IEPA 2012

Title Poster First Author Abstract or summary Type
Auditory steady state response and context effects in patients with schizophrenia and ultra-high-risk for psychosis: an MEG study Jun Soo Kwon

In spite of increasing understanding of its causes, course and treatment, early detection and intervention of schizophrenia prodrome are critical for schizophrenia research. One of the important approaches to detect cognitive impairments is auditory steady state responses, which allow testing the capacity of the neuronal networks in generation and maintenance of oscillatory activity.

Conference Presentations
Hippocampal-Amygdala Complex Shape And Cortical Thickness Abnormalities In First Episode Schizophrenia And Mania Kang Sim

Background: Abnormalities in cortical thickness and subcortical structures have been studied in schizophrenia, but less is known about corresponding changes in mania and brain structural differences between these two psychiatric conditions especially early in the stage of the illness. This study aims to compare cortical thickness and shape of the hippocampal-amygdala complex in first episode schizophrenia and mania.

Conference Presentations
Description of the development of a community-based early intervention program: prevention and recovery in early psychosis (PREP) Kate Hardy

PREP (Prevention and Recovery from Early Psychosis) is a community-academic partnership providing evidence-based early intervention for psychosis. Operating across three counties in the San Francisco Bay Area, PREP aims to return clients with a recent onset of psychosis to the highest possible level of functioning. Funded by an innovative funding source available through the state of California, the Mental Health Services Act Prevention and Early Intervention funds, PREP embodies the health care reform focus on promoting prevention and early intervention in community settings.

Conference Presentations
Using The Network Episode Model To Highlight The Complexity Of Seeking Service Katherine Boydell

A theoretical model, the Revised Network Episode Model (REV NEM; revised for children and adolescents), is utilized to emphasize social rather than individual action in understanding the help- seeking process. The model’s focus on social networks is based on research suggesting that pathways to mental health care are not fully explained by individual characteristics or predis- posing risk factors. This presentation describes the first empirical application of this model to youth at ultra high risk for psychosis.

Conference Presentations
What’s In The Physician’s Toolbox? Medical Management Of Obesity, Diabetes Risk And Cardiovascular Risk Factors In Psychosis. Katherine Samaras - Shiers

People with psychosis have a 20-year shortfall in life expectancy, attributable to cardiovascular disease. People with psychosis also have higher diabetes rates. Mental illness, social isolation and other sociodemographic factors often impair performance in often complex diabetes self-care, with poorer control and ensuing risks of diabetes complications (amputation, renal failure and heart disease). Weight gain and/or obesity associated with antipsychotropic medication-initiation compounds all these risks.

Conference Presentations
How Knowledge About Physical Health Can Be Used In The Development Of An Integrated Health Promotion Intervention Kathryn Greenwood

People with psychosis have a 20% shorter life expectancy, are 5 times more likely to have diabetes and twice as likely to die of cardiovascular disease than the general population. Life style choices and medication impact on physical health which in turn impacts on self esteem, relationships and engagement with interventions. The IMPACT study aims to improve physical health in psychosis. Study 1 is a prospective study of physical, mental and substance use outcomes in 200 people with first episode psychosis assessed at 0, 3, 6 and 12 months.

Conference Presentations
Individual placement and support after an initial episode of schizophrenia: impact on school or work recovery, hospitalization, and utilization of disability support Keith H Nuechterlein

This presentation focuses on the impact of supported education and supported employment on recovery of school and job participation early in the course of schizophrenia and on its secondary effects on rates of hospitalization and disability support. We examined the impact of Individual Placement and Support (IPS) in an 18-month randomized controlled trial with 69 patients with a recent first episode of schizophrenia. We combined IPS with a group skills training approach, Workplace Fundamentals Module (WFM), to enhance return to regular school or competitive employment.

Conference Presentations
Suicide And Accidental Death In First Episode Schizophrenia Spectrum Psychosis. Ingrid Melle

Background: Studies indicate high risk of suicide in the early treated phases of schizophrenia spectrum disorders. However, follow-up periods are mainly short and figures based on proportionate mortality rather than case fatality rates. Methods: Ten-year prospective longitudinal study of catchment area first-episode psychosis cohort from Norway and Denmark (N=281), followed from first treatment week with clinical reassessments at one, two, five and ten years. Causes of death from register data with information from medical charts.

Conference Presentations
Suicide-Related Behaviours During Initial Treatment For First-Episode Psychosis: Classification, Temporal Course Of Risk, Characteristics, And Predictors Izabela E. Fedyszyn

Background: Suicide-related behaviours (suicide attempts and suicides) are common in first-episode psychosis (FEP) and have considerable psychosocial and economic sequelae. Mental health services have an opportunity to help to reduce the rates of suicide-related acts, however, developing effective service-based preventive interventions requires a better understanding of these phenomena. Objective: To present findings and implications from a research program investigating the temporal course of risk, characteristics, and predictors of suicide-related behaviours during treatment for FEP.

Conference Presentations
Shortening the duration of untreated psychosis: experiences from the tips study. Ingrid Melle

The Scandinavian “Early Treatment and Intervention in Psychosis” (TIPS) study use a multifocused approach consisting of mass-media campaigns combined with focused education of key personnel (GPs, school nurses, teachers) and low-threshold assessment teams to recruit patients with first episode psychosis (FEP). The study included consecutive FEP from four Scandinavian health care sectors, half with the early detection program (ED) and half without (NoED). At start of first treatment, patients from the ED area had a statistically significantly shorter duration of untreated psychosis.

Conference Presentations

Pages