Specialised care for early psychosis: symptoms, social functioning and patient satisfaction - Randomised controlled trial
Specialised care for early psychosis: symptoms, social functioning and patient satisfaction - Randomised controlled trial
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DOI：
10.1192/bjp.bp.104.007286
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发表时间：
2006-01-01
影响因子：
10.5
通讯作者：
Power, P
中科院分区：
文献类型：
--
作者：
Garety, PA;Craig, TKJ;Power, P
背景
为精神病患者提供早期干预服务是英国政府的政策，尽管此类服务有益的证据稀少。
目的
评估为早期精神病提供专业护理的服务（兰贝斯早发性精神病治疗团队）对临床和社会结果以及服务使用者满意度的影响。
方法
144名首次或第二次因精神病向精神卫生服务机构就诊（如果之前未能接受治疗）的患者被随机分配接受早发性精神病治疗团队的护理或标准护理。获取了有关症状、治疗依从性、社会和职业功能、满意度以及生活质量的信息。复发和再住院的数据已另行报告。
结果
在18个月时，由早发性精神病治疗团队治疗的参与者在社会和职业功能、满意度、生活质量以及药物依从性等方面的结果明显更好。两组之间的症状改善没有显著差异。
结论
为早期精神病提供专业护理能够取得更好的结果。因此，该研究为现行政策提供了支持。
利益声明：无。资金详情见致谢部分。
Background The provision of early intervention services for people with psychosis is UK government policy, although evidence for benefit of such services is sparse.Aims To evaluate the effects of a service providing specialised care for early psychosis (the Lambeth Early Onset team) on clinical and social outcomes, and on service user satisfaction.Method One hundred and forty-four people with psychosis, presenting to mental health services for the first or second time (if previously failed to engage in treatment), were randomly allocated to care by the early onset team or to standard care. Information was obtained on symptoms, treatment adherence, social and vocational functioning, satisfaction and quality of life. Relapse and rehospitalisation data have been reported separately.Results Outcomes for the participants treated by the early onset team were significantly better at 18 months for aspects of social and vocational functioning, satisfaction, quality of life and medication adherence. Symptom improvement did not significantly differ between the groups.Conclusions The provision of specialised care for early psychosis can achieve better outcomes. The study therefore provides support for current policy.Declaration of interest None. Funding detailed in Acknowledgements.