Early Intervention in Psychiatry最新文献

{"title":"Longitudinal Dietary Intake of Young People With a First Episode of Psychosis From the Time of Presentation to Six Months Follow-Up","authors":"Brian O'Mahony,&nbsp;Andrew Thompson,&nbsp;Adele Morrin,&nbsp;Brian O'Donoghue","doi":"10.1111/eip.70226","DOIUrl":"10.1111/eip.70226","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Antipsychotic medications stimulate appetite and weight gain, contributing to high obesity rates in people with psychotic disorders. It is unknown if these dietary effects habituate over time. This study aimed to determine the dietary intake of young people with a first-episode psychosis at the time of presentation and at three- and six-months of follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We assessed dietary patterns at baseline, 3 months, and 6 months in participants diagnosed with first-episode psychosis who had minimal prior antipsychotic exposure. We analysed data from the PHAstER randomised-controlled trial, assessing changes in food consumption and Australian Dietary Guideline compliance using signed-rank tests with corrections for multiple testing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 77 PHAstER study participants, 70 participants (91%) provided dietary data at baseline and 46 (60%) at 3 and 6 months. Dietary intake patterns and compliance with dietary guidelines remained consistent across all three timepoints. At baseline, few met recommended intake of three major food groups: vegetables (13%), dairy (20%) and fruit (24%). 64% of participants had a high intake of discretionary food (food high in saturated fat/sugars). At baseline, but not at three- or six-months, higher education levels were associated with healthier dietary patterns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Participants consistently reported unhealthy diets that did not adhere to guidelines, with no significant change over 6 months. This study reinforces the inequity of dietary health in people with psychosis, particularly those with lower levels of education. Dietary advice and support represent interventions with high marginal gain in this cohort, and should be part of routine clinical care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 8","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70226","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148600359","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":"Substance Use and Suicidality in People at Ultra-High-Risk of Psychosis: A Systematic Review","authors":"Alicia Tan Jia Hui,&nbsp;Lee D. Mulligan","doi":"10.1111/eip.70236","DOIUrl":"10.1111/eip.70236","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Substance use and suicidality are prevalent among individuals at ultra-high-risk (UHR) of psychosis, yet their relationship remains unclear. This systematic review synthesises evidence on the relationship between substance use and suicidality—comprising suicidal ideation, self-harm, suicide attempts, and suicide deaths—in the UHR population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A pre-registered systematic review (PROSPERO: CRD42024614852) was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Systematic searches of Embase, Medline, PsycINFO, and Web of Science identified studies examining substance use and suicidality in individuals at UHR. Two reviewers independently extracted data and assessed quality using the Mixed Methods Appraisal Tool. Findings were narratively synthesised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twelve studies (13 papers; <i>n</i> = 2198) met inclusion criteria. Of 40 analyses, only 13 reported significant associations between substance use and suicidality, most of which were derived from a single study. Tobacco use showed the most consistent preliminary associations with suicidal ideation and self-harm. Alcohol and cannabis were linked to ideation and self-harm in some analyses, and cocaine to ideation only, particularly when continuous measures were used. In contrast, composite substance use variables were largely unrelated to suicide outcomes. Methodological quality varied, with major limitations including reliance on cross-sectional data and the use of dichotomous substance use outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>At present, there is insufficient high-quality evidence to establish a reliable association between substance use and suicidality in individuals at UHR for psychosis. Rigorous longitudinal studies using validated, substance-specific measures are needed to better understand these relationships and inform risk assessment and early intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 8","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70236","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148600323","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":"Racial Disparities in Psychotropic Medication Use Before a Diagnosis of Schizophrenia and Major Depressive Disorder Among Youths and Young Adults","authors":"Kangho Suh,&nbsp;Tushita Mayanil,&nbsp;Ping J. Ko,&nbsp;Jingye Yang,&nbsp;Peter Jhon,&nbsp;K. N. Roy Chengappa","doi":"10.1111/eip.70232","DOIUrl":"10.1111/eip.70232","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess Black–White differences in psychotropic medication use during the year before an incident diagnosis of schizophrenia or major depressive disorder (MDD) among youths and young adults, and secondarily to compare prescribing patterns by diagnosis:</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective cohort study using administrative claims from a publicly funded behavioural health system (2017–2022). Incident schizophrenia or MDD was identified using ICD-10 codes. Medication fills in the 12 months pre-diagnosis were assessed by race. Multivariable logistic regression estimated adjusted odds ratios (ORs) for medication use, controlling for demographic and socioeconomic factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The cohort included 787 individuals with schizophrenia and 5917 with MDD. In the year before diagnosis, Black youths and young adults had lower odds than White youths and young adults of receiving several psychotropic classes. In schizophrenia, Black patients had lower odds of any antipsychotic use (OR = 0.47, 95% CI: 0.35, 0.64), driven by lower odds of second-generation antipsychotic (SGA) use (OR = 0.43, 95% CI: 0.32, 0.59). First-generation antipsychotic use did not differ by race. Among SGA users, days' supply was similar by race. In MDD, Black patients had lower adjusted odds of antidepressant and benzodiazepine use. Compared with MDD, schizophrenia was associated with higher odds of antipsychotic and mood stabilizer use pre-diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Racial disparities in treatment exposure are evident prior to diagnosis, particularly for SGAs before schizophrenia, suggesting inequities in early pathways to care. Strategies to improve equitable access to timely evaluation and evidence-based treatment are needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 8","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148600397","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":"Clinical and Sociodemographic Characteristics of Young People With Early Psychosis: Comparing Cannabis Users and Non-Users in a Specialized Early Intervention Setting","authors":"Anna Willert,&nbsp;Laura von Hardenberg,&nbsp;Laura Holzner,&nbsp;Michèle Kallenbach,&nbsp;Eva Reichert,&nbsp;Andreas Bechdolf,&nbsp;Karolina Leopold","doi":"10.1111/eip.70240","DOIUrl":"10.1111/eip.70240","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite the high prevalence of comorbid cannabis use at first onset of psychotic symptoms, high transition rates from cannabis-induced psychosis to schizophreniform psychoses and bipolar disorder, and evidence of cannabis use as a risk factor in developing primary psychosis, only a few studies have addressed the difficulties in differential diagnosis focusing on the early stages of the disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The present study is the first to date to examine clinical and sociodemographic characteristics of individuals with early psychosis, comparing cannabis-induced psychotic disorder (CIPD), non-substance-induced psychotic disorder with concurrent cannabis use (NSIPD+C), and non-substance-induced psychotic disorder (NSIPD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A retrospective chart review of patients aged 18–35 with early psychosis who received inpatient treatment at FRITZ Early Intervention Center between December 2016 and September 2021 was conducted. Sociodemographic characteristics included age, biological sex, family history of psychiatric illness, migration background, living status, education/work status. Clinical characteristics included insight into illness, duration of untreated psychosis (DUP), social functioning, pathway to treatment, treatment motivation, treatment recommendation, and type of discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 509 participants, 42.6% had a diagnosis of NSIPD, 33.3% of CIPD, 7% of NSIPD+C. NSIPD had a significantly longer treatment duration compared to CIPD, a higher treatment motivation, and a higher discharge in accordance with clinicians' recommendation compared to both CIPD and NSIPD+C. No significant group differences were found in sociodemographic characteristics, DUP, and functioning scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The examined sociodemographic parameters as well as level of functioning and DUP do not aid in the differential diagnostic classification when cannabis use and psychotic symptoms occur simultaneously. The absence of differences in DUP across diagnoses may reflect the efficacy of low-threshold access provided by FRITZ and further supports the need for comprehensive implementation of early intervention services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 8","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590888","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":"Assessing the Effectiveness, Adherence and Attrition of Smartphone-Based Mental Health Interventions in University Students: A Systematic Review and Meta-Analysis","authors":"Maya Jabs,&nbsp;Matthew Thompson,&nbsp;Jake Linardon,&nbsp;Mariel Messer,&nbsp;Tracey D. Wade","doi":"10.1111/eip.70207","DOIUrl":"10.1111/eip.70207","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mental health challenges are prevalent among university students, many of whom face barriers to accessing traditional psychological services. Smartphone-delivered mental health applications offer a scalable intervention option, but evidence regarding their effectiveness and engagement remains limited. This systematic review and multilevel meta-analysis examined clinical and engagement outcomes of app-based mental health interventions in university students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Medline, PsycINFO, CINAHL, ProQuest Dissertations &amp; Theses Global and Scopus were searched from inception to 27 October 2025 (initial search: 2 April 2025). Randomised controlled trials were synthesised using multilevel meta-analysis and non-randomised designs were narratively synthesised. Risk of bias was assessed using the Cochrane Risk of Bias tool. Outcomes included depression, anxiety, stress, well-being, disordered eating and body image, alongside attrition and adherence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of <i>k</i> = 122 studies were included. Interventions produced significant effects across all outcomes: anxiety (<i>d</i> = 0.22, 95% CI [0.14, 0.30]), depression (<i>d</i> = 0.25, 95% CI [0.16, 0.33]), stress (<i>d</i> = 0.28, 95% CI [0.19, 0.38]), well-being (<i>d</i> = 0.47, 95% CI [0.16, 0.78]), disordered eating (<i>d</i> = 0.29, 95% CI [0.06, 0.52]) and body image (<i>d</i> = 0.27, 95% CI [0.06, 0.48]). Substantial heterogeneity was observed for most outcomes. Attrition was moderate (17.0%, 95% CI [13.5, 21.2]) and adherence varied (70.0%, 95% CI [54.0, 82.0]). Personalization significantly moderated depression outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>App-based interventions demonstrate small-to-moderate benefits for university student mental health, though heterogeneity and engagement challenges limit impact. Future research should prioritise personalised, transdiagnostic approaches and standardised engagement reporting, with greater focus on eating- and appearance-related outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 8","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148600335","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":"Comorbid Mood and Anxiety Disorder Diagnoses in Patients With First-Episode Psychosis: Comparison Between Research and Clinical Diagnoses","authors":"Maija Walta,&nbsp;Heikki Laurikainen,&nbsp;Reetta-Liina Armio,&nbsp;Tiina From,&nbsp;Tero Vahlberg,&nbsp;Arvi Tolvanen,&nbsp;Raimo K. R. Salokangas,&nbsp;Jarmo Hietala","doi":"10.1111/eip.70239","DOIUrl":"10.1111/eip.70239","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Clinically significant depression and anxiety disorders are common in different phases of first-episode psychosis (FEP). These comorbidities can be undervalued in clinical practice. We studied how often comorbid depression and anxiety disorders are diagnosed using the SCID-I interview in FEP patients and explored the corresponding clinical diagnoses for the same sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>As a part of the Turku Early Psychosis Study (TEPS), we screened 3772 consecutive admissions during 5 years to the clinical psychiatric services of Turku Psychiatry. The final FEP sample in this study consisted of 94 patients with nonaffective (<i>n</i> = 67) and affective (<i>n</i> = 27) psychoses. Research diagnoses (SCID-I) were compared with clinical diagnoses (ICD-10) obtained from patient records 1 year from admission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>SCID-I indicated that 42% (<i>n</i> = 28) and 9% (<i>n</i> = 6) of nonaffective FEP patients fulfilled the diagnostic criteria for lifetime (LT) and current (C) major depression. Depression diagnosis (F32 or F33) was recorded in only half of these cases in clinical practice during the 1-year follow-up. The SCID-I also indicated that 45% (<i>n</i> = 42) and 48% (<i>n</i> = 45) of the whole FEP sample had LT and C anxiety disorders according to the SCID-I. An anxiety disorder diagnosis (F40-48) was recorded for only 40% of the patients with SCID-based LT or C anxiety disorder in clinical practice during the 1-year follow-up period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Comorbid depression and anxiety disorders are common in FEP patients but are often not clinically diagnosed. A systematic diagnostic procedure in clinical practice will characterise the full syndromic nature of FEP for personalised treatment strategy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 8","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148600346","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":"Sleep Spindle Measures in Japanese Patients With Drug-Naïve Schizophrenia Using Standard Polysomnography Data: A Retrospective Pilot Study","authors":"Satoshi Mizuki,&nbsp;Nozomu Kotorii,&nbsp;Hiroshi Hiejima,&nbsp;Takao Kato,&nbsp;Yuki Hyoudou,&nbsp;Hayato Oshima,&nbsp;Kenta Murotani,&nbsp;Naohisa Uchimura,&nbsp;Motohiro Ozone","doi":"10.1111/eip.70229","DOIUrl":"10.1111/eip.70229","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Sleep spindle abnormalities in schizophrenia have recently attracted attention as candidate potential biomarkers. Using polysomnography (PSG) data previously recorded at Kurume University Hospital from untreated Japanese patients with schizophrenia, this exploratory pilot study evaluated whether PSG-derived spindle parameters provide discriminatory information between groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analysed 7 antipsychotic-naïve, untreated patients with schizophrenia (DSM-IV) and 7 healthy controls (mean age 27.6 ± 5.0 years; sex ratio 4:3). Spindle indices included frequency, detection time, duration, and mean amplitude. Spindles were further classified as total (9–15 Hz), fast (12–15 Hz), and slow (9–12 Hz), and discriminative performance was assessed using receiver operating characteristic (ROC) curves and the area under the curve (AUC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared with healthy controls, patients with schizophrenia showed lower total spindle frequency and detection time, with the largest between-group differences at C3. At C3, total spindle frequency was 45.2/h in schizophrenia and 112.96/h in controls (<i>p</i> = 0.0041). Total spindle detection time was 289.0 and 835.8 s, respectively (<i>p</i> = 0.0041). In ROC analyses, the AUC for fast spindle frequency and fast spindle detection time at C3 was 0.939 for both measures (95% CI 0.755–1.000).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Spindle indices derived from standard, clinically acquired PSG recordings may provide informative features for group discrimination in untreated schizophrenia. However, this study is exploratory with a small sample size, and larger prospective studies are required for validation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 8","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591001","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":"Training the Trainers: Building Capacity for Early Detection of First-Episode Psychosis in Primary Care","authors":"Cristiano Noto,&nbsp;Francisco Heitor Rosa,&nbsp;Heber Odebrecht Vargas,&nbsp;Mauro Porcu,&nbsp;Regina Célia Bueno Rezende Machado,&nbsp;Sandra Odebrecht Vargas Nunes","doi":"10.1111/eip.70238","DOIUrl":"10.1111/eip.70238","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early detection of first-episode psychosis (FEP) is critical for improving long-term outcomes. Training healthcare professionals to identify and intervene at the earliest stages is a key strategy for reducing the duration of untreated psychosis (DUP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe a capacity-building programme, based on a ‘Training of Trainers’ (ToT) model designed to empower healthcare professionals to become multipliers of knowledge on early FEP detection within their communities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 72-h blended learning course using problem-based learning (PBL) was delivered to 47 healthcare professionals to build competencies in FEP identification and referral.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The 47 participants reported an increase in self-perceived confidence in identifying FEP symptoms. Participant satisfaction was high, with an average score of 9.0 out of 10.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The ToT model is a feasible and well-received strategy for training professionals in early FEP detection. Empowering professionals as educators is a critical step to strengthen community mental health and improve access to treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 8","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591015","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":"Developing a Substance Use Practice Approach for Peer Support Specialists in Early Psychosis Coordinated Specialty Care","authors":"Brianne LaPelusa,&nbsp;Vanessa Vorhies Klodnick,&nbsp;Rebecca P. Johnson,&nbsp;Samantha J. Reznik,&nbsp;Deborah A. Cohen,&nbsp;Molly A. Lopez","doi":"10.1111/eip.70227","DOIUrl":"10.1111/eip.70227","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Substance use is common and developmentally normative among transition-age youth and linked to poor outcomes among individuals with early psychosis. Peer Support Specialists (PSSs) are increasingly part of early psychosis Coordinated Specialty Care (CSC). CSC team substance use-specific practices are lacking despite the prevalence of CSC client substance use. This study describes the development of a substance use practice approach for CSC PSSs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study occurred within the ‘Advancing Early Psychosis Intervention Network in Texas’ (EPINET-TX), a university-affiliated Learning Health System with 15 community mental health providers and 29 CSC teams. A research team composed of a study coordinator with PSS experience, community mental health intervention researchers and a current CSC PSS leveraged EPINET-TX research findings, a literature review and expert consultation to design ‘Peer Approaches to Substances for Early Psychosis Programs’ (PAS-EPP). The team developed a conceptual model, practice principles and core practices and training materials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>PAS-EPP has eight practice principles and four core practice domains. The PAS-EPP toolkit provides an adaptable, accessible harm reduction approach to substances for CSC PSSs intended to promote self-exploration of personal beliefs and biases, intentional sharing and team collaboration strategies and confidence building in capacity to explore and share information about substance use that is relevant to young people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>PAS-EPP is a promising practice approach for CSC PSSs. Future evaluation of PAS-EPP will provide insight into its feasibility and impact.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 8","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590912","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":"Attention Bias and the Potential Relevance of Self-Regulated Learning in Early Psychopathology","authors":"Budi Purwoko,&nbsp;Shopyan Jepri Kurniawan,&nbsp;Ima Widiyanah,&nbsp;Ricky Setiawan,&nbsp;Ahmad Abdullah Zawawi","doi":"10.1111/eip.70241","DOIUrl":"10.1111/eip.70241","url":null,"abstract":"","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 8","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148583829","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}