Universität zu Köln

Bechdolf, Andreas, Mueller, Hendrik, Stuetzer, Hartmut, Wagner, Michael ORCID: 0000-0003-2589-6440, Maier, Wolfgang, Lautenschlager, Marion, Heinz, Andreas ORCID: 0000-0001-5405-9065, de Millas, Walter, Janssen, Birgit, Gaebel, Wolfgang, Michel, Tanja Maria, Schneider, Frank ORCID: 0000-0003-1557-7956, Lambert, Martin, Naber, Dieter, Bruene, Martin, Krueger-Oezguerdal, Seza, Wobrock, Thomas, Riedel, Michael and Klosterkoetter, Joachim (2011). Rationale and Baseline Characteristics of PREVENT: A Second-Generation Intervention Trial in Subjects At-Risk (Prodromal) of Developing First-Episode Psychosis Evaluating Cognitive Behavior Therapy, Aripiprazole, and Placebo for the Prevention of Psychosis. Schizophr. Bull., 37. S. S111 - 11. OXFORD: OXFORD UNIV PRESS. ISSN 1745-1701

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Abstract

Antipsychotics, cognitive behavioral therapy (CBT), and omega-3-fatty acids have been found superior to control conditions as regards prevention of psychosis in people at-risk of first-episode psychosis. However, no large-scale trial evaluating the differential efficacy of CBT and antipsychotics has been performed yet. In PREVENT, we evaluate CBT, aripiprazole, and clinical management (CM) as well as placebo and CM for the prevention of psychosis in a randomized, double-blind, placebo-controlled trial with regard to the antipsychotic intervention and a randomized controlled trial with regard to the CBT intervention with blinded ratings. The hypotheses are first that CBT and aripiprazole and CM are superior to placebo and CM and second that CBT is not inferior to aripiprazole and CM combined. The primary outcome is transition to psychosis. By November 2010, 156 patients were recruited into the trial. The subjects were substantially functionally compromised (Social and Occupational Functioning Assessment Scale mean score 52.5) and 78.3% presented with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition axis I comorbid diagnosis. Prior to randomization, 51.5% of the participants preferred to be randomized into the CBT arm, whereas only 12.9% preferred pharmacological treatment. First, assessments of audiotaped treatment sessions confirmed the application of CBT-specific skills in the CBT condition and the absence of those in CM. The overall quality rating of the CBT techniques applied in the CBT condition was good. When the final results of the trial are available, PREVENT will substantially expand the current limited evidence base for best clinical practice in people at-risk (prodromal) of first-episode psychosis.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Bechdolf, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Hendrik UNSPECIFIED UNSPECIFIED UNSPECIFIED Stuetzer, Hartmut UNSPECIFIED UNSPECIFIED UNSPECIFIED Wagner, Michael UNSPECIFIED orcid.org/0000-0003-2589-6440 UNSPECIFIED Maier, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Lautenschlager, Marion UNSPECIFIED UNSPECIFIED UNSPECIFIED Heinz, Andreas UNSPECIFIED orcid.org/0000-0001-5405-9065 UNSPECIFIED de Millas, Walter UNSPECIFIED UNSPECIFIED UNSPECIFIED Janssen, Birgit UNSPECIFIED UNSPECIFIED UNSPECIFIED Gaebel, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Michel, Tanja Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED Schneider, Frank UNSPECIFIED orcid.org/0000-0003-1557-7956 UNSPECIFIED Lambert, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Naber, Dieter UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruene, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Krueger-Oezguerdal, Seza UNSPECIFIED UNSPECIFIED UNSPECIFIED Wobrock, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Riedel, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Klosterkoetter, Joachim UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-489854
DOI:	10.1093/schbul/sbr083
Journal or Publication Title:	Schizophr. Bull.
Volume:	37
Page Range:	S. S111 - 11
Date:	2011
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1745-1701
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ULTRA-HIGH-RISK; INDICATED PREVENTION; FOLLOW-UP; SCHIZOPHRENIA; PEOPLE; PREDICTION; MODEL; SCALE; VULNERABILITY; RELIABILITY Multiple languages Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48985