IEPA 2014

Title Poster First Author Abstract or summary Type
Facilitating hope as protection against social disability and the development of an Early Youth Engagement model in first episode psychosis services (the EYE project) Kathryn Greenwood

Background Early intervention in Psychosis (EIP) is pivotal in determining its long term trajectory, yet 25-33% of people disengage within 12 months. Of those who remain engaged, a significant proportion have delayed social recovery. Method The first study investigated facilitators and barriers to engagement from the perspective of EIP service users, their relatives and healthy young people in order to develop a youth-engagement focussed service model. Forty focus groups/individual interviews were conducted, and thematic analysis was applied to the transcribed data.

Conference Presentations
Neighbourhood characteristics and the incidence of first episode psychosis (FEP) and duration of untreated psychosis (DUP) Brian O'Donoghue

Background: The incidence of psychotic disorders varies between geographical areas and it is hypothesized that neighbourhood level factors such as social deprivation, fragmentation and population density may influence this variation. The aims of this study are to determine whether the incidence of FEP and the DUP are associated with the level of social deprivation, fragmentation and population density at the neighbourhood level. Methods: All individuals with a FEP from a geographical defined catchment area assessed over a five year period between 2006 and 2011 were included.

Conference Presentations
History of offending behavior in first episode psychosis patients: a marker of specific clinical needs and a call for early detection strategies among young offenders. Philippe Conus

Objectives: Previous literature suggests that first episode psychosis (FEP) patients with a history of offending behavior (HOB) have specific clinical needs. The aims of this study were to assess: (1) the prevalence of HOB in a representative sample of FEP; (2) the premorbid and baseline characteristics of patients with HOB, and (3) the potential differences in short-term outcome of such patients when compared to patients without HOB. Method: The Early Psychosis Prevention and Intervention Centre (EPPIC) admitted 786 FEP patients between 1998 and 2000.

Conference Presentations
Attitudes towards prodromal stage of psychosis in Japanese psychiatric professionals Yoko Baba

Aim: Despite growing evidences, effectiveness of intervention for prodromal stage of psychosis is still controversial. The aim of this study was to examine attitudes and stigma towards prodromal stage as well as full-blown psychosis in psychiatric professionals. Methods: Participants were psychiatrists, residents and co-medical staff at the Toho Omori Medical Center, Tokyo (14 men and 13 women). The mean age was 32.8 years old (SD_5.1). The mean duration engaged in mental health service was 61.3 months (SD=67.3).

Conference Presentations
Internalized stigma in the 'high-risk' for psychosis designation and effects on symptoms and functioning Lawrence H. Yang

Aim: Despite the benefits of a 'high-risk for psychosis (HRP) diagnosis in the early detection of psychosis, a risk of stigma exists among the >65% of subjects identified who may not progress to psychosis. Psychosis risk may activate stereotypes associated with 'schizophrenia, thus initiating psychological symptoms, treatment nonadherence, and social exclusion. We hypothesize, in one of the first studies of stigma in this group, that stigma will be associated with difficulties in symptoms and functioning.

Conference Presentations
Mental health literacy: impact of newspaper report on the recognition of psychotic prodrome and related controversies Chen-Chung Liu

To facilitate identification of subjects at risk of psychosis in Taipei, Taiwan, two waves of newspaper report of cases depicting favorable outcomes of early intervention at putative prodrome of schizophrenia were released. The numbers of appointment to a special clinic for risk assessment at a teaching hospital displayed an endemic-like pattern, with significantly increased new appointments after the first wave report and some of them were eligible to our high-risk follow-up study.

Conference Presentations
Public and mental health professionals attitudes towards Psychosis Risk Syndrome Edwin Lee

Aim: There has been a move in psychosis research towards identifying and providing early intervention for individuals who are at risk of developing psychosis in hope of preventing its onset. 'Psychosis risk syndrome has been proposed as a separate diagnosis in the DSM V, but it was not included due to various concerns. Controversy remains about the social implications, in particular, stigma. We designed a cross-sectional survey designed to explore stigma towards people at risk of psychosis from public and mental health professionals perspectives in Hong Kong.

Conference Presentations
Promoting adolescent mental health, challenging stigma, and improving mental health literacy using intergroup contact Katharine Chisholm

Interventions designed to promote adolescent mental health awareness are greatly needed due to the high risk of this period for the onset of severe mental disorders, including psychosis. In particular, it is important that interventions facilitate engagement with adolescents in a way that promotes learning and empathy. Intergroup contact theory, which hypothesises that interaction between different groups reduces prejudice and discrimination, may be an effective strategy for reducing stigma and increasing engagement in mental health educational programmes.

Conference Presentations
Name change of schizophrenia reduces stigma in general adolescents: 12 years from MIND-SPLIT-DISEASE to INTEGRATION DISORDER in Japan Shinsuke Koike

In Japan, the official term for schizophrenia was renamed from mind-split disease (Seishin-Bunretsu-Byo) to integration disorder (Togo-Shitcho-Sho) in 2002. However, little has unknown how general adolescents feel about these terms. Therefore, we acquired anonymous self-administered questionnaires and quiz from 148 students in several universities (male=86, age=20.3).

Conference Presentations
Childhood Neurodevelopmental Disorders, IQ and Subsequent Risk of Psychotic Experiences in the ALSPAC Birth Cohort Golam Khandaker

Background: Schizophrenia has a neurodevelopmental component to its origin, and may share overlapping pathogenic mechanisms with childhood neurodevelopmental disorders (ND). Yet longitudinal studies of psychotic outcomes among individuals with ND are limited. We report a population-based prospective study of six common childhood ND, subsequent neurocognitive performance and the risk of psychotic experiences (PE) in early-adolescence. Methods: PE were assessed by semi-structured interviews at age 13 years. IQ and working memory were measured between ages 9 and 11 years.

Conference Presentations

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