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Impact of a first psychosis program in clinical variables after two years of follow-up

Published online by Cambridge University Press:  13 August 2021

M. Martinez
Affiliation:
Salud Mental. Primeros Episodios, Servicio Navarro de Salud, Pamplona, Spain
E. García De Jalón
Affiliation:
Salud Mental. Primeros Episodios, Servicio Navarro de Salud, Pamplona, Spain
N. Pereda*
Affiliation:
Salud Mental. Primeros Episodios, Servicio Navarro de Salud, Pamplona, Spain
A. Fernández
Affiliation:
Salud Mental. Primeros Episodios, Servicio Navarro de Salud, Pamplona, Spain
M.C. Ariz
Affiliation:
Salud Mental. Primeros Episodios, Servicio Navarro de Salud, Pamplona, Spain
L. Azcárate
Affiliation:
Salud Mental. Primeros Episodios, Servicio Navarro de Salud, Pamplona, Spain
M. Otero
Affiliation:
Salud Mental. Primeros Episodios, Servicio Navarro de Salud, Pamplona, Spain
*
*Corresponding author.

Abstract

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Introduction

Early Intervention Services for Early-Phase Psychosis have shown efficacy and effectiveness (Correl C, JAMA). In Pamplona, Spain, there is an Early Intervention Program that has been providing multiprofesional assistance for First Psychotic Patients for the last two years.

Objectives

The aim of this study is to analize the longitudinal effects of the different interventions in several clinical variables applied to 240 patients during two years of follow-up : CASH dimensions, substance abuse, antipsychotic type and dosage, remission rates, re-hospitalization rates and DSM 5 diagnoses.

Methods

We apply an standard evaluation protocol to every patient at different times: premorbid, initial time and at months 6, 12, 18 and 24. We analyse the data with the SPSS statistical program to see the results in these variables.

Results

The positive and disorganized dimensions show an evident decline during the treatment. The doses of antipsychotic drugs are low and tend to decline. 87% of patients are in monotherapy. The most frequent DSM 5 basal diagnosis is Brief Psychotic Episode, but during de follow-up the Diagnosis of Schizophrenia increase from 14,6% at baseline up to 46,2% at month 24. The remission rates are about 65% after 24 months.

Conclusions

Early Intervention Services improve psychopathological dimensions, prevents from re-hospitalization, allows the use of lower doses of Antipsychotic Drugs and improve the rates of remission. However, the diagnosis of Schizophrenia is high, so there is no evidence that these programs prevents from chronicity, but provide a better quality of life.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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