Mixed Outcomes Six Months After First Psychosis

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French researchers looked at the outcomes of 467 “antipsychotic drug-naive” patients six months after a first psychotic episode (and treatment with medication), finding that the outcomes were heterogenous. A lower initial level of functioning and negative symptoms were the best predictors of worse outcomes. The sole predictor of rapid improvement, however, was employment. Results appear in Acta Psychiatrica Scandinavica.
Abstract →

C. Nordon1, F. Rouillon, J. M. Azorin, C. Barry, et al; Trajectories of antipsychotic response in drug-naive schizophrenia patients: results from the 6-month ESPASS follow-up study. Acta Psychiatrica Scandinavica. Article first published online: 18 APR 2013. DOI: 10.1111/acps.12135

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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].

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