Nordentoft Merete, Bertelsen Mette
Psykiatrisk Center Bispebjerg, Bispebjerg Hospital, DK-2400 København NV.
Ugeskr Laeger. 2008 Nov 10;170(46):3758-60.
The possibilities for intervention in the early phases of schizophrenia and schizophrenia-like psychosis were reviewed. Long duration of untreated psychosis is related to persistent psychotic symptoms. Early detection programmes can reduce the duration of untreated psychosis and thereby probably improve outcome. There is ample evidence that intensive specialised assertive intervention during the early phase of psychotic symptoms is effective in improving several outcomes. Family intervention reduces risk of remission and improve compliance with antipsychotic medication.
对精神分裂症及精神分裂症样精神病早期干预的可能性进行了综述。未治疗精神病的持续时间较长与持续性精神病症状相关。早期检测项目可以缩短未治疗精神病的持续时间,从而可能改善预后。有充分证据表明,在精神病症状早期进行强化的专科积极干预对改善多种预后有效。家庭干预可降低缓解风险并提高对抗精神病药物的依从性。