Early intervention services, cognitive-behavioural therapy and family intervention in early psychosis: systematic review.
Early intervention services, cognitive-behavioural therapy and family intervention in early psychosis: systematic review.
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DOI：
10.1192/bjp.bp.109.074526
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发表时间：
2010-11
期刊：
影响因子：
--
通讯作者：
Kuipers E
中科院分区：
文献类型：
--
作者：
Bird V;Premkumar P;Kendall T;Whittington C;Mitchell J;Kuipers E
背景精神病早期干预服务旨在发现紧急症状，减少未经治疗的精神病的持续时间，并改善获得有效治疗的机会。目的评价早期干预服务、认知行为疗法（CBT）和家庭干预对早期精神病的疗效。方法对早期精神病患者的早期干预服务、认知行为疗法和家庭干预的随机对照试验进行系统回顾和荟萃分析。结果早期干预服务减少了住院率、复发率和症状严重程度，改善了获得治疗的机会和参与度。单独使用，家庭干预降低了复发率和住院率，而CBT降低了症状的严重程度，对复发或住院的影响很小。结论：对于早期精神病患者，早期干预服务似乎比标准护理具有临床重要的益处。在服务中包括CBT和家庭干预可能有助于改善这一关键时期的结果。这种方法及其对早期和确诊精神病患者的组成治疗的长期益处需要进一步研究。
Background Early intervention services for psychosis aim to detect emergent symptoms, reduce the duration of untreated psychosis, and improve access to effective treatments. Aims To evaluate the effectiveness of early intervention services, cognitive–behavioural therapy (CBT) and family intervention in early psychosis. Method Systematic review and meta-analysis of randomised controlled trials of early intervention services, CBT and family intervention for people with early psychosis. Results Early intervention services reduced hospital admission, relapse rates and symptom severity, and improved access to and engagement with treatment. Used alone, family intervention reduced relapse and hospital admission rates, whereas CBT reduced the severity of symptoms with little impact on relapse or hospital admission. Conclusions For people with early psychosis, early intervention services appear to have clinically important benefits over standard care. Including CBT and family intervention within the service may contribute to improved outcomes in this critical period. The longer-term benefits of this approach and its component treatments for people with early and established psychosis need further research.
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影响因子：
1.9
作者：
Lecomte, Tania;Leclerc, Claude;Spidel, Alicia
通讯作者：
Spidel, Alicia
DOI：
10.1192/bjp.bp.108.049718
发表时间：
2008-09
期刊：
The British journal of psychiatry : the journal of mental science
影响因子：
--
作者：
Barnes TR;Leeson VC;Mutsatsa SH;Watt HC;Hutton SB;Joyce EM
通讯作者：
Joyce EM
影响因子：
5.3
作者：
Gleeson, John F. M.;Cotton, Sue M.;McGorry, Patrick D.
通讯作者：
McGorry, Patrick D.
影响因子：
4.5
作者：
Linszen, D;Dingemans, P;Lenior, M
通讯作者：
Lenior, M
影响因子：
4.4
作者：
Kuipers, E;Holloway, F;Tennakoon, L
通讯作者：
Tennakoon, L