Paddy Power, MD, MRCPsych, Young Adult Service, St Patrick's University Hospital, James St, Dublin, DOS K7YW, Ireland. Email:
Br J Psychiatry. 2017 Dec;211(6):331-333. doi: 10.1192/bjp.bp.117.205492.
There is now a good body of evidence about factors that determine outcome and recovery in a first episode of psychosis. However, so far, this is of limited benefit when making predictions at an individual level. Treatment protocols are one size fits all and the recommended duration of medication remains unclear. What is needed is a more sophisticated approach to predicting outcomes and tailoring treatment options to the individual. Removing predisposing factors is an important aspect of this.
现在已经有大量的证据表明，在首次精神病发作时，有哪些因素可以决定结果和康复。然而，到目前为止，在进行个体预测时，这一证据的作用有限。治疗方案是一刀切的，药物治疗的推荐持续时间仍不清楚。现在需要的是一种更复杂的方法来预测结果，并根据个体情况定制治疗方案。消除促成因素是其中一个重要方面。
