Early Intervention in Psychiatry最新文献

{"title":"Oral Health in Young People Accessing Services for Psychosis: A Retrospective Analysis","authors":"Scott B. Teasdale,&nbsp;Andrew Watkins,&nbsp;Oliver Ardill-Young,&nbsp;Eliza Draper,&nbsp;Philip B. Ward,&nbsp;Jackie Curtis","doi":"10.1111/eip.70030","DOIUrl":"https://doi.org/10.1111/eip.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To explore the oral health status and uptake of a free on-site professional check-up in young people with first-episode psychosis or with an at-risk mental state engaged with mental health services in Sydney, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A retrospective analysis of a two-stage quality improvement project was undertaken. First, a 26-item survey was administered to young people engaged with the Early Psychosis and Youth (At-Risk Mental State) services. The survey was adapted from the NSW Teen Dental Survey 2010, modified to suit the needs of this population group. Survey responses were compared against national recommendations where possible. Second, people were offered a free, on-site, oral health check-up conducted by an oral health hygienist. Check-ups were scored into seven categories, ranging from ‘does not appear to require routine treatment’ to ‘needs urgent dental treatment’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifty young people completed the survey, of whom 70% met the Australian Dental Association recommendations for frequency of teeth brushing, 56% for brushing duration, and 16% for flossing. Fifty percent reported visiting a dentist at least once per year, and 30% reported that they do not visit the dentist. Twenty-seven people agreed to a dental check-up, with 16 participants attending, and of these, 44% were recommended for dental treatment or further assessment to determine treatment needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Young people with first-episode psychosis or with an at-risk mental state frequently report suboptimal oral health practices and may benefit from dental support to prevent the high rates of dental disease that occur in more advanced mental illness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762185","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}

{"title":"Preferences for Psychological Therapy or Support Within an ARMS Psychological Therapies Trial: The Importance of Targeted Intervention for Unusual Sensory Experiences","authors":"Jahnese Hamilton,&nbsp;Akansha Singh,&nbsp;Chris Gibbs,&nbsp;Nicola A. Barclay,&nbsp;Lauren Birkett,&nbsp;Charleen Boyle,&nbsp;Toby Brandon,&nbsp;Robert Dudley,&nbsp;Jochen Einbeck,&nbsp;Victoria Larry,&nbsp;Jennifer Simpson,&nbsp;Guy Dodgson,&nbsp;Charles Fernyhough","doi":"10.1111/eip.70035","DOIUrl":"https://doi.org/10.1111/eip.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Individuals with an at risk mental state (ARMS) often experience hallucinatory-type experiences, which we refer to as unusual sensory experiences (USE). However, it is not known whether individuals want to know more about USE or discuss these in therapy. Our preferences study asked whether individuals who are referred into a treatment trial for USE in ARMS consider attention to USE important.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ninety-four service users of ARMS services within two UK National Health Service (NHS) mental health trusts completed the study-specific, “Preferences for psychological therapy or support” questionnaire. Questions elicited preferences for target of therapeutic work and therapist approach. Analysis employs a repeated measures ANOVA with post hoc analysis of difference between preferences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Treatment preferences which help understand <i>causes</i> of USE and how to <i>manage</i> USE were the group priority above talking therapy generally or a focus on low mood or anxiety. Provision of medication was the lowest priority in treatment preference though it was important to some. Overall, working with a therapist to make sense of experiences was more important than having space to talk, new ideas for coping, or working collaboratively on goals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Psychological intervention for individuals with at-risk mental state needs to include acceptable and credible psychoeducation on causes of USE and how to manage these.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762183","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}

{"title":"The Taiwan National Coordinated Early Psychosis Intervention Service: Comprehensive Overview and Early Outcomes","authors":"Yu-Ju Shih,&nbsp;Ching-Hong Tsai,&nbsp;Ke-Wei Lee,&nbsp;Hsiao-Yu Yang,&nbsp;Frank Huang-Chih Chou,&nbsp;Chao-Wei Hsu","doi":"10.1111/eip.70032","DOIUrl":"https://doi.org/10.1111/eip.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To provide an overview of Taiwan's first national Coordinated Early Psychosis Intervention Service (CEPIS), analyse baseline characteristics of first-episode psychosis (FEP) and at-risk mental state (ARMS) participants, and assess 6-month clinical outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study analysed data from nationwide 172 participants enrolled in CEPIS between March and September 2024. Baseline assessments included socio-demographic characteristics and clinical measures: the Positive and Negative Syndrome Scale (PANSS), Clinical Global Impression-Severity (CGI-S) and Personal and Social Performance (PSP) scale. Follow-up assessments were completed for 54 participants at 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>FEP participants were significantly older than ARMS participants (20.24 ± 6.19 vs. 17.77 ± 4.79 years, <i>p</i> = 0.004). Referral patterns differed significantly (<i>p</i> = 0.007), with more FEP participants referred through hospitals and more ARMS participants referred through schools. At baseline, FEP participants had higher PANSS scores (<i>p</i> = 0.004), but similar CGI-S and PSP scores. Six-month follow-up showed significant improvements in PANSS (<i>p</i> &lt; 0.001), CGI-S (<i>p</i> = 0.020) and PSP scores (<i>p</i> = 0.033).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study demonstrates the initial implementation of CEPIS in Taiwan, with preliminary clinical improvements observed over 6 months. The findings also highlight the importance of diverse referral pathways and characteristics in both ARMS and FEP populations and suggest the need for longer-term follow-up studies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689827","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":"The Relationship of Social Cognition on Social Circle Size and Social Support in Young Adults Recovering From First Episode Psychosis","authors":"Janneke van Houts,&nbsp;Barbara Montagne","doi":"10.1111/eip.70033","DOIUrl":"https://doi.org/10.1111/eip.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Young adults who experienced first episode psychosis (FEP) show impairments in social cognition, have smaller social circles, and experience less social support compared to their peers. While social cognition is important for social functioning, it is unclear whether these neurocognitive skills are related to social circle size or social support. It was examined whether participants with FEP and impairments in social cognition have smaller social circles and/or experience less social support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A cross-sectional study comparing 35 FEP participants in early recovery and 35 well-matched controls on measures of emotion perception, theory of mind (ToM), social perception, social circle size, and social support, and the relationship between social cognitive impairment, social circle size, and social support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant differences between the two groups were found only for ToM and not for emotion perception or social perception. FEP participants had a significantly smaller social circle size and perceived significantly less social support. Correlations between ToM and social circle size or social support were limited, with no significant differences when compared at the group level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>FEP participants and controls differ on social circle size and social support, while concerning social cognition, there was only a difference found on ToM between both groups. Questions are raised as to whether social cognition is related to social circle size or perceived social support in early recovery of FEP. While mechanisms influencing social circle size and social support need further research, it is important to continue to focus on social contact after FEP.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690162","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":"Overview of Regional Care for Adolescents Over the Age of 15 With a Mental State at Risk in France","authors":"Célia Longuet,&nbsp;Louis Tandonnet,&nbsp;Laurent Lecardeur","doi":"10.1111/eip.70028","DOIUrl":"https://doi.org/10.1111/eip.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Early detection and intervention in psychotic disorders are public health issues that have led to the creation of specific care systems in France, the visibility of which is still debated. Moreover, these services are often concentrated in adult rather than child psychiatry, which may increase the duration of untreated psychosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The main objective of this study was to take stock of the care provided in the adolescent unit of the Candélie hospital (Lot-et-Garonne, France) in 2023 and the proportion of adolescents aged over 15 diagnosed with a mental health risk who were followed up. The second objective was to propose an experimental approach to improving care for this group of patients by introducing an ‘advanced practice nurse’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Activity data for 2022 were collected by the IT department of the Candélie hospital. At risk mental state adolescents were identified according to the COGDIS and COPER criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results of the retrospective study carried out in 2022 show that staffing levels and care units in adolescent medicine are saturated. Depending on the system, between 19% and 39% of the patients are considered to have an at risk mental state. The construction of an Ishikawa diagram highlights three major issues on which the advanced nurse practitioner could intervene: support the system under pressure, delegate part of the medical activities given the shortage of doctors, and coordinate the transition of child and adolescent mental health care to adult mental health care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Restructuring existing health care systems by including initial consultation and monitoring of adolescents and their families by advanced practice nurses would allow earlier intervention with these adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143638807","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":"Translation and Adaptation of the Comprehensive Assessment of At-Risk Mental State (CAARMS) in Urdu and Establishing Its Psychometric Properties","authors":"Sana Jaffar,&nbsp;Rabia Dasti,&nbsp;Nazish Habib","doi":"10.1111/eip.70029","DOIUrl":"https://doi.org/10.1111/eip.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The term ‘At Risk Mental State’ (ARMS) has been used since the mid-1990s to describe a state prospectively in which a young person has a heightened risk of developing a psychotic disorder. Comprehensive Assessment of At-Risk Mental State (CAARMS) is an interview schedule that can be utilised to assess ARMS reliably and accurately. The present multistage study envisioned translating and adapting CAARMS into Urdu and establishing its psychometric properties so that it can effectively serve the purpose of recognising and treating the prodromal phase of first-episode psychosis for the Urdu-speaking population, especially in Pakistan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The translation was done by employing seven steps outlined by Sousa and Rojjanasrirat (2011). The translated and adapted tool was administered on a sample of <i>n</i> = 87 (first episode psychosis [FEP] = 30 UHR + [ARMS] = 27; UHR – [normal] = 30) which was obtained from psychiatry departments of different hospitals and the community. Inter-rater reliability and concurrent validity were established by running Pearson Correlation, while construct validity was established by employing the Kruskal–Wallis <i>H</i> test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed that the CAARMS-Urdu had a content validity index (I-CVI) of 1; inter-rater reliability of 0.99; Cronbach's alpha coefficient of 0.97; and good construct and concurrent validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The CAARMS-U displayed excellent reliability and validity. In the future, CAARMS-U could be used to assess early psychosis and the efficient diagnosis of ARMS individuals in Urdu-speaking communities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143638808","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":"The Role of Negative Symptoms on the Continuum of Psychosis Risk as a Mediator of the Relationship Between Personality and Functioning in Individuals With Psychotic-Like Experiences","authors":"Dawid Kruk,&nbsp;Łukasz Gawęda,&nbsp;Aleksandra Arciszewska-Leszczuk,&nbsp;Aneta Kalisz,&nbsp;Piotr Błądziński,&nbsp;Dorota Frydecka,&nbsp;Andrzej Cechnicki","doi":"10.1111/eip.70027","DOIUrl":"https://doi.org/10.1111/eip.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Psychotic-like experiences (PLEs) may increase the risk of psychosis. Most of the research on PLEs focuses on their positive dimension—for example, hallucinatory-like experiences or delusion-like thoughts. Relatively little is known about the role of PLEs on the continuum of negative symptoms. The aim of this study was to examine whether negative symptoms, both in the experiential and expressive dimensions, could mediate the effects of temperament and character on the level of functioning of individuals with PLEs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted on 107 healthy young adults with the highest severity of PLEs, selected from a larger sample of 6722 people recruited for another study. Participants were examined using the Cloninger Temperament and Character Inventory, the Brief Negative Symptom Rating Scale, and the Social and Occupational Functioning Assessment Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both functioning and certain personality traits, such as harm avoidance, persistence, self-directedness, and cooperativeness, were more strongly associated with the occurrence of experiential rather than expressive negative symptoms. We have developed four models, in which we have shown that the experiential negative symptoms mediated the impact of the temperament and character traits on socio-occupational functioning. In each model, negative symptoms weakened the direct effect of the personality trait on functioning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings suggest that, like at the other stages of psychosis risk, a constellation of specific temperament and character traits is a risk factor for functional decline, which may be partly explained by the effect of experiential negative symptoms. The study also confirms the different impact of the two domains of negative symptoms on functional outcomes, suggesting the need for developing targeted interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571373","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":"Predictors of Suicide Attempts and Reattempts in a Sample of Chilean Adolescents","authors":"Paula Jhoana Escobedo-Aedo,&nbsp;Pablo Méndez,&nbsp;Raquel Álvarez,&nbsp;Enrique Baca-García,&nbsp;Alejandro Porras-Segovia","doi":"10.1111/eip.70024","DOIUrl":"https://doi.org/10.1111/eip.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Suicide is a public health problem worldwide, especially among adolescents. Chile is one of the Latin American countries with the highest suicide rates; however, few studies have investigated the risk factors for suicide attempts in this specific population. We aimed to describe the suicidal behaviour of Chilean adolescents and to explore the factors associated with suicide attempts and reattempts in this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adolescents (10–19 years) with a diagnosis of psychiatric disorders were recruited in the Maule region, Chile, between 2018 and 2021. Sociodemographic and clinical variables were collected. Logistic regression was performed to explore the association between these variables and suicide attempts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Factors associated with increased odds of suicide attempts included age, sexual orientation, Adverse Childhood Events (ACEs) and past and current symptomatology. Factors that decreased the odds of suicide attempts were previous psychotherapy or pharmacological treatment, responsiveness and warmth from mother and father. Active symptoms at the time of assessment increased the odds of reattempting suicide.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In our sample, clinical and trauma-related factors emerged as the most important factors in predicting suicide attempts. Although age, sexual orientation and family dysfunction also played a notable role, positive relationships with parents seemed to be protective. In addition, current symptoms of stress, anxiety and depression significantly increased the likelihood of reattempts. These findings provide valuable knowledge about suicidality in Chile, although further research is needed to expand the evidence in our media.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565196","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":"Navigating the Maze: Caregiver Perspectives on Pathways to Mental Health Care for U.S. Youth at Clinical High Risk for Psychosis","authors":"Vanessa Calderon,&nbsp;Jennifer M. Gamarra,&nbsp;Bernalyn Ruiz-Yu,&nbsp;Danielle M. Denenny,&nbsp;Jamie L. Zinberg,&nbsp;Carrie E. Bearden,&nbsp;David J. Miklowitz","doi":"10.1111/eip.70025","DOIUrl":"https://doi.org/10.1111/eip.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Treatment for youth who are at clinical high risk for psychosis (CHR-P) presents an opportunity for early intervention with the capacity to decrease the burden associated with a potential psychotic disorder later in life. However, significant barriers prevent youth at CHR-P from accessing speciality mental health services. Few studies have examined the pathways to care for youth at CHR-P within the U.S. health system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The present study reports the results of a codebook thematic analysis of qualitative interviews conducted with caregivers (primarily parents) of 15 youth (ages 12–25 years) who entered a CHR-P speciality program. Using a semi-structured interview, we inquired about their experiences navigating the health system to eventually arrive at the speciality program, including help-seeking events and referrals, caregivers' attributions for youths' CHR-P symptoms, and barriers and facilitators to care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Caregivers reported confusion and uncertainty regarding the causes of symptoms. They also disclosed the significant challenges to obtaining mental health care, including low mental health literacy, illness stigma, provider unavailability or appropriateness and adequacy of referrals. Most of the youth had encounters with emergency services during their help-seeking journey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our results help define targets for future policy, research and clinical efforts to improve access to speciality care for youth at CHR-P in the U.S.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565197","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":"Digital Mental Health Interventions for University Students With Mental Health Difficulties: A Systematic Review and Meta-Analysis","authors":"Alba Madrid-Cagigal,&nbsp;Carmen Kealy,&nbsp;Courtney Potts,&nbsp;Maurice D. Mulvenna,&nbsp;Molly Byrne,&nbsp;Margaret M. Barry,&nbsp;Gary Donohoe","doi":"10.1111/eip.70017","DOIUrl":"https://doi.org/10.1111/eip.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>While third-level educational institutions have long provided counselling, a sharp rise in demand has led to limited access to mental health supports for many students, including those with ongoing difficulties. Digital mental health interventions represent one response to this unmet need, given the potential low cost and scalability associated with no-to-low human resources involved.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The aim of this study was to conduct a systematic review and meta-analysis of the literature examining effectiveness of digital mental health interventions for university students with ongoing mental health difficulties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The following databases were searched: PubMed, EBSCOhost (CINHAHL/PsycINFO/PsycArticles) and Web of Science. Two-armed randomised-control trials were included in the meta-analysis. A random-effects meta-analysis was conducted and standardised mean differences were calculated. Effect sizes were then compared in terms of therapeutic approach, and whether interventions were fully automated or guided interventions. This study was registered with PROSPERO, CRD42024504265.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty four eligible studies were included in this narrative synthesis, of which 21 randomised-controlled trials were included in the meta-analysis. Random-effects meta-analysis indicated an overall medium effect size in favour of digital interventions for both depression (Cohen's <i>d</i> = 0.55), and anxiety (Cohen's <i>d</i> = 0. 46). Of note, for anxiety outcomes, fully automated interventions appeared more effective (<i>d</i> = 0.55) than guided interventions (<i>d</i> = 0.35).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Digital mental health interventions are associated with beneficial effects for college students when measured in terms of anxiety and depression symptom severity. For anxiety, fully automated interventions may be more effective than guided interventions to reduce symptom severity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539338","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}