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Integrated treatment to achieve functional recovery for first-episode psychosis
Marcelo Valencia1, Francisco Juarez, Hector Ortega
1Division of Epidemiological and Psychosocial Research, National Institute of Psychiatry "Ramón de la Fuente", Calzada Mexico-Xochimilco 101, Colonia San Lorenzo Huipulco, 14370 Mexico City, Mexico.
Abstract:
This study describes an integrated treatment approach that was implemented to enhance functional recovery in first-episode psychotic patients. Patients were randomized to two treatment conditions: either to an integrated treatment approach: pharmacotherapy, psychosocial treatment, and psychoeducation (experimental group: N = 39) or to medication alone (control group: N = 34). Patients were evaluated at baseline and after one year of treatment. Functional recovery was assessed according to symptomatic and functional remission. At the end of treatment, experimental patients showed a 94.9% of symptomatic remission compared to 58.8% of the control group. Functional remission was 56.4% for the experimental group and 3.6% for the control group, while 56.4% of the experimental group met both symptomatic and functional remission criteria and were considered recovered compared to 2.9% of the control group.
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