Universität zu Köln

Mueller, Hendrik, Laier, Sonja and Bechdolf, Andreas (2014). Evidence-based psychotherapy for the prevention and treatment of first-episode psychosis. Eur. Arch. Psych. Clin. Neurosci., 264. S. S17 - 9. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-8491

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Abstract

The aim of psychotherapy among individuals at clinical high risk (CHR) for psychosis is to prevent transition to full-blown psychosis. Psychotherapy in individuals with a first-episode psychosis (FEP) aims to reduce relapse rates. Remission of (pre-) psychotic symptoms, psychosocial functioning, quality of life, comorbid disorders and self-esteem are also important outcomes in individuals at CHR and with FEP. Antipsychotics, Qmega-3-Fatty acids and psychotherapy have been found to be effective in CHR for most of these aims. Thereby psychotherapy presents a better benefit/risk ratio than antipsychotic medication. The most evidence-based intervention is cognitive-behavioral therapy (CBT). Psychotherapy is mostly offered to FEP patients within specialized early intervention services (including assertiveness community treatment and antipsychotic medication). Thereby, CBT is effective for positive symptoms and family intervention is particularly effective for the prevention of relapses. We introduce the principles of CBT for psychosis and suggest adaptions for individuals at CHR and FEP. We conclude that the needs of young people at CHR and with FEP are best met by specially designed, low threshold outpatient clinical services, which include intensive psychotherapy treatment. A number of countries have implemented early detection and intervention services based on this model, while the implementation within in Germany is still marginal.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Mueller, Hendrik UNSPECIFIED UNSPECIFIED UNSPECIFIED Laier, Sonja UNSPECIFIED UNSPECIFIED UNSPECIFIED Bechdolf, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-425114
DOI:	10.1007/s00406-014-0538-0
Journal or Publication Title:	Eur. Arch. Psych. Clin. Neurosci.
Volume:	264
Page Range:	S. S17 - 9
Date:	2014
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-8491
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ULTRA-HIGH-RISK; CLINICAL HIGH-RISK; COGNITIVE-BEHAVIORAL THERAPY; SUBSTANCE USE DISORDERS; UNTREATED PSYCHOSIS; 1ST EPISODE; EARLY INTERVENTION; FOLLOW-UP; PRODROMAL PSYCHOSIS; NEGATIVE SYMPTOMS Multiple languages Clinical Neurology; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42511