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Publications: 2014 Archives - Psychosis Research Unit
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Publications: 2014

Young people at risk of psychosis: Their subjective experiences of monitoring and cognitive behaviour therapy in the early detection and intervention evaluation 2 trial

Rory E. Byrne and Anthony P. Morrison Full Article Abstract Objectives To explore participants' experiences of ‘enhanced monitoring’ and cognitive behaviour therapy (CBT) within a randomized controlled trial evaluating early detection and prevention of psychosis (‘early detection and intervention evaluation [EDIE] 2’). Design Semi-structured qualitative interviews were conducted with a sample of participants at the end of their involvement with the trial. Methods Ten young people were interviewed; six males and four females, with a mean age of 27.5. Nine participants identified themselves as White British and one Black British. All participants had received ‘enhanced monitoring’ during the trial, and 8 of 10 also received CBT. Interviews were transcribed verbatim and analysed using thematic analysis to identify central themes within and among participants' accounts. Results Three super-ordinate thematic areas were...

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Quality of prescribing for schizophrenia: Evidence from a national audit in England and Wales

Patel MX, Bishara D, Jayakumar S, Zalewska K, Shiers D, Crawford MJ, et al. (2014) Full Article Abstract The National Audit of Schizophrenia (NAS) examined the quality of care received in England and Wales. Part of the audit set out to determine whether six prescribing standards, set by the national clinical guidelines for schizophrenia, were being implemented and to prompt improvements in care. Mental Health Trusts and Health Boards provided data obtained from case-notes for adult patients living in the community with schizophrenia or schizoaffective disorder. An audit of practice tool was developed for data collection. Most of the 5055 patients reviewed were receiving pharmacological treatment according to national guidelines. However, 15.9% of the total sample (95%CI: 14.9–16.9) were prescribed two or more antipsychotics concurrently and 10.1% of...

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Cardiometabolic health in young people with psychosis

Shiers D & Curtis J Full Article Summary The International Early Psychosis Association formally launched Healthy Active Lives (HeAL) on Nov 19, 2014 in Tokyo. This international consensus declaration is a call to arms for health professionals and service providers to pay far greater attention to the cardiovascular and metabolic health of people experiencing psychosis for the first time, right from the onset of treatment. HeAL is an international statement with a focus on prevention of the 20 year life expectancy gap for people with severe mental illness that was highlighted in The Lancet Psychiatry's recent demand for activism for poor physical health...

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Assessment and treatment of physical health problems among people with schizophrenia: national cross-sectional study.

Crawford MJ, Jayakumar S , Lemmey SJ, Zalewska K, Patel M, Cooper SJ, Shiers D (2014) Full Article Abstract BACKGROUND: In the UK and other high-income countries, life expectancy in people with schizophrenia is 20% lower than in the general population. AIMS: To examine the quality of assessment and treatment of physical health problems in people with schizophrenia. Method Retrospective audit of records of people with schizophrenia or schizoaffective disorder aged ⩾18. We collected data on nine key aspects of physical health for 5091 patients and combined these with a cross-sectional patient survey. RESULTS: Body mass index was recorded in 2599 (51.1%) patients during the previous 12 months and 1102 (21.6%) had evidence of assessment of all nine key measures. Among those with high blood sugar, there was...

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