A narrative review of intervention in first-episode affective psychoses.

Details

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_D1EEB34086B9
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
A narrative review of intervention in first-episode affective psychoses.
Journal
Journal of psychiatric research
Author(s)
Ramain J., Conus P., Golay P.
ISSN
1879-1379 (Electronic)
ISSN-L
0022-3956
Publication state
Published
Issued date
11/2021
Peer-reviewed
Oui
Volume
143
Pages
123-137
Language
english
Notes
Publication types: Journal Article ; Review ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
While first-episode schizophrenia has received extensive attention in the literature, few studies have focused on the first episode of affective psychoses. Considering the lack of structured data regarding this diagnostic grouping commonly used in clinical settings, our aim was to scope the literature on first-episode affective psychoses to consolidate current knowledge and to identify areas to be targeted in future studies. We also planned to investigate the relevance of the "affective psychosis" concept regarding diagnostic categories and specific needs of intervention. We conducted a search on the Embase, Medline, PubMed, PsycINFO and Web Of Science databases until October 2020. We selected studies and synthesized the key findings into a narrative review regarding major topics of early intervention research: diagnostic categorization, premorbid factors, intervention, duration of untreated illness, neurobiology and neurocognition. After screening 961 titles and abstracts and 193 full-text papers, we selected 77 studies for inclusion. Our results showed heterogeneity in diagnosis-related grouping under the concept of affective psychoses, especially variability regarding the inclusion of schizoaffective disorder. Nonetheless, this concept still encompasses patients with different psychopathological and neurocognitive profiles from the non-affective patients requiring specialized intervention. This study thus provided support for the relevance of this concept as well as a need for further investigation.
Keywords
Biological Psychiatry, Psychiatry and Mental health, Depression, Early intervention, Mania, Psychosis, Schizoaffective disorder
Pubmed
Web of science
Open Access
Yes
Create date
06/09/2021 7:27
Last modification date
03/11/2021 6:39
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