作者
Wenche ten Velden Hegelstad, Tor K Larsen, Bjørn Auestad, Julie Evensen, Ulrik Haahr, Inge Joa, Jan O Johannesen, Johannes Langeveld, Ingrid Melle, Stein Opjordsmoen, Jan Ivar Rossberg, Bjørn Rishovd Rund, Erik Simonsen, Kjetil Sundet, Per Vaglum, Svein Friis, Thomas McGlashan
发表日期
2012/4
期刊
American Journal of Psychiatry
卷号
169
期号
4
页码范围
374-380
出版商
American Psychiatric Publishing
简介
Objective
Early detection in first-episode psychosis confers advantages for negative, cognitive, and depressive symptoms after 1, 2, and 5 years, but longitudinal effects are unknown. The authors investigated the differences in symptoms and recovery after 10 years between regional health care sectors with and without a comprehensive program for the early detection of psychosis.
Method
The authors evaluated 281 patients (early detection, N=141) 18 to 65 years old with a first episode of nonaffective psychosis between 1997 and 2001. Of these, 101 patients in the early-detection area and 73 patients in the usual-detection area were followed up at 10 years, and the authors compared their symptoms and recovery.
Results
A significantly higher percentage of early-detection patients had recovered at the 10-year follow-up relative to usual-detection patients. This held true despite more severely ill patients dropping out …
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WV Hegelstad, TK Larsen, B Auestad, J Evensen… - American Journal of Psychiatry, 2012