Early‑Onset Psychosis: Clinical and Psychosocial Outcome Improvements of Patients in a Specialized Programme, Compared to Treatment as Usual

• Autor(a) principal: Trovão, José Nuno
• Data de Publicação: 2020
• Outros Autores: Canha, João, Carneiro, Leonor, Castro, Fernanda, Ribeiro, Elisabete, Borges, Sandra, Marques, Ana Isabel
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.51338/rppsm.2019.v5.i4.87
• topic: Early Diagnosis; Early Medical Intervention; Prognosis; Psychotic Disorders/diagnosis; Psychotic Disorders/therapy; Schizophrenia/diagnosis; Schizophrenia/therapy; Time Factors; Diagnóstico Precoce; Esquizofrenia/diagnóstico; Esquizofrenia/tratamento; Fatores de Tempo; Intervenção Médica Precoce; Perturbações Psicóticas/diagnóstico; Perturbações Psicóticas/tratamento; Prognóstico

Introduction: Following national and international models of specialized interventions for early‑onsetpsychotic disorders, these author’s department implemented in 2010 its own Programme for Early Intervention in Psychosis (PIPP). This is an intensive, multidisciplinary approach programme for patients presenting with psychotic symptoms in their first five years, in order to improve care and reach better recovery. The aim of the present research was to address the impact of such specialized intervention on the recovery of patients experiencing early onset psychosis. Methods: We retrospetively studied a set of clinical and psychosocial variables in a group of patients consecutively admitted to the PIPP, from 2010 on, after being diagnosed with psyvhosis in its first five years, being then followed for five more in the programme. For comparison, we studied the same variables in a historic sample of early‑onset psychosis patients that were offered treatment‑as‑usual in psychiatry outpatient consultation (N‑PIPP), before PIPP was created. We performed statistical analyses using SPSS 22 software.Results: Compared to the N‑PIPP group, patients in the PIPP achieved significantly lower risk for inwards readmission (0.40, p=0.043) and defnitive treatment drop‑out (RR=0.21, p=0.011); and they were more likely to get a job or social occupation (RR=1.83, p=0.048). They also seemed to attain higher clinical remission, despite not statistically signifacant (RR=1.33, p=0.184).Conclusion: The approach provided by a specialized multidisciplinary programme for patients with early‑onset psychosis has a favourable effect on their clinical and social outcome.