青少年精神病的早期干预:理解变化的新方法
Noel Shadowen1, Zachary Meehan2, Charles Webb3
1University of Delaware, Center for Training Evaluation and Community Collaboration, 210 South College Avenue, Newark, DE 19716; Skyline Psychotherapy & Assessment Services, PLLC, Philadelphia, PA.
对年轻人精神病的早期干预显著改善了功能和减少了症状. 波特兰识别和早期转诊 (PIER) 模型表明,风险青少年和经历第一次精神病发作的人有积极的结果.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 青少年和年轻人的未经治疗的精神病会导致逐渐减弱.
- 早期干预对于有风险的个人和最近精神病发作的人来说至关重要.
- 波特兰识别和早期转诊 (PIER) 模型是一个公认的早期干预策略.
研究的目的:
- 在大规模实施中评估PIER模型的有效性.
- 评估接受PIER治疗的参与者的功能和积极精神病症状的变化.
- 扩展之前对PIER治疗结果的研究.
主要方法:
- 一个108名年轻人和年轻成年人的样本处于首次精神病发作的风险或在两年内接受了PIER模型.
- 从基线开始对参与者进行跟踪,直到退院后的六个月.
- 使用可靠变化指数 (RCI) 分析和增长曲线建模 (GCM) 来检查随时间变化的情况.
主要成果:
- 参与者表现出功能显著改善.
- 观察到积极的精神病症状显著减少.
- 正如预测的那样,PIER模型产生了积极的治疗结果.
结论:
- PIER模型有效地改善了青少年和年轻成年人患早期精神病或经历早期精神病风险的结果.
- 大规模实施PIER模型显示出有希望的结果.
- 需要进一步的研究来探索临床影响和完善干预策略.
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