Early Intervention in Psychiatry最新文献

{"title":"Early- vs. Late-Presenting First-Episode Psychosis in Oman: A Cluster Analysis of Clinical Subgroups","authors":"Mohsin Al Farsi,&nbsp;Tamadhir Al-Mahrouqi,&nbsp;Mohammed Al Alawi,&nbsp;Nada Al Balushi","doi":"10.1111/eip.70200","DOIUrl":"10.1111/eip.70200","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>First-episode psychosis (FEP) is a critical phase in the illness trajectory, where early detection and reduced duration of untreated psychosis (DUP) are strongly associated with improved clinical outcomes. However, substantial heterogeneity exists in how individuals present for initial psychiatric care, and data from the Gulf region remain limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify clinically relevant subgroups of FEP patients in Oman using a data-driven clustering approach and to explore factors associated with treatment delays.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective exploratory study reviewed electronic medical records of antipsychotic-naïve FEP patients presenting to Sultan Qaboos University Hospital, Muscat, from January 2010 to December 2020. Age, gender, neurological examination results, and DUP (standardized to days) were extracted. K-means clustering was applied to identify latent patient subgroups, with the optimal solution selected using silhouette coefficients. Descriptive comparisons were then conducted to characterize cluster differences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 121 patients met inclusion criteria. Two clusters were identified (average silhouette ≈ 0.46). Cluster 1 comprised younger patients with short DUP (median 20 years; DUP≈30 days), whereas Cluster 2 represented older patients with markedly prolonged DUP (median 39 years; DUP≈60 days), with 39% experiencing delays &gt; 6 months and 27% &gt; 1 year. Cluster 2 showed a higher frequency of schizophrenia-spectrum diagnoses. Age and DUP differed significantly between clusters (<i>p</i> &lt; 0.001 and <i>p</i> = 0.004), whereas gender distribution, neurological abnormalities, and neuroimaging findings were comparable (<i>p</i> &gt; 0.05 for all).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>FEP patients in Oman appear to separate into a younger, early-presenting subgroup and an older subgroup experiencing substantial treatment delays. These findings indicate that delayed access to care is driven more by sociodemographic and illness-course factors than neurological pathology. Enhancing early recognition pathways, particularly for later-onset or insidious presentations, may help reduce DUP and improve long-term outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307455","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":"Exploring Group Differences in Attenuated Symptoms and Functioning Between Clinical High-Risk Individuals With and Without Posttraumatic Stress Disorder","authors":"Danielle Pham,&nbsp;Leda Kennedy,&nbsp;Jean Addington,&nbsp;Carrie E. Bearden,&nbsp;Tyrone D. Cannon,&nbsp;Barbara A. Cornblatt,&nbsp;Matcheri Keshavan,&nbsp;Daniel H. Mathalon,&nbsp;Diana O. Perkins,&nbsp;William Stone,&nbsp;Elaine F. Walker,&nbsp;Scott W. Woods,&nbsp;Kristin S. Cadenhead","doi":"10.1111/eip.70188","DOIUrl":"10.1111/eip.70188","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Posttraumatic stress disorder (PTSD) is a common comorbid diagnosis in psychotic disorders. However, little is known about the effect of comorbid PTSD in youth at clinical high risk (CHR) for psychosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The purpose of this study was to investigate group differences in symptom severity, risk for psychotic conversion and functioning among youth at CHR for psychosis with and without PTSD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This longitudinal study utilized data from <i>N</i> = 693 individuals who met criteria for CHR as part of the North American Prodrome Longitudinal Study 3 (NAPLS-3). Individuals who met criteria for PTSD were compared to those who did not meet criteria for PTSD on demographic, symptom and functional variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Individuals diagnosed with PTSD (<i>N</i> = 54) reported more severe overall positive symptoms (<i>p</i> = 0.008), negative symptoms (<i>p</i> = 0.043) and general symptoms (<i>p</i> = 0.008) compared to those without the diagnosis (<i>N</i> = 639). These symptom differences were primarily accounted for by more grandiose symptoms (<i>p</i> = 0.026), decreased experience of emotions (<i>p</i> = 0.043), sleep disturbance (<i>p</i> = 0.043), dysphoric mood (<i>p</i> = 0.012) and impaired tolerance to stress (<i>p</i> = 0.008) in those with PTSD. In Cox proportional hazards models using the full sample with censoring at last follow-up, PTSD diagnosis was not associated with time to psychosis conversion. Exploratory analyses of trauma subtype within the PTSD group also did not identify any trauma category significantly associated with conversion risk. Timing of trauma exposure (early childhood, middle childhood, adolescence) was not significantly associated with conversion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings suggest that a diagnosis of PTSD is associated with more severe overlapping symptoms in individuals meeting the criteria for CHR but not psychotic conversion. Our findings underscore the importance of recognizing and treating comorbid psychiatric conditions including PTSD in CHR populations as a means of reducing symptoms and improving outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70188","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307480","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":"Recalibrating the Quantitative Relationship Between Duration of Untreated Psychosis and Outcome for Health Service Models","authors":"Nnamdi Nkire,&nbsp;Anthony Kinsella,&nbsp;Vincent Russell,&nbsp;Mary Clarke,&nbsp;John L. Waddington","doi":"10.1111/eip.70204","DOIUrl":"10.1111/eip.70204","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Though influential for models of health care provision, the service-critical issue of the quantitative relationship between duration of untreated psychosis (DUP) and outcome remains poorly understood: is the association between longer DUP and greater impairment distributed uniformly across the range of DUP values encountered, or does it vary with particular gradations of DUP within that range?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In the Cavan-Monaghan First Episode Psychosis Study, 160 subjects experiencing first episode psychosis (FEP) were evaluated for DUP, premorbid features and severity of negative symptoms as a critical determinant of functional outcome and quality of life. Multiple regression involved age, sex, premorbid intelligence, premorbid social adjustment and quartile split of DUP values to identify, naturalistically, gradations across the days, weeks, months and years of DUP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Across the initial days and weeks of psychosis there was no relationship between DUP and severity of negative symptoms; 3 weeks constituted a temporal threshold beyond which, through to 4 months, longer DUP was associated with greater severity of negative symptoms; beyond 4 months, longer DUP was associated with yet further increases in severity of negative symptoms. These findings at FEP were then juxtaposed with results from two previous studies of DUP quartiles in relation to severity of negative symptoms across periods beyond FEP to 7-year and 20-year follow-ups; all three studies indicated notably similar results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These relationships indicate that even modest reductions in what would otherwise have been prolonged periods of DUP may be associated with a sustained reduction in the severity of negative symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307447","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":"Knowing How to Ask About Digital Culture in Youth Mental Health Care: A Co-Designed Tool","authors":"Vincent Paquin,&nbsp;Rebecca Jiang,&nbsp;Jai L. Shah,&nbsp;G. Eric Jarvis,&nbsp;Elizabeth Nickrenz,&nbsp;Manuela Ferrari,&nbsp;Melissa Park","doi":"10.1111/eip.70203","DOIUrl":"10.1111/eip.70203","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>With the digital cultures that youth are exposed to and participating in come potential risks and protective factors for their mental health. However, despite clear need there is a lack of guidance to help mental health professionals evaluate the role of social media, artificial intelligence, and other technologies in young people's mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To co-design with young people the Digital Culture Interview, an interview tool to support the clinical assessment of digital cultural factors in mental health care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We recruited a diverse group of 12 participants aged 16–35 years (mean age 22 years) from outpatient mental health clinics in Montreal, Canada. Using the nominal group technique, they identified topics they found most relevant for exploring in a clinical assessment the experiences and practices involving digital technologies. Based on the topics that received the most votes from participants, we co-developed a list of interview questions and written guidance for their administration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants identified and ranked 48 themes. Drawing from these, 14 questions were developed for inclusion in the Digital Culture Interview, covering four topics: identity and worldview, negative experiences online, coping, and understanding of mental health. Participants emphasised that exploring digital culture in mental health care requires patients' trust and a baseline of knowledge. If done sensitively, this may enhance the patient-clinician alliance and improve mutual understanding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The Digital Culture Interview has the potential to enhance rapport and reveal risk and protective factors that are salient to and actionable in mental health care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307449","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":"Integrating Individual Placement Support in Early Psychosis Programs: A Necessary Step to Foster Return to Employment in First Episode Psychosis Patients","authors":"M. Renda,&nbsp;P. Golay,&nbsp;D. Spagnoli,&nbsp;C. Bonsack,&nbsp;L. Abrahamyan-Empson,&nbsp;N. Mebdouhi,&nbsp;L. Alerci,&nbsp;P. Conus","doi":"10.1111/eip.70195","DOIUrl":"10.1111/eip.70195","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Return to studies or employment, a major element of recovery after a first episode of psychosis (FEP), is out of reach of a significant proportion of patients. Specific programs such as Individual Placement Support (IPS) have been proposed to overcome this hurdle. While some early intervention programs include IPS, others must rely on IPS programs that are open to a wider range of patients. The aim of this paper was to explore the accessibility of IPS for FEP patients treated in such a context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One hundred and eighty nine patients of an ongoing FEP cohort study who were treated at our program in the period where the IPS program was available and for whom sufficient data was available were included in the study. We assessed reasons for non-referral to RESSORT and compared baseline and outcome characteristics of patients who did or did not enter the program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A small minority of patients had access to RESSORT. Patients who entered RESSORT had better premorbid functioning and a higher degree of insight at baseline than the ones who did not enter the program. Patients who entered RESSORT had a significantly higher rate of return to premorbid PAS score, without significant difference on other dimensions of functioning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>When IPS programs are not embedded in early intervention programs, FEP patients have limited chances to access them. Integrating supported employment skills within the role of case managers may be a solution in programs where resources are lacking to develop an IPS program specifically dedicated to FEP patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307429","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":"Narrative Review of Catatonia in Psychosis and Eating Disorders: Common Intersections and Treatment Considerations","authors":"Rosiel Elwyn","doi":"10.1111/eip.70187","DOIUrl":"10.1111/eip.70187","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Eating disorders (ED) and psychosis/psychotic-spectrum disorders (PSD) have overlapping symptoms and may co-occur in a variety of presentations. Due to its debilitating and life-threatening risk, it is important for clinicians to be aware of how catatonia may present within these co-occurrences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A narrative review was conducted of catatonic presentations in individuals with co-occurring EDs and psychosis, using the databases Google Scholar, ScienceDirect, PubMed, ProQuest and PsychInfo.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This article reviews and summarises the 10 cases found in the literature, and explores critical considerations within ED-psychosis co-occurrence, including the author's lived experience insight into experiencing catatonia within co-occurring ED-psychosis. In 9 out of 10 cases, catatonia occurred during adolescence (ages 13–24). Fifty percent of cases involved stressful or traumatic events as a precipitant to catatonia emergence. Autistic individuals with EDs may be particularly vulnerable to catatonic symptoms. In most cases, catatonic symptoms responded to lorazepam treatment or a combination of lorazepam and other medications such as antipsychotics, although tube-feeding was also required in some cases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This review discusses key factors and intersections that are highly relevant to individuals vulnerable to EDs and psychosis (i.e., malnutrition, trauma, autism, bipolar disorder, OCD). Catatonic symptoms may be mistaken for ED symptoms, delaying early treatment in individuals with ED. Consideration of catatonic presentations and trauma-informed and neurodivergent-affirming treatment practices are recommended.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307495","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":"Cognitive Emotion Regulation and Internalised Stigma Amongst Relatives of Individuals With First-Episode Psychosis","authors":"Büşra Rümeysa Demirel,&nbsp;Gamze Sarıkoç,&nbsp;Aybeniz Civan Kahve","doi":"10.1111/eip.70191","DOIUrl":"10.1111/eip.70191","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Family members of individuals experiencing a first-episode psychosis may experience disruptions in their interpersonal emotion regulation processes during this period, which may in turn lead to internalised stigma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted between January 2023 and January 2024 with 101 relatives of patients receiving inpatient treatment for first-episode psychosis in a state hospital in Türkiye. Data were collected using a sociodemographic form, the Self-Stigma Inventory for Families of Patients with Schizophrenia and the Cognitive Emotion Regulation Questionnaire. Group comparisons were performed using Mann–Whitney U and Kruskal-Wallis H tests. Associations were examined using Spearman's correlation, and linear regression assessed the association between self-stigma (independent variable) and total cognitive emotion regulation (dependent variable).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Levels of internalised stigma were found to be low; however, they were significantly associated with total cognitive emotion regulation scores (<i>β</i> = 0.172, <i>p</i> = 0.049). Amongst the maladaptive strategies, self-blame, catastrophising and blaming others were positively associated with social withdrawal and concealment of the illness, whereas putting events into perspective was negatively associated with perceived worthlessness (<i>p</i> &lt; 0.05). Differences were observed in certain subscales of the Cognitive Emotion Regulation Questionnaire across some sociodemographic variables; however, no significant differences were identified in the subscales of the Inventory for Families of Patients with Schizophrenia (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Maladaptive cognitive emotion regulation strategies are associated with higher internalised stigma and social withdrawal amongst relatives of individuals with first-episode psychosis. Integrating cognitive emotion regulation assessment into early intervention frameworks may strengthen family-focused psychosocial support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301081","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":"Developing Strategies to Improve Patient Engagement Among Young People Accessing Mental Health Services at SCARF, Chennai: An Experience-Based Co-Design Approach","authors":"Jagadeesan Settu,&nbsp;Sanjna Shukla,&nbsp;R. Helen Victory,&nbsp;Baskar Priyadharshni,&nbsp;Vijayaraghavan Dhandapani","doi":"10.1111/eip.70194","DOIUrl":"10.1111/eip.70194","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Experience-Based Co-design (EBCD) is a participatory action research technique aimed at enhancing the experiences of both service users and service providers within healthcare services. Hence, the aim was to develop strategies to improve the engagement of youth with mental health services being delivered in Chennai, India.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We adopted a modified EBCD method involving three phases (data collection, designing strategies and implementation) spread across six stages. Starting from stage-1 interviews with service users and providers to identify factors that may lead young service users to disengage from treatment, followed by group interactions undertaken separately with service providers and users to pinpoint key areas for improvement. This also included a co-design process with all stakeholders, where solutions were refined using SMART criteria and rated on a scale of 1–5, with 1 being less prioritised and 5 being highly prioritised. The final stage involved a meeting with institution management to deliberate and decide on the plan for implementation of the generated solutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Service users, providers, and stakeholders found key areas such as outpatient department (OPD) timings, continuity in MHP-client associations, awareness about medication and treatment processes, and the facilities, including the physical environment and refreshments provided for service users, were major reasons why patients disengaged from the treatment. In this study, service users, providers, and stakeholders prioritised touch points grouped under three major themes: (1) appointments, (2) facilities and (3) awareness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite some challenges, EBCD was successfully implemented at the Schizophrenia Research Foundation (SCARF) in the Youth Mental Health Department, Chennai, India. EBCD was a promising methodology for service improvement and empowering service users. It identified crucial areas for enhancement and empowered the service users by involving them in the decision-making process, ultimately contributing to improved engagement and satisfaction with mental health services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301154","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":"Beyond the Australian Context: Reconsidering the Relationship Between Climate Exposure and Psychosocial Stressors in Youth Mental Health","authors":"Ade Herdian Putra,&nbsp;Evi Afiati","doi":"10.1111/eip.70196","DOIUrl":"https://doi.org/10.1111/eip.70196","url":null,"abstract":"","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148292512","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 Staging Model in Psychosis and Preventive Interventions: An Emerging Field With Debates on Conceptual Models and Interpretation of the Evidence Base","authors":"Mark van der Gaag,&nbsp;Cristina Mei,&nbsp;Barnaby Nelson,&nbsp;Maximus Berger,&nbsp;Marija Krcmar,&nbsp;G. Paul Amminger,&nbsp;Andreas Bechdolf,&nbsp;Paul Hutton,&nbsp;Pim Cuijpers,&nbsp;Alison R. Yung,&nbsp;Patrick D. McGorry","doi":"10.1111/eip.70185","DOIUrl":"https://doi.org/10.1111/eip.70185","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The staging model in psychiatry is heuristic and evolving, provoking debate and stimulating alternative views. This paper reviews major controversies in the field of staging and prevention of psychosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We review the literature on the classification model, the continuum model and the dynamic systems model applied to psychiatry. Other controversies are stigmatisation of early detection, the prevention paradox and the interpretation of data on prevention of transition to psychosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>DSM classifications still lack validity. The continuum model supports preclinical stages but has no discrete conversions to different stages of illness. The emerging dynamic systems model builds on the interaction of symptoms eliciting networks of symptoms, while at the same time it explains sudden catastrophic shifts (transitions) between different states of equilibrium. Stigmatisation of early psychosis can be balanced against the benefits of early interventions. The prevention paradox states that only a minority of first episode cases arises from the high-risk group. However, there are many reasons to combine indicated prevention with population-based preventive interventions. A long-lasting controversy is on the interpretation of the research data. Several meta-analyses are reviewed on methodological issues.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The staging model is adequate to conceptualise psychiatric disorders and the progress over time in more chronic stages. No one is suggesting that help-seeking patients with an ARMS should be denied access to psychosocial treatment and it is recommended and necessary to continue building age and stage specific services to treat them and continue with research into risk factors and helpful interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70185","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148292524","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}