including assertiveness community treatment and antipsychotic medication). Thereby, CBT is effective for positive symptoms and family intervention is particularly effective for the prevention of relapses. We introduce the principles of CBT for psychosis and suggest adaptions for individuals at CHR and FEP. We conclude that the needs of young people at CHR and with FEP are best met by specially designed, low threshold outpatient clinical services, which include intensive psychotherapy treatment. A number of countries have implemented early detection and intervention services based on this model, while the implementation within in Germany is still marginal. [ABSTRACT FROM AUTHOR] |
| Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 98742103 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Evidence-based psychotherapy for the prevention and treatment of first-episode psychosis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Müller%2C+Hendrik%22">Müller, Hendrik</searchLink><br /><searchLink fieldCode="AR" term="%22Laier%2C+Sonja%22">Laier, Sonja</searchLink><br /><searchLink fieldCode="AR" term="%22Bechdolf%2C+Andreas%22">Bechdolf, Andreas</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Archives+of+Psychiatry+%26+Clinical+Neuroscience%22">European Archives of Psychiatry & Clinical Neuroscience</searchLink>. Nov2014 Supplement, Vol. 264, p17-25. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Evidence-based+psychotherapy%22">Evidence-based psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+treatment%22">Psychiatric treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Antipsychotic+agents%22">Antipsychotic agents</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: The aim of psychotherapy among individuals at clinical high risk (CHR) for psychosis is to prevent transition to full-blown psychosis. Psychotherapy in individuals with a first-episode psychosis (FEP) aims to reduce relapse rates. Remission of (pre-) psychotic symptoms, psychosocial functioning, quality of life, comorbid disorders and self-esteem are also important outcomes in individuals at CHR and with FEP. Antipsychotics, Qmega-3-Fatty acids and psychotherapy have been found to be effective in CHR for most of these aims. Thereby psychotherapy presents a better benefit/risk ratio than antipsychotic medication. The most evidence-based intervention is cognitive-behavioral therapy (CBT). Psychotherapy is mostly offered to FEP patients within specialized early intervention services (including assertiveness community treatment and antipsychotic medication). Thereby, CBT is effective for positive symptoms and family intervention is particularly effective for the prevention of relapses. We introduce the principles of CBT for psychosis and suggest adaptions for individuals at CHR and FEP. We conclude that the needs of young people at CHR and with FEP are best met by specially designed, low threshold outpatient clinical services, which include intensive psychotherapy treatment. A number of countries have implemented early detection and intervention services based on this model, while the implementation within in Germany is still marginal. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=98742103 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00406-014-0538-0 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 17 Subjects: – SubjectFull: Evidence-based psychotherapy Type: general – SubjectFull: Psychiatric treatment Type: general – SubjectFull: Antipsychotic agents Type: general – SubjectFull: Psychoses Type: general – SubjectFull: Quality of life Type: general – SubjectFull: Cognitive therapy Type: general – SubjectFull: Prevention Type: general Titles: – TitleFull: Evidence-based psychotherapy for the prevention and treatment of first-episode psychosis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Müller, Hendrik – PersonEntity: Name: NameFull: Laier, Sonja – PersonEntity: Name: NameFull: Bechdolf, Andreas IsPartOfRelationships: – BibEntity: Dates: – D: 02 M: 11 Text: Nov2014 Supplement Type: published Y: 2014 Identifiers: – Type: issn-print Value: 09401334 Numbering: – Type: volume Value: 264 Titles: – TitleFull: European Archives of Psychiatry & Clinical Neuroscience Type: main |
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