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First Episode Psychosis and intensity of care after discharge : difference at two years between lost and maintained follow-up patients
INTRODUCTION: Disengagement from care in early psychosis is frequent. In outpatient general psychiatric services rates range from 17 % to 60 %. In early intervention programs, rates range from 14 % to 33 % at two years. In Europe, a study reported an initial drop out rate at 48 %. OBJECTIVES: Measur...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9567306/ http://dx.doi.org/10.1192/j.eurpsy.2022.1964 |
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author | Bordas, R. Laffont, E. Jourdan, C. Pujol, M. Lamary, L. |
author_facet | Bordas, R. Laffont, E. Jourdan, C. Pujol, M. Lamary, L. |
author_sort | Bordas, R. |
collection | PubMed |
description | INTRODUCTION: Disengagement from care in early psychosis is frequent. In outpatient general psychiatric services rates range from 17 % to 60 %. In early intervention programs, rates range from 14 % to 33 % at two years. In Europe, a study reported an initial drop out rate at 48 %. OBJECTIVES: Measure intensity of care during two years after first hospitalization in a schizophrenia spectrum disorder population. Search for a difference between lost and maintained follow-up patients. METHODS: A monocentric retrospective study was conducted. All patients aged 16 to 30 with at least one hospitalization for schizophrenia spectrum disorder from January 2013 to December 2018 in CHAC were included. First hospitalization medical charts and all (social, nurse, psychologist, psychiatrist) outpatient appointments were assessed. A monthly mean of all appointments (MMA) was calculated for each patient. Lost or maintained groups at two years were compared with a Mann-Whitney test. RESULTS: Among 48 patients, 52,1 % (N=25) disengaged from initial follow up within 2 years. The MMA for (N=46) patients was 1,45 (SD 1,35), 0,5 (SD 0,33) for psychiatrists. For lost patients, the MMA was 1,35 (SD 1,40) compared to 1,55 (SD 1,32) for maintained. No significant difference was found : U=229,50 p=0,45. CONCLUSIONS: At two years, care appears more intensive for maintained patients than for lost ones, but no significant difference was found. DISCLOSURE: No significant relationships. |
format | Online Article Text |
id | pubmed-9567306 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-95673062022-10-17 First Episode Psychosis and intensity of care after discharge : difference at two years between lost and maintained follow-up patients Bordas, R. Laffont, E. Jourdan, C. Pujol, M. Lamary, L. Eur Psychiatry Abstract INTRODUCTION: Disengagement from care in early psychosis is frequent. In outpatient general psychiatric services rates range from 17 % to 60 %. In early intervention programs, rates range from 14 % to 33 % at two years. In Europe, a study reported an initial drop out rate at 48 %. OBJECTIVES: Measure intensity of care during two years after first hospitalization in a schizophrenia spectrum disorder population. Search for a difference between lost and maintained follow-up patients. METHODS: A monocentric retrospective study was conducted. All patients aged 16 to 30 with at least one hospitalization for schizophrenia spectrum disorder from January 2013 to December 2018 in CHAC were included. First hospitalization medical charts and all (social, nurse, psychologist, psychiatrist) outpatient appointments were assessed. A monthly mean of all appointments (MMA) was calculated for each patient. Lost or maintained groups at two years were compared with a Mann-Whitney test. RESULTS: Among 48 patients, 52,1 % (N=25) disengaged from initial follow up within 2 years. The MMA for (N=46) patients was 1,45 (SD 1,35), 0,5 (SD 0,33) for psychiatrists. For lost patients, the MMA was 1,35 (SD 1,40) compared to 1,55 (SD 1,32) for maintained. No significant difference was found : U=229,50 p=0,45. CONCLUSIONS: At two years, care appears more intensive for maintained patients than for lost ones, but no significant difference was found. DISCLOSURE: No significant relationships. Cambridge University Press 2022-09-01 /pmc/articles/PMC9567306/ http://dx.doi.org/10.1192/j.eurpsy.2022.1964 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Bordas, R. Laffont, E. Jourdan, C. Pujol, M. Lamary, L. First Episode Psychosis and intensity of care after discharge : difference at two years between lost and maintained follow-up patients |
title | First Episode Psychosis and intensity of care after discharge : difference at two years between lost and maintained follow-up patients |
title_full | First Episode Psychosis and intensity of care after discharge : difference at two years between lost and maintained follow-up patients |
title_fullStr | First Episode Psychosis and intensity of care after discharge : difference at two years between lost and maintained follow-up patients |
title_full_unstemmed | First Episode Psychosis and intensity of care after discharge : difference at two years between lost and maintained follow-up patients |
title_short | First Episode Psychosis and intensity of care after discharge : difference at two years between lost and maintained follow-up patients |
title_sort | first episode psychosis and intensity of care after discharge : difference at two years between lost and maintained follow-up patients |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9567306/ http://dx.doi.org/10.1192/j.eurpsy.2022.1964 |
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