Early Intervention in Psychiatry最新文献

{"title":"Reply to Wei and Li: Commentary on Expanding Perspectives on Treatment Outcomes in Clinical High-Risk for Psychosis","authors":"Aubrey M. Moe, Heather M. Wastler, Nicholas J. K. Breitborde","doi":"10.1111/eip.13620","DOIUrl":"10.1111/eip.13620","url":null,"abstract":"","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"18 11","pages":"975-976"},"PeriodicalIF":2.1,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intergenerational Injustice and Youth Mental Health: A Call to Action","authors":"Gerald Jordan, Farina Akhtar, Nimra Ahsan, Elizabeth Egharevba, Robyn Kimber, Noor Saffy, Eszter Horvath","doi":"10.1111/eip.13619","DOIUrl":"10.1111/eip.13619","url":null,"abstract":"","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"18 11","pages":"897-900"},"PeriodicalIF":2.1,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Student Suicide in India: An Analysis of Newspaper Articles (2019-2023).","authors":"Sucharita Maji, Gerald Jordan, Saurabh Bansod, Aditesh Upadhyay, Diveesha Deevela, Susmita Biswas","doi":"10.1111/eip.13616","DOIUrl":"https://doi.org/10.1111/eip.13616","url":null,"abstract":"<p><strong>Aim: </strong>Student suicide is one significant public health concern across the world, including India. In recent years, the surge in suicide cases has further worried mental health professionals and policymakers. The current study analysed the reported student suicide cases published in four leading Indian newspapers.</p><p><strong>Method: </strong>Based on the analysis of newspaper reports published between 2019 and 2023, the study detected a total of 491 suicidal deaths of students.</p><p><strong>Result: </strong>The result revealed that academic reasons (academic dissatisfaction, academic stress and academic failure), institutional reasons (bullying, caste discrimination, ragging, harassment and toxic institutional culture), mental health issues (depression, psychological stress and anxiety), financial crisis and online gaming are the most commonly reported reasons behind student suicides. The majority of suicide victims were within the age range of 16-21 years. The highest number of suicide cases are reported from Kota, a city often referred to as the coaching capital of India.</p><p><strong>Conclusion: </strong>The study highlights considering changes in the academic curriculum to make academic programs less stressful for students. More importantly, policies should ensure that the academic campuses are free from harassment, bullying or similar aggressive experiences. Furthermore, emphasising students' mental health should be the education system's biggest priority.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Participation Preferences in Cognitive Treatments Among Youth With Mental Illness: Findings From the Your Mind, Your Choice Survey.","authors":"Shayden Bryce, Nicholas Cheng, Alexandra Stainton, Isabel Zbukvic, Alex Dalton, Angelica Ojinnaka, Aswin Ratheesh, Chris O'Halloran, Jacquie Uren, Jesse Gates, Rothanthi Daglas-Georgiou, Stephen Wood, Kelly Allott","doi":"10.1111/eip.13615","DOIUrl":"https://doi.org/10.1111/eip.13615","url":null,"abstract":"<p><strong>Aim: </strong>To explore the cognitive treatment preferences of young people with mental illness.</p><p><strong>Methods: </strong>Two-hundred and fourteen people, aged 12-25 years, were surveyed about their treatment priorities. Participants were specifically asked how they might like to receive cognitive treatments and identify factors that might influence their decisions to participate.</p><p><strong>Results: </strong>Over half of the participants indicated that they would like to receive treatment face-to-face, in a one-on-one setting, with a treatment focus on both deficits and strengths, or without involvement from friends or family when asked about each preference individually. However, only 11% of people wanted all four of these preferences combined. Treatment cost, effectiveness, therapeutic relationships, and accessibility were the most frequently identified factors that could influence perceived decisions to participate.</p><p><strong>Conclusions: </strong>The cognitive treatment preferences of young people are variable. Supports focusing on both cognitive strengths and deficits were a novel finding and warrants further attention within existing treatment frameworks.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peripersonal Space Plasticity in Relation to Psychopathology and Anomalous Subjective Experiences in Individuals With Early-Onset and Adult-Onset Schizophrenia.","authors":"Valeria Lucarini, Francesca Magnani, Francesca Ferroni, Martina Ardizzi, Francesca Giustozzi, Roberto Volpe, Nikolas Fascendini, Stefano Amorosi, Francesco Rasmi, Carlo Marchesi, Vittorio Gallese, Matteo Tonna","doi":"10.1111/eip.13613","DOIUrl":"https://doi.org/10.1111/eip.13613","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals with schizophrenia present anomalies in the extension and plasticity of the peripersonal space (PPS), the section of space surrounding the body, shaped through motor experiences. A weak multisensory integration in PPS would contribute to an impairment of self-embodiment processing, a core feature of the disorder linked to specific subjective experiences. In this exploratory study, we aimed at: (1) testing an association between PPS features, psychopathology, and subjective experiences in schizophrenia; (2) describing the PPS profile in individuals with early-onset schizophrenia.</p><p><strong>Materials and methods: </strong>Twenty-seven individuals with schizophrenia underwent a task measuring the PPS size and boundaries demarcation before and after a motor training with a tool. The Positive And Negative Syndrome Scale (PANSS), the Examination of Anomalous Self Experience scale (EASE) and the Autism Rating Scale (ARS) were used to assess psychopathology. Subsequently, participants were divided into two subgroups, early and adult-onset schizophrenia. The two groups were compared in regard to their PPS and psychopathological profiles.</p><p><strong>Results: </strong>PPS patterns were associated with psychopathology, particularly positively with PANSS negative scale score, and negatively with subjective experiences of existential reorientation (EASE Domain 5 scores) and of social encounters (ARS scores). Only PPS parameters and ARS scores differentiated between early and adult-onset participants.</p><p><strong>Conclusions: </strong>Our results, although preliminary and exploratory, can suggest a link between PPS patterns, negative symptoms, and disturbances of the subjective experience, particularly in the intersubjective domain, in schizophrenia. Moreover, they seem to suggest that specific PPS profiles and schizophrenic autism traits could be markers of early-onset schizophrenia.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to ‘Letter to the Editor: Weight gain and metabolic screening in young people with early psychosis on long acting injectable antipsychotic medication’","authors":"Flavie Waters,&nbsp;Gordon Shymko,&nbsp;Terina Grace,&nbsp;Daniel Hacking,&nbsp;Nicole Jolly,&nbsp;Arti Parmar,&nbsp;Louise Dobson,&nbsp;Puanna Kapi","doi":"10.1111/eip.13589","DOIUrl":"https://doi.org/10.1111/eip.13589","url":null,"abstract":"","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"18 8","pages":"665-666"},"PeriodicalIF":2.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Item Response Theory Analysis of the Psychosis Screening Questionnaire in Ethiopia.","authors":"Mahlet Yared, Hannah H Kim, Amantia Ametaj, Melkam Alemayehu, Anne Stevenson, Barkot Milkias, Engida Girma, Bizu Gelaye, Solomon Teferra","doi":"10.1111/eip.13609","DOIUrl":"10.1111/eip.13609","url":null,"abstract":"<p><strong>Aim: </strong>Few psychosis screening instruments have been tested for use in Africa, yet appropriate tools can increase the detection of self-reported psychotic symptoms, improve the detection of psychosis and impact its prognosis.</p><p><strong>Method: </strong>The construct validity and factor structure of Psychosis Screening Questionnaire (PSQ) were tested with confirmatory factor analysis (CFA) and item response theory (IRT) in a sample of 1928 Ethiopian adults without any history of psychosis. We tested a unidimensional model with and without an item on mania. For IRT, unidimensional latent structure one-parameter logistic (1PL) and two-parameter (2PL) logistic models were tested and compared for relative fit using a likelihood-ratio test.</p><p><strong>Result and discussion: </strong>The prevalence of lifetime positive screens was 2.8% in an Ethiopian sample of adults from a general medical setting. A unidimensional model demonstrated good fit for the PSQ, (CFI = 0.993, TLI = 0.986 and RMSEA = 0.025). For IRT, a 2PL model was the best fitting one. IRT tests of item difficulty and discrimination parameters showed that paranoia had the highest discrimination <math> <semantics> <mrow> <mfenced><mrow><mi>α</mi> <mo>=</mo> <mn>4.59</mn></mrow> </mfenced> </mrow> <annotation>$$ left(alpha =4.59right) $$</annotation></semantics> </math> and lowest difficulty ( <math> <semantics><mrow><mi>β</mi> <mo>=</mo> <mn>2.53</mn></mrow> <annotation>$$ beta =2.53 $$</annotation></semantics> </math> ), likely to be endorsed at low levels of psychotic features. Thought insertion had the highest item difficulty ( <math> <semantics><mrow><mi>β</mi> <mo>=</mo> <mn>2.98</mn></mrow> <annotation>$$ beta =2.98 $$</annotation></semantics> </math> ). Overall, the measure captures the psychosis construct at higher levels of the latent trait and may be suited for detecting moderate to severe levels of psychosis.</p><p><strong>Conclusion: </strong>The PSQ is found to have good construct validity in screening for psychosis among Ethiopian adults. Future studies may focus on the diagnostic validity of the PSQ comparing it with a structured clinical interview.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Adolescence to Adulthood: Understanding Care Trajectories in an Early Detection and Intervention Centre in France.","authors":"Simone Marchini, Marie-Alix Laroche, Harmony Nemorin, Valentine Morin, Guillaume Tanguy, Valeria Lucarini, Anton Iftimovici, Boris Chaumette, Marie-Odile Krebs, Mylene Charre","doi":"10.1111/eip.13605","DOIUrl":"https://doi.org/10.1111/eip.13605","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric disorders often emerge during adolescence or young adulthood, leading to significant disability among youth. The transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) is critical for individuals experiencing emerging psychopathology, with delayed access to care negatively impacting long-term outcomes. Accessing mental health services for adolescents and young adults is often complex and delayed due to challenges in service visibility, accessibility and appropriateness.</p><p><strong>Methods: </strong>This study examines the care trajectories of individuals consecutively accessing the early detection and intervention (EDI) centre C'JAAD (Evaluation Centre for Young Adults and Adolescents) in Paris (France) over the year 2021. The main goal was to clarify the role of this EDI centre in the continuity of care and transition to AMHS. Data about their history of care, hospitalisations and referral sources were collected retrospectively.</p><p><strong>Results: </strong>The sample comprised 194 individuals, with 57.2% males and a median age of 20 years. Most patients (67.5%) were ≥18 years old upon arrival, with 31% in a situation of not being in education, employment, or training (NEET). Over one-third (35.2%) had prior psychiatric hospitalisations. Patients were mainly referred to our EDI centre from other hospital departments (42.3%). Regarding care in CAMHS, 50.3% of the total sample had medical follow-up during childhood, of whom 41.9% had discontinued care upon arrival at the EDI centre. The median onset age of care in CAMHS was 14, with a median duration of 12 months. Adult patients experienced an approximately 3-year gap between the end of CAMHS care and assessment at the EDI centre.</p><p><strong>Discussion: </strong>The sample's characteristics resemble those of other EDI centres, but concerns persist regarding referral timing and the NEET status of many youths. Lack of prior medical follow-up and challenges in transitioning to AMHS underscore the need to enhance care continuity and address difficulties in accessing care during the transition to adulthood.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recorded Rates of Trauma-Exposure in a Retrospective Epidemiologically Complete First-Episode Psychosis Cohort.","authors":"Aisling Redmond, Keith Gaynor, Sean Naughton, Mary Clarke","doi":"10.1111/eip.13610","DOIUrl":"https://doi.org/10.1111/eip.13610","url":null,"abstract":"<p><strong>Background: </strong>Trauma plays an important role in the development and maintenance of psychosis. However, it is still under-examined in daily clinical practice. The current study investigated the rates of recording of trauma-exposure in the clinical histories of a first-episode psychosis (FEP) cohort attending an early intervention psychosis service.</p><p><strong>Methods: </strong>This study used a retrospective chart review methodology in a 6-year epidemiologically complete FEP cohort attending an early intervention psychosis service. The Trauma and Life Events Checklist was used to define the rate and types of trauma-exposure reported in clinical histories. The relationships were examined between recorded trauma-exposure and positive and negative symptoms, depression and duration of untreated psychosis at first assessment.</p><p><strong>Results: </strong>Trauma-exposure was frequently recorded within clinical histories. Childhood trauma-exposure was recorded in 47.4% of the sample, which is lower than may be expected. No significant relationships between the recorded trauma-exposure and symptom measures were found. A significant relationship was found between interpersonal stressors and positive symptoms, and work-related stress and negative symptoms, highlighting the importance of proximal stressful life events.</p><p><strong>Discussion: </strong>This study found that clinicians were frequently recording trauma-exposure in daily practice. However, it was unclear whether the recording of trauma-exposure highlighted led to systematic diagnosis, assessment or treatment of trauma for people with psychosis. The importance of treatment and service planning to include information about trauma-exposure is discussed.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142105456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Non-Clinical Services Help to Improve Functional Outcomes Among Young Adults With Mental Disorders? A Systematic Review","authors":"Kate Gossip,&nbsp;Julie John,&nbsp;Charlotte Comben,&nbsp;Holly E. Erskine,&nbsp;James G. Scott,&nbsp;Sandra Diminic","doi":"10.1111/eip.13606","DOIUrl":"10.1111/eip.13606","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Mental disorders during young adulthood can significantly impair functioning in daily activities. Non-clinical support services aim to improve functioning by helping people to build social and life skills, participate in education and employment and improve physical health. This study aims to examine and synthesise the evidence for non-clinical services on improving functional outcomes for young adults with mental disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search was undertaken to identify quantitative and qualitative studies reporting on a non-clinical service component (vocational support, peer support, youth development, lifestyle interventions, family and network support) and examining functional outcomes (e.g., outcomes focussed on work and education, life skills, relationships and healthy behaviours).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen studies met inclusion criteria. Identified studies focussed on vocational support services (<i>n</i> = 9), lifestyle interventions (<i>n</i> = 6) and family and network support services (<i>n</i> = 2). No studies on peer-support services or youth development services were found. More than half of the vocational support service studies reported increased employment rates among young adults (<i>n</i> = 6). Studies focussing on lifestyle interventions included a combination of physical activity, nutrition education, health coaching and motivation and behaviour change. However, the measures of functioning used across studies were too varied to determine whether lifestyle interventions may be useful in improving functional outcomes for young adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Further research is needed to understand the impact of non-clinical services on functioning. This evidence will provide pragmatic guidance for service planners to invest in supports and interventions that make a meaningful difference to the lives of young adults living with mental disorders.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"18 10","pages":"773-788"},"PeriodicalIF":2.1,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.13606","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142105455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}