Intervention Programmes for First-Episode Psychosis: A Scoping Review.

The aim of this scoping review was to map intervention programmes for first-episode psychosis by identifying their characteristics, participants, and specific contexts of implementation. It seems reasonable to suggest that early intervention may be beneficial in improving recovery outcomes and reduc...

Descripción completa

Detalles Bibliográficos
Publicado en:Nursing Reports Vol. 15; no. 1; pp. 16 - 95
Autores principales: Gouveia, Marta, Morgado, Tânia, Costa, Tiago, Sampaio, Francisco, Rosa, Amorim, Sequeira, Carlos
Formato: research systematic review tables/charts Journal Article
Publicado: MDPI Jan2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=182434911&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 182434911
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        2039439X
        EGNT
      jtl: Nursing Reports
      issn: 2039439X
      maglogo: N
    pubinfo:
      dt: Jan2025
      vid: 15
      iid: 1
      pid: 97109
      pub: MDPI
    artinfo:
      ui:
        182434911
        182434911
        182434911
        10.3390/nursrep15010016
        182434911
      ppf: 16
      ppct: 79
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Intervention Programmes for First-Episode Psychosis: A Scoping Review.
      aug:
        au:
          Gouveia, Marta
          Morgado, Tânia
          Costa, Tiago
          Sampaio, Francisco
          Rosa, Amorim
          Sequeira, Carlos
        affil: Local Health Unit of Viseu Dão-Lafões, 3504-509 Viseu, Portugal
      sug:
        subj:
          Psychotic Disorders Therapy
          Early Intervention
          Program Implementation
          Human
          Scoping Review
          Medline
          PubMed
          CINAHL Database
          Psycinfo
          Cochrane Library
          Adolescence
          Adult
          Middle Age
          Aged
          Male
          Female
          Cognitive Therapy
          Cognitive Remediation
          Psychosocial Intervention
          Family Therapy
          Checklists
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: The aim of this scoping review was to map intervention programmes for first-episode psychosis by identifying their characteristics, participants, and specific contexts of implementation. It seems reasonable to suggest that early intervention may be beneficial in improving recovery outcomes and reducing the duration of untreated psychosis (DUP). Despite the expansion of these programmes, there are still some significant variations and barriers to access that need to be addressed. In line with the Joanna Briggs Institute (JBI) methodology and the Participants, Concept, and Context (PCC) framework, this review encompasses studies focusing on individuals grappling with early-stage psychosis and their caregivers across a range of settings, including hospital and community environments. The review identified 47 studies from 2002 to 2023, which revealed a great deal of diversity in programme characteristics and implementation contexts. This reflects a global perspective. The results showed that there is a great deal of variety in the characteristics of the programmes, with interventions ranging from single-component strategies, such as cognitive–behavioural therapy (CBT) and cognitive remediation therapy (CRT), to multicomponent programmes that integrate a number of different approaches, including psychosocial, pharmacological, and family-focused strategies. The objectives included attempts to improve cognitive functioning; enhance coping skills; reduce caregiver burden; and address symptoms such as anxiety, depression, and hallucinations. It is notable that there was considerable variation in the frequency, duration, and follow-up periods of the interventions, with some lasting just three sessions over one month and others spanning five years and 48 sessions. The majority of the programmes were delivered in community or outpatient settings, although there were also examples of hospital- and home-based interventions. These findings highlight the value of early interventions and provide a useful resource for adapting programmes to different social and cultural contexts. It would be beneficial for future research to explore how these interventions can be tailored to diverse settings.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N