IEPA 2014

Title Poster First Author Abstract or summary Type
Early intervention for ultra-high risk youth in Japan: clinical practice in three leading centres Masahiro Katsura

Background: Clinical observations of at-risk mental state (ARMS), including transition rates to psychosis, have largely emerged from research on Western populations. In Japan, several research centres provide clinical services for ARMS; however, studies at each site have involved small samples, limiting their statistical power. Thus, we combined samples from three leading centres to produce large-scale multi-centre datasets of Japanese observations. Methods: Clinical information on ARMS samples were gathered from specialised services for ARMS from Toho, Tohoku, and Toyama Universities.

Conference Presentations
Psychotic-like experiences and academic achievement: Implications for detecting prodromal symptoms Megan Walberg

Psychotic-like experiences (PLEs) and cognitive deficits in adolescence index a risk for psychosis. The relationship between PLEs and cognitive impairments, which may be indexed by academic underachievement, is not fully understood. This study aimed to explore both the quantitative and qualitative nature of this relationship. Drawing upon a British cohort study (N= 1247) of adolescents (14 years at baseline), a latent class analysis was used to assign participants to one of four groups based on national exams scores in English and Mathematics at ages 11, 14, and 15 years.

Conference Presentations
Neurocognitive Functioning for Youth at Clinical High Risk of Developing Psychosis in NAPLS-2 Larry J. Seidman

Background: Neurocognitive impairment is common in youth at clinical high risk (CHR) for psychosis. However, the roles of medications and age have not been systematically addressed. We examined neurocognition in CHR individuals who transitioned to psychosis (CHR-T, n=41) vs. those who didnt (CHR-NT, n=286), based on the first half of the NAPLS-2 study. Methods: The sample consisted of baseline testing from 360 CHR individuals (n=327 tested) and 180 healthy controls (HC, n=177 tested), who had reached the 24 month follow-up.

Conference Presentations
Seeing the Doc at 11am, cooking group at midday, and hitting the gym at 2pm. Patient and staff perspectives of an embedded lifestyle intervention within an early psychosis programme Andrew Watkins

Keeping the Body In Mind (KBIM) is an intensive 12-week, strength-based multidisciplinary lifestyle intervention delivered at the initiation of anti-psychotic treatment for young people experiencing first episode psychosis. The KBIM program comprised dietitian and exercise physiology interventions, in addition to individualised health coaching delivered by a clinical nurse consultant and youth peer support workers to maximize participation through a recovery-oriented approach.

Conference Presentations
Womens Experiences of First Episode Psychosis: From Individual Narratives to Gender-Appropriate Services Anna Lavis

It is widely recognised that there are gender differences in the clinical presentation of psychotic disorders, in terms of illness onset, symptomatology and social functioning. Women often develop a first episode of psychosis (FEP) later and their illness experiences may therefore be embedded in different social contexts to those of men. Yet, to date little research has asked whether these variations are mirrored by, or give rise to, gender differences in individuals subjective experiences of psychosis or its effects on their day-to-day lives.

Conference Presentations
Beyond early intervention & woodshedding: Using narrative to provide a new context for applying a recovery paradigm after the early phase of psychosis Alan Rosen

This presentation considers how early intervention in psychosis can support a recovery paradigm. Methods: Significant numbers of those developing a first episode of psychosis are on a path to a persisting and potentially life long condition. Constituting the schizophrenia spectrum disorders, such conditions demand the particular qualities and attitudes inherent within recovery-based practice.

Conference Presentations
NorthBEAT: Narrative Interviews to Explore the Needs of Youth in Remote/Northern Canada Chiachen Cheng

Objectives: While research in early psychosis intervention (EPI) has made significant contributions to care, it may not extrapolate well to northern or rural service environments. In Northern Ontario (a central-province in Canada with an expansive geography with many Aboriginal communities), services struggle to understand unique presentations and discrepancies.

Conference Presentations
Anti-Psychotics as 'a worthwhile gamble? Engaging with the Views of Service Users with First Episode Psychosis on Physical Health and Healthcare Anna Lavis

Background: It is recognised that the physical health of individuals with severe mental illness is often poorer than that of individuals without. This has recently engendered interventions aimed at attenuating, in particular, long-term effects on service users physical health attributable to anti-psychotic medications. However, researchers and policy makers have arguably made this leap from poorer health outcomes to service delivery mechanisms with little engagement with service users own views of their physical health and healthcare.

Conference Presentations
What is helpful about psychotic experiences? Mike Jackson

It has been hypothesised that psychotic experience in the normal population is 'self-limiting' and of 'good outcome'. This study aimed firstly to explore whether and how such experiences are felt to be helpful in the lives of those who report them as frequent events ('Uniques'); and secondly, how far these benefits are present in patients with psychotic disorders and 'Need for Care'(NFCs). In depth interviews were conducted with 140 participants as part of a larger study.

Conference Presentations
Navigating towards well-being through engagement in valued activities Shalini Lal

Introduction: Limited attention has been placed on examining the relations between activity engagement, well-being, and recovery for youth with mental illness particularly in relation to the underlying processes through which activity engagement contributes to well-being. Objectives: We examined the role of valued activity engagement in relation to well-being based on the narrative accounts of youth diagnosed and treated for a first episode of psychosis within the past three years.

Conference Presentations

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