Early Intervention in Psychiatry最新文献

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Cloud-Enabled Mobile-Based Approach for Enhancing Psychosis Cognitive Assessment 基于云的移动方法,用于加强精神病认知评估。
IF 2.1 4区 医学
Early Intervention in Psychiatry Pub Date : 2024-10-15 DOI: 10.1111/eip.13618
Shilpa Walia, Neelesh Kumar, Praveen Kumar Khosla, Sandeep Grover
{"title":"Cloud-Enabled Mobile-Based Approach for Enhancing Psychosis Cognitive Assessment","authors":"Shilpa Walia,&nbsp;Neelesh Kumar,&nbsp;Praveen Kumar Khosla,&nbsp;Sandeep Grover","doi":"10.1111/eip.13618","DOIUrl":"10.1111/eip.13618","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The study aims to assess the feasibility of developing cognitive tools and integrating the cloud-enabled mobile-based technology into routine clinical practice for psychotic patients. Furthermore, it aims to investigate the correlation between the results obtained using developed tools and established clinical measures, offering valuable insights into tools for enhancing the accuracy, efficiency and ease of administration of cognitive evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 160 participants were recruited (83 outpatients with early course of schizophrenia (SZs) and 77 healthy controls [HCs]). The participants were subjected to cognitive assessments, and the data were collected by cognitive assessment digital smart tool (CADST) and PGI memory scale (PGIMS) to assess attention (ATT) and working memory (WM). Outcome measures of these parameters were digit span <sub>(score,time)</sub> for ATT and delayed recall <sub>(score,time)</sub> for WM.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The total average score in HCs was significantly higher than in SZs for ATT and WM, and CADST was significantly correlated with PGIMS for evaluating ATT and WM. Furthermore, test completion times for ATT and WM were observed more in SZs although most of SZs had achieved scores as high as that of HCs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The potential of CADST as a valuable addition to the conventional cognitive assessment method is highlighted, showing promising feasibility and strong correlations with the established tool. The importance of integrating time parameters suggests broader implications for understanding cognitive function beyond conventional scoring metrics. It demonstrates the effective and accurate approach for large-scale screening of cognitive parameters in public service settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460591","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}
引用次数: 0
Reply to Wei and Li: Commentary on Expanding Perspectives on Treatment Outcomes in Clinical High-Risk for Psychosis 回复 Wei 和 Li:《拓展精神病临床高危人群治疗结果的视角》一文的评论。
IF 2.1 4区 医学
Early Intervention in Psychiatry Pub Date : 2024-10-15 DOI: 10.1111/eip.13620
Aubrey M. Moe, Heather M. Wastler, Nicholas J. K. Breitborde
{"title":"Reply to Wei and Li: Commentary on Expanding Perspectives on Treatment Outcomes in Clinical High-Risk for Psychosis","authors":"Aubrey M. Moe,&nbsp;Heather M. Wastler,&nbsp;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}
引用次数: 0
Intergenerational Injustice and Youth Mental Health: A Call to Action 代际不公正与青少年心理健康:行动呼吁书》。
IF 2.1 4区 医学
Early Intervention in Psychiatry Pub Date : 2024-10-11 DOI: 10.1111/eip.13619
Gerald Jordan, Farina Akhtar, Nimra Ahsan, Elizabeth Egharevba, Robyn Kimber, Noor Saffy, Eszter Horvath
{"title":"Intergenerational Injustice and Youth Mental Health: A Call to Action","authors":"Gerald Jordan,&nbsp;Farina Akhtar,&nbsp;Nimra Ahsan,&nbsp;Elizabeth Egharevba,&nbsp;Robyn Kimber,&nbsp;Noor Saffy,&nbsp;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}
引用次数: 0
Student Suicide in India: An Analysis of Newspaper Articles (2019–2023) 印度学生自杀问题:报刊文章分析(2019-2023 年)》。
IF 2.1 4区 医学
Early Intervention in Psychiatry Pub Date : 2024-10-08 DOI: 10.1111/eip.13616
Sucharita Maji, Gerald Jordan, Saurabh Bansod, Aditesh Upadhyay, Diveesha Deevela, Susmita Biswas
{"title":"Student Suicide in India: An Analysis of Newspaper Articles (2019–2023)","authors":"Sucharita Maji,&nbsp;Gerald Jordan,&nbsp;Saurabh Bansod,&nbsp;Aditesh Upadhyay,&nbsp;Diveesha Deevela,&nbsp;Susmita Biswas","doi":"10.1111/eip.13616","DOIUrl":"10.1111/eip.13616","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Based on the analysis of newspaper reports published between 2019 and 2023, the study detected a total of 491 suicidal deaths of students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>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 <i>Kota</i>, a city often referred to as the coaching capital of India.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","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}
引用次数: 0
Participation Preferences in Cognitive Treatments Among Youth With Mental Illness: Findings From the Your Mind, Your Choice Survey 患有精神疾病的青少年对认知治疗的参与偏好:你的想法,你的选择调查》的结果。
IF 2.1 4区 医学
Early Intervention in Psychiatry Pub Date : 2024-10-02 DOI: 10.1111/eip.13615
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
{"title":"Participation Preferences in Cognitive Treatments Among Youth With Mental Illness: Findings From the Your Mind, Your Choice Survey","authors":"Shayden Bryce,&nbsp;Nicholas Cheng,&nbsp;Alexandra Stainton,&nbsp;Isabel Zbukvic,&nbsp;Alex Dalton,&nbsp;Angelica Ojinnaka,&nbsp;Aswin Ratheesh,&nbsp;Chris O'Halloran,&nbsp;Jacquie Uren,&nbsp;Jesse Gates,&nbsp;Rothanthi Daglas-Georgiou,&nbsp;Stephen Wood,&nbsp;Kelly Allott","doi":"10.1111/eip.13615","DOIUrl":"10.1111/eip.13615","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the cognitive treatment preferences of young people with mental illness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","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}
引用次数: 0
Peripersonal Space Plasticity in Relation to Psychopathology and Anomalous Subjective Experiences in Individuals With Early-Onset and Adult-Onset Schizophrenia 早期和成年精神分裂症患者的周身空间可塑性与精神病理学和异常主观体验的关系。
IF 2.1 4区 医学
Early Intervention in Psychiatry Pub Date : 2024-09-30 DOI: 10.1111/eip.13613
Valeria Lucarini, Francesca Magnani, Francesca Ferroni, Martina Ardizzi, Francesca Giustozzi, Roberto Volpe, Nikolas Fascendini, Stefano Amorosi, Francesco Rasmi, Carlo Marchesi, Vittorio Gallese, Matteo Tonna
{"title":"Peripersonal Space Plasticity in Relation to Psychopathology and Anomalous Subjective Experiences in Individuals With Early-Onset and Adult-Onset Schizophrenia","authors":"Valeria Lucarini,&nbsp;Francesca Magnani,&nbsp;Francesca Ferroni,&nbsp;Martina Ardizzi,&nbsp;Francesca Giustozzi,&nbsp;Roberto Volpe,&nbsp;Nikolas Fascendini,&nbsp;Stefano Amorosi,&nbsp;Francesco Rasmi,&nbsp;Carlo Marchesi,&nbsp;Vittorio Gallese,&nbsp;Matteo Tonna","doi":"10.1111/eip.13613","DOIUrl":"10.1111/eip.13613","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>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.</p>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","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}
引用次数: 0
Response to ‘Letter to the Editor: Weight gain and metabolic screening in young people with early psychosis on long acting injectable antipsychotic medication’ 回应 "致编辑的信:服用长效注射抗精神病药物的早期精神病青少年的体重增加和代谢筛查
IF 2.1 4区 医学
Early Intervention in Psychiatry Pub Date : 2024-09-10 DOI: 10.1111/eip.13589
Flavie Waters, Gordon Shymko, Terina Grace, Daniel Hacking, Nicole Jolly, Arti Parmar, Louise Dobson, Puanna Kapi
{"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}
引用次数: 0
An Item Response Theory Analysis of the Psychosis Screening Questionnaire in Ethiopia 埃塞俄比亚精神病筛查问卷的项目反应理论分析。
IF 2.1 4区 医学
Early Intervention in Psychiatry Pub Date : 2024-09-02 DOI: 10.1111/eip.13609
Mahlet Yared, Hannah H. Kim, Amantia Ametaj, Melkam Alemayehu, Anne Stevenson, Barkot Milkias, Engida Girma, Bizu Gelaye, Solomon Teferra
{"title":"An Item Response Theory Analysis of the Psychosis Screening Questionnaire in Ethiopia","authors":"Mahlet Yared,&nbsp;Hannah H. Kim,&nbsp;Amantia Ametaj,&nbsp;Melkam Alemayehu,&nbsp;Anne Stevenson,&nbsp;Barkot Milkias,&nbsp;Engida Girma,&nbsp;Bizu Gelaye,&nbsp;Solomon Teferra","doi":"10.1111/eip.13609","DOIUrl":"10.1111/eip.13609","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;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.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;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.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Result and Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;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 &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 \u0000 &lt;semantics&gt;\u0000 \u0000 &lt;mrow&gt;\u0000 \u0000 &lt;mfenced&gt;\u0000 \u0000 &lt;mrow&gt;\u0000 \u0000 &lt;mi&gt;α&lt;/mi&gt;\u0000 \u0000 &lt;mo&gt;=&lt;/mo&gt;\u0000 \u0000 &lt;mn&gt;4.59&lt;/mn&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;/mfenced&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;/semantics&gt;\u0000 &lt;/math&gt; and lowest difficulty (&lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 \u0000 &lt;semantics&gt;\u0000 \u0000 &lt;mrow&gt;\u0000 \u0000 &lt;mi&gt;β&lt;/mi&gt;\u0000 \u0000 &lt;mo&gt;=&lt;/mo&gt;\u0000 \u0000 &lt;mn&gt;2.53&lt;/mn&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;/semantics&gt;\u0000 &lt;/math&gt;), likely to be endorsed at low levels of psychotic features. Thought insertion had the highest item difficulty (&lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 \u0000 &lt;semantics&gt;\u0000 \u0000 &lt;mrow&gt;\u0000 \u0000 &lt;mi&gt;β&lt;/mi&gt;\u0000 ","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729251/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From Adolescence to Adulthood: Understanding Care Trajectories in an Early Detection and Intervention Centre in France 从青春期到成年期:了解法国一家早期检测和干预中心的护理轨迹。
IF 2.1 4区 医学
Early Intervention in Psychiatry Pub Date : 2024-09-02 DOI: 10.1111/eip.13605
Simone Marchini, Marie-Alix Laroche, Harmony Nemorin, Valentine Morin, Guillaume Tanguy, Valeria Lucarini, Anton Iftimovici, Boris Chaumette, Marie-Odile Krebs, Mylene Charre
{"title":"From Adolescence to Adulthood: Understanding Care Trajectories in an Early Detection and Intervention Centre in France","authors":"Simone Marchini,&nbsp;Marie-Alix Laroche,&nbsp;Harmony Nemorin,&nbsp;Valentine Morin,&nbsp;Guillaume Tanguy,&nbsp;Valeria Lucarini,&nbsp;Anton Iftimovici,&nbsp;Boris Chaumette,&nbsp;Marie-Odile Krebs,&nbsp;Mylene Charre","doi":"10.1111/eip.13605","DOIUrl":"10.1111/eip.13605","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730081/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recorded Rates of Trauma-Exposure in a Retrospective Epidemiologically Complete First-Episode Psychosis Cohort 回顾性流行病学完整首发精神病队列中的创伤暴露率。
IF 2.1 4区 医学
Early Intervention in Psychiatry Pub Date : 2024-08-31 DOI: 10.1111/eip.13610
Aisling Redmond, Keith Gaynor, Sean Naughton, Mary Clarke
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