Improving 1-year outcome in first-episode psychosis: OPUS trial

Because early illness course and outcome may affect the long-term outcome of schizophrenia-spectrum disorders, it is especially important to address poor outcome in this early critical period. To evaluate whether integrated treatment compared with standard treatment reduced the proportion of patient...

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Veröffentlicht in:British journal of psychiatry 2005-08, Vol.187 (48), p.s98-s103
Hauptverfasser: PETERSEN, LONE, NORDENTOFT, MERETE, JEPPESEN, PIA, OHLENSCHLAeGER, JOHAN, THORUP, ANNE, CHRISTENSEN, TORBEN OSTERGAARD, KRARUP, GERTRUD, DAHLSTROM, JYTTE, HAASTRUP, BODIL, JORGENSEN, PER
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container_end_page s103
container_issue 48
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container_title British journal of psychiatry
container_volume 187
creator PETERSEN, LONE
NORDENTOFT, MERETE
JEPPESEN, PIA
OHLENSCHLAeGER, JOHAN
THORUP, ANNE
CHRISTENSEN, TORBEN OSTERGAARD
KRARUP, GERTRUD
DAHLSTROM, JYTTE
HAASTRUP, BODIL
JORGENSEN, PER
description Because early illness course and outcome may affect the long-term outcome of schizophrenia-spectrum disorders, it is especially important to address poor outcome in this early critical period. To evaluate whether integrated treatment compared with standard treatment reduced the proportion of patients with poor clinical and social outcome after 1 year. A total of 547 patients with first-episode psychosis were included in the study, 275 randomly assigned to integrated treatment and 272 to standard treatment. Measures assessed psychotic symptoms and social functioning. There was a significant beneficial effect of integrated treatment v. standard treatment on "any poor outcome". Integrated treatment had a significantly better effect on "any poor outcome" in patients with schizophrenia compared with patients in standard treatment. The integrated treatment significantly reduced the proportion of patients with poor clinical and social outcome compared with standard treatment.
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subjects Adolescent
Adult
Bias
Critical period
Delivery of Health Care, Integrated - standards
Female
Humans
Illnesses
Intervention
Interviews
Long term
Male
Mental disorders
Middle Aged
Outcome Assessment (Health Care)
Patients
Psychiatry
Psychosis
Psychotic Disorders - therapy
Psychotic symptoms
Psychotropic drugs
Schizophrenia
Social Adjustment
Social functioning
Social skills
Treatment Failure
title Improving 1-year outcome in first-episode psychosis: OPUS trial
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