Saturday , January 16 2021

Medicine 21 – Press – Psychiatry experts believe that early intervention in psychosis and long-term approach is the key to preventing relapse

Madrid on February 11th. The sixth edition of Meet the expert, organized by the Otsuka-Lundbeck Alliance, has served to reflect on developments in psychosis and discuss new research lines. Under the title & Advance in Psychosis: Imagine a Better Future for Patients & # 39;Various psychiatric experts have discussed the need for a long-term approach that ensures that relapse does not occur.

"We are talking about relapses when the symptoms of psychosis come back or get worse and it can happen at any time. There are different ways to prevent it, for example, being tight with antipsychotic drugs, avoiding drug use, and Believe that there is no need to continue treatment or even stress. ", explained the scientific directors Celso Arango, Professor of Psychiatry at the Complutense University of Madrid and Vice President of the Spanish Psychiatric Society, and Benedict Crespo-Facorro,Professor of Psychiatry at the University of Cantabria. Meanwhile, Crespo-Facorro has highlighted in Meet the Expert that "with each relapse, the recovery is slower" and has detailed that Primary Care "must be a basic tool" in the treatment to detect risk cases.

During his speech, Crespo-Facorro spoke about early intervention, adherence to treatment and the fight against stigma as key elements of patient recovery. "The prevalence of psychotic disorders in the population is currently around 3%. In about 68% of men and 51% of women, the disease begins before age 35" 1-2. has postponed

Experts in psychiatry have commented that "there is a growing interest" for the complete remission of the symptoms of psychosis and have assured that it is about drug abuse and is strictly consistent with the treatment "is effective" to achieve patient recovery.

A patient-centered care model

Meet The expert has started with the presentation & # 39; Focus on the patient can improve the results in the treatment of schizophrenia? & # 39; where Peter Jones from Neuroscience Epicenter at the University of Cambridge; Merete Nordentoft from the University of Copenhagen; José Manuel Olivares from Álvaro Cunqueiro Hospital EOIX Vigo and Philip Gorwood from Sainte-Anne Hospital in Paris have supported a model of psychosis based on patient needs and their environment.

Nordentoft has presented the Danish program OPUS, a specialized, cost-effective early intervention program for the treatment of patients with a first episode in psychosis and persistent between five and ten years and Jones has insisted that a longer duration of untreated psychosis is associated with poorer results.

Compliance to favor treatment success

Another pertinent aspect addressed by psychiatry experts at Meet the Expert has been the importance of people with a first psychotic episode having access to early and comprehensive treatment in: "Early and comprehensive intervention rationally combining pharmacological treatment with psychosocial intervention is the key to preventing relapse and restoring people experiencing a first psychotic episode " David Fraguas by General University Hospital Gregorio Marañón. Fraguas has also detailed some tools to improve treatment outcomes such as exercise, psychotherapy and community rehabilitation.

The day was also allowed to exchange views on the importance of fighting the associated stigma. Currently, the most increasing anti-stigma investment most appreciated by patients and their environment is an investment in mental health plans. In addition, 86% of patients are also considering important additional studies of new treatments. 3 In that sense, Xavier Martí, Director General of Lundbeck Iberia, stated: "The Rethinking Movement, run by the Otsuka-Lundbeck Alliance, has organized Meet The Expert for six years. Understanding patient needs and their environment is the key to psychosis". On the other hand, Concha Caudevilla, Director General of Otsuka Pharmaceutical, ensured that interdisciplinary workgroups such as the thoughtful movement are key to deepening the needs that are not covered: "From the Alliance, we are committed to the joint work of specialists, patients, families and communities to really move on to improving the lives of people suffering from psychosis."

1 Celso Arango, M. B.-F. (2017). When the help does not follow the evidence: case of lack of early intervention programs in psychosis in Spain. Journal of Psychiatry and Mental Health.

2 European Network of National Schizophrenia Networks Student Gene-Environment InteractionsWork Package 2 (EU-GEI WP2) Group. (2018). Treated incidence of psychotic diseases in the multinational EU-GEI study. JAMA psychiatry, 75, 36-46.

3 Data extracted from Proyecto VOZ, a comprehensive study of more than 5,200 people with schizophrenia and their environment aiming to understand the needs of schizophrenia and their caregivers.

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