مورد إلكتروني
Early detection of ultra high risk for psychosis in a Norwegian catchment area: The two year follow-up of the prevention of psychosis study
العنوان: | Early detection of ultra high risk for psychosis in a Norwegian catchment area: The two year follow-up of the prevention of psychosis study |
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المصدر: | Research outputs 2014 to 2021 |
بيانات النشر: | Edith Cowan University, Edith Cowan University, Research Online, Perth, Western Australia, Perth, Western Australia 2021-01-01T08:00:00Z |
تفاصيل مُضافة: | Joa, Inge Bjornestad, Jone Johannessen, Jan O. Langeveld, Johannes Stain, Helen J. Weibell, Melissa Hegelstad, Wenche T. V. |
نوع الوثيقة: | Electronic Resource |
مستخلص: | Objectives: Most individuals experience a relatively long period of sub-clinical psychotic like symptoms, known as the ultra high risk (UHR) or at risk mental states (ARMS), prior to a first episode of psychosis. Approximately 95% of individuals who will later develop psychosis are not referred to specialized clinical services and assessed during the UHR phase. The study aimed to investigate whether a systematic early detection program, modeled after the successful early detection of psychosis program TIPS, would improve the detection of help-seeking UHR individuals. The secondary aim was to examine the rates and predictors of conversion to psychosis after 2 years. Method: The overall study design was a prospective (2012–2018), follow- up study of individuals fulfilling UHR inclusion criteria as assessed by the structural interview for prodromal syndromes (SIPS). Help-seeking UHR individuals were recruited through systematic early detection strategies in a Norwegian catchment area and treated in the public mental health services. Results: In the study period 141 UHR help-seeking individuals were identified. This averages an incidence of 7 per 100,000 people per year. The baseline assessment was completed by 99 of these and the 2 year psychosis conversion rate was 20%. A linear mixed-model regression analysis found that the significant predictors of conversion were the course of positive (0.038) and negative symptoms (0.017). Age was also a significant predictor and showed an interaction with female gender ( < 0.000). Conclusion: We managed to detect a proportion of UHR individuals in the upper range of the expected prediction by the population statistics and further case enrichment would improve this rate. Negative symptoms were significant predictors. As a risk factor for adverse functional outcomes and social marginalization, this could offer opportunities for earlier psychosocial intervention. |
مصطلحات الفهرس: | at risk mental state, early detection, prodromal, psychosis, schizophrenia, ultra high risk, Psychology, Social and Behavioral Sciences, text |
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الإتاحة: | Open access content. Open access content http://creativecommons.org/licenses/by/4.0 |
ملاحظة: | application/pdf Research outputs 2014 to 2021 |
أرقام أخرى: | ER0 oai:ro.ecu.edu.au:ecuworkspost2013-11092 https://ro.ecu.edu.au/ecuworkspost2013/10085 info:doi/10.3389/fpsyt.2021.573905 https://ro.ecu.edu.au/context/ecuworkspost2013/article/11092/viewcontent/Early_detection_of_ultra_high_risk_for_psychosis_in_a_Norwegian_catchment_area.pdf 1366572582 |
المصدر المساهم: | EDITH COWAN UNIV LIBR From OAIster®, provided by the OCLC Cooperative. |
رقم الأكسشن: | edsoai.on1366572582 |
قاعدة البيانات: | OAIster |
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