Integrated treatment vs. treatment-as-usual for recent onset schizophrenia; 12 year follow-up on a randomized controlled trial
2013 (English)In: BMC Psychiatry, ISSN 1471-244X, Vol. 13:200, -8 p.Article in journal (Refereed) Published
Background: The aim of this study is to compare the 12-year follow-up effects on in- and outpatient services of 2 years of integrated treatment for recent-onset schizophrenia versus treatment as usual in a randomized controlled trial.
Methods: 50 patients aged 18–35 years were randomized to Integrated Treatment (IT) (N = 30) or Treatment-as-Usual (TAU) (N = 20) for two years. TAU comprised optimal pharmacotherapy and outreach assertive treatment, while IT also included cognitive-behavioural family treatment, skills training, strategies for residual psychotic and non-psychotic problems and home-based crisis management.
Results: There were no differences in number of days in hospital, time to readmission, number of admittances to psychiatric wards, number of involuntarily psychiatric admissions or number of outpatient contacts over a period of 12 years following the initial 2-year treatment trial. Fewer patients in the IT group were, however, involuntary admitted to hospital in the period.
Conclusions: The intensive two-year psychosocial intervention seemed to have little long-term effects on use of in- and outpatient services.
Place, publisher, year, edition, pages
BioMed Central, 2013. Vol. 13:200, -8 p.
IdentifiersURN: urn:nbn:no:ntnu:diva-23180DOI: 10.1186/1471-244X-13-200OAI: oai:DiVA.org:ntnu-23180DiVA: diva2:658853
© 2013 Sigrúnarson et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.2013-10-232013-10-232013-10-23