Integrated treatment vs. treatment-as-usual for recent onset schizophrenia; 12 year follow-up on a randomized controlled trial

BMC Psychiatry

Gunnar Morken²  Rolf W Gråwe¹  Víðir Sigrúnarson² 

[1]Department of Research and Development, Drug and Alcohol Treatment Health Trust in Central Norway, Trondheim, Norway

[2]Department of Psychiatry, St. Olav’s University Hospital, Trondheim, Norway

关键词: Long term outcome;    Early intervention;    Integrated treatment;    Schizophrenia;   

Others  :  1123993
DOI  :  10.1186/1471-244X-13-200

 received in 2012-11-08, accepted in 2013-07-24,  发布年份 2013

【 摘 要 】

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.

Trial registration

Current Controlled Trials:NCT00184509

【 授权许可】

   
2013 Sigrúnarson et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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