Conference paper
EARLY INTERVENTION SERVICES FOR EARLY-PHASE PSYCHOSIS - CENTRE FOR INTEGRATIVE PSYCHIATRY IN PSYCHIATRIC HOSPITAL “SVETI IVAN”, CROATIA
Katarina Matić
; Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia
Natko Gereš
; Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia
Josefina Gerlach
orcid.org/0000-0002-5505-8598
; Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia
Diana Prskalo-Čule
; Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia
Tihana Zadravec Vrbanc
; Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia
Vanja Lovretić
; Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia
Dina Librenjak
; Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia
Sandra Vuk Pisk
orcid.org/0000-0001-9690-1265
; Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ena Ivezić
; Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ivona Šimunović Filipčić
orcid.org/0000-0002-3265-0046
; Department of Psychological Medicine, University Hospital Center Zagreb, Zagreb, Croatia
Vjekoslav Jeleč
; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Igor Filipčić
orcid.org/0000-0002-3283-8786
; Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Abstract
Background: There is a growing body of evidence suggesting that early and effective management in the critical early years of
schizophrenia can improve long-term outcomes. The objective of this study was to evaluate time to relapse of the patients with earlyphase psychosis treated in the Centre for integrative psychiatry (CIP).
Subject and methods: We performed a retrospective cohort study on the sample of 373 early-phase psychosis patients admitted to Psychiatric Hospital “Sveti Ivan”, Zagreb Croatia: from January 1, 2015 to December 31, 2017. The primary outcome was time to relapse.
Results: Patients who were admitted to group psychotherapeutic program after the end of acute treatment had 70% lower hazard for relapse (HR=0.30; 95% CI 0.16-0.58). Patients who were included first in the psychotherapeutic program and then treated and controlled in the daily hospital had 74% lower hazard for relapse (HR=0.26; 95% CI 0.10-0.67).
Conclusions: In early-phase psychosis, integrative early intervention service has relevant beneficial effects compare to treatment
as usual. These results justified the implementation of multimodal early intervention services in treatment of patients with earlyphasen psychosis.
Keywords
schizophrenia spectrum disorder; early intervention services; early-phase psychosis; schizophrenia; relapse; hospital readmission
Hrčak ID:
262885
URI
Publication date:
22.7.2018.
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