IEPA 2012

Title Poster First Author Abstract or summary Type
Length of prodrome and time to transition in ultra high risk cases who develop psychosis and have poor functional outcome Barnaby Nelson

The primary focus of interest in UHR research has traditionally been transition to psychotic disorder within 1-2 years of entry. However, there may be UHR cases who transition after this period and these cases may have different characteristics to those who transition more quickly. In this study we aimed to investigate length of prodrome in cases with poor compared to cases with average/good functional outcome. Method We followed up 416 UHR cases from the PACE clinic, Melbourne 2.4-14.9 years after entry.

Conference Presentations
Researcher-Rated And Self-Reported Insight Among Patients With First-Episode Psychosis: The Impact Of Depression, Symptoms, And Duration Of Untreated Psychosis Beth Broussard

Relatively little research has explored insight in patients with first-episode psychosis, though insight is a crucial factor influencing engagement, adherence, and outcomes. We examined correlates of insight in a large, well-characterized sample of hospitalized, urban, socially disadvantaged, predominantly African American first-episode patients. Insight was assessed using the researcher-rated insight/judgment item of the Positive and Negative Syndrome Scale, as well as the self-report Birchwood Insight Scale.

Conference Presentations
Striatal Glutamate And The Conversion To Psychosis: A Prospective 1h-Mrs Imaging Study Camilo de la Fuente-Sandoval

Background. Increased glutamate levels in the associative-striatum have been described in subjects at ultra-high risk for psychosis (UHR); nevertheless, it is unclear whether this abnormality could predict the conversion to psychosis. Methods. Nineteen subjects at UHR and twenty-six controls were included. At inclusion (baseline), subjects underwent proton magnetic resonance spectroscopy (1H-MRS), using a point resolved spectroscopy (PRESS) acquisition (TE=35ms, TR=2000ms, spectral width=5000 Hz) in the right dorsal caudate. The 1H-MRS studies were performed on a 3T GE scanner.

Conference Presentations
Capopus - Intervention Study For Cannabis Use Disorder In Psychosis Carsten Hjorthøj

Context: Cannabis abuse is highly prevalent in psychotic patients. Previous psychosocial interventions have shown little efficacy for reducing cannabis use, possibly owing to low sample size and risk of bias. Design Centrally randomised, observer-blinded, parallel-group clinical trial. Patients A referred sample of 103 patients with ICD-10 psychosis and cannabis-use disorder. Interventions Patients were randomised to six months of TAU (n=51) or TAU plus CapOpus (n=52), the latter consisting mainly of motivational interviewing and cognitive behaviour therapy.

Conference Presentations
Transition For Young People With Mental Health Problems In The Uk: Can Early Intervention Services Lead The Way? Elizabeth England

Introduction: Transition is increasingly recognised as an important issue for young people suffering with mental health problems. Poor transition planning may result in a range of adverse outcomes. Early intervention services (EIS) in the UK are explicitly required to address transition planning as part of their development and implementation; however there is a lack of evidence to support the development of any one particular model. This study therefore aimed to explore the influences affecting working at the interface between CAMHS and EIS in England.

Conference Presentations
Vocational recovery in first episode psychosis: first results from a large randomised controlled trial of IPS Eoin J Killackey

Vocational recovery has been consistently shown to be a number one priority of people with mental illness generally, and schizophrenia and first-episode psychosis (FEP) specifically. Two previous randomised controlled trials (RCT) demonstrated the benefit of an employment intervention called Individual Placement and Support (IPS) for young people with FEP. The current study was conducted in order to examine not only the vocational benefits of such an approach, but to study a wide range of predictors and consequences of vocational recovery in FEP.

Conference Presentations
Engaging Young People with Early Psychosis using housing first Eric Macnaughton

Not Available

Conference Presentations
Dont Just Screen, Intervene! Positive Cardiometabolic Health: An Early Intervention Framework For Patients On Psychotropic Medication. Jackie Curtis

The relationship between weight gain and the treatment of first episode psychosis (FEP) with psychotropic medication has been well established, with obesity and metabolic syndrome common sequelae. Such metabolic abnormalities create further disease burden on a population already dealing with mental illness, whose life expectancy is approximately 20 years less than the general population, primarily due to cardiovascular complications.

Conference Presentations
Adapt: A randomised controlled trial of CBT versus supportive therapy for individuals at clinical high risk of psychosis Jean Addington

Not Available

Conference Presentations
Family outcomes from an rct of relapse prevention therapy in first-episode psychosis John F.M. Gleeson

The EPISODE II study was designed to evaluate the effectiveness of a combined individual and family-based psychosocial intervention for the purpose of preventing relapse in young first-episode patients who have reached remission on positive psychotic symptoms. Patient participants were recruited from the Early Psychosis Prevention and Intervention Centre and Barwon Health, Victoria Australia and randomised either to the relapse prevention therapy plus specialist first-episode treatment or to specialist treatment alone.

Conference Presentations

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