精神分裂症的早期干预。在常规临床服务中实施最佳治疗策略。OTP协作组。
Early intervention for schizophrenic disorders. Implementing optimal treatment strategies in routine clinical services. OTP Collaborative Group.
作者信息
Falloon I R, Coverdale J H, Laidlaw T M, Merry S, Kydd R R, Morosini P
机构信息
Department of Psychiatry and Behavioural Science, University of Auckland, New Zealand.
出版信息
Br J Psychiatry Suppl. 1998;172(33):33-8.
BACKGROUND
Early detection and intervention in schizophrenic disorders is an important challenge for psychiatry.
METHOD
Review of literature on effective biomedical and psychosocial intervention strategies.
RESULTS
Comprehensive programmes of drug and psychosocial interventions with adults who show early signs and symptoms of schizophrenic disorders may contribute to a lower incidence and prevalence of major episodes of schizophrenia. These programmes combine early detection of psychotic features by primary care services, with close liaison with mental health professionals. Long-term monitoring of signs of recurrence, with further intervention, appears essential to maintain these benefits.
CONCLUSIONS
Field trials demonstrate that effective early treatment strategies can be routinely applied in clinical practice.
背景
精神分裂症的早期检测和干预是精神病学面临的一项重大挑战。
方法
回顾关于有效生物医学和心理社会干预策略的文献。
结果
针对出现精神分裂症早期症状和体征的成年人开展药物与心理社会干预的综合项目，可能有助于降低精神分裂症主要发作的发病率和患病率。这些项目将初级保健服务对精神病性特征的早期检测与同心理健康专业人员的密切联络相结合。对复发迹象进行长期监测并采取进一步干预措施，对于维持这些益处似乎至关重要。
结论
现场试验表明，有效的早期治疗策略可在临床实践中常规应用。
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