Le concept de staging a-t-il changé la prise en charge de la schizophrénie ? [Has the concept of staging modified treatment of schizophrenia yet ?]

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Serval ID
serval:BIB_D76B54AEF6D8
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Le concept de staging a-t-il changé la prise en charge de la schizophrénie ? [Has the concept of staging modified treatment of schizophrenia yet ?]
Journal
L'Encephale
Author(s)
Conus P.
ISSN
0013-7006 (Print)
ISSN-L
0013-7006
Publication state
Published
Issued date
12/2018
Peer-reviewed
Oui
Volume
44
Number
6S
Pages
S24-S29
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The concept of staging is applied in medicine since many years, in order to better adapt treatment to patients' needs. Some authors have suggested one should also apply this concept to psychiatric disorders. If this approach seems to make sense, concrete progress in the domain are still limited. It is in the field of psychosis that most development have occurred, in the favorable context of early intervention programs. Some very detailed models have recently been proposed where successive stages of psychotic disorders are defined and corresponding treatment options are proposed. However, the limited reliability of clinical diagnoses systems and the absence of biomarkers allowing a more objective delineation of these various stages still hampers the concrete application of such strategies. Despite these limitations, the staging concept has already started to modify the mental health offer, especially for adolescents and young adults, for example through the development of the Headspace centers in Australia and other countries. These centers constitute accessible entry point for help seekers with mental health issues where treatment is defined according to the stage of illness. If such programs seem promising, a better understanding of the mechanisms underlying the development of psychiatric disorders seems important in order to facilitate the identification of stages and define the nature of the treatment needed for each of them, considering such knowledge has been the crucial for the development of the staging model in somatic disorders.
Keywords
Adolescent, Diagnostic and Statistical Manual of Mental Disorders, Disease Progression, Humans, Induction Chemotherapy, International Classification of Diseases/standards, Psychotic Disorders/classification, Psychotic Disorders/diagnosis, Psychotic Disorders/psychology, Psychotic Disorders/therapy, Recurrence, Remission Induction, Research Design, Schizophrenia/classification, Schizophrenia/diagnosis, Schizophrenia/pathology, Schizophrenia/therapy, Schizophrenic Psychology, Young Adult, Early intervention, Intervention précoce, Psychose, Psychosis, Schizophrenia, Schizophrénie, Staging, Traitement, Treatment
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Web of science
Create date
11/04/2019 9:32
Last modification date
20/08/2019 15:57
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