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History of offending behavior in first episode psychosis patients: a marker of specific clinical needs and a call for early detection strategies among young offenders.

Identifieur interne : 001D11 ( Main/Exploration ); précédent : 001D10; suivant : 001D12

History of offending behavior in first episode psychosis patients: a marker of specific clinical needs and a call for early detection strategies among young offenders.

Auteurs : Régis Marion-Veyron [Suisse] ; Martin Lambert [Allemagne] ; Sue M. Cotton [Australie] ; Benno G. Schimmelmann [Suisse] ; Bruno Gravier [Suisse] ; Patrick D. Mcgorry [Australie] ; Philippe Conus [Australie]

Source :

RBID : pubmed:25468182

Descripteurs français

English descriptors

Abstract

OBJECTIVES

Previous literature suggests that early psychosis (EP) patients with a history of offending behavior (HOB) have specific clinical needs. The aims of this study were to assess: (1) the prevalence of HOB in a representative sample of EP; (2) the premorbid and baseline characteristics of patients with HOB, and (3) the potential differences in short-term outcome of such patients when compared to patients without HOB.

METHODS

The Early Psychosis Prevention and Intervention Centre (EPPIC) admitted 786 EP patients between 1998 and 2000. Data were collected from patients' files using a standardized questionnaire. Data of 647 patients could be analyzed.

RESULTS

HOB patients (29% of the sample) were more likely to be male with lower level of premorbid functioning and education, have used illicit substances and have attempted suicide. They presented with a more complex clinical picture and had poorer 18-month outcome. Most importantly, they had a significantly longer duration of untreated psychosis.

CONCLUSIONS

On the basis of the high prevalence and specific features of EP patients with HOB, our study confirms a need for additional research in this domain and for the development of specific treatment strategies. Most importantly, it suggests a need for the promotion of early detection strategies among the populations of young offenders, considering that some of them may be going through the early phases of a psychotic disorder and that reduction of treatment delay and provision of well adapted interventions may have a significant impact at numerous levels in such patients.


DOI: 10.1016/j.schres.2014.09.078
PubMed: 25468182


Affiliations:


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Le document en format XML

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<b>OBJECTIVES</b>
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<p>Previous literature suggests that early psychosis (EP) patients with a history of offending behavior (HOB) have specific clinical needs. The aims of this study were to assess: (1) the prevalence of HOB in a representative sample of EP; (2) the premorbid and baseline characteristics of patients with HOB, and (3) the potential differences in short-term outcome of such patients when compared to patients without HOB.</p>
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<p>
<b>METHODS</b>
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<p>The Early Psychosis Prevention and Intervention Centre (EPPIC) admitted 786 EP patients between 1998 and 2000. Data were collected from patients' files using a standardized questionnaire. Data of 647 patients could be analyzed.</p>
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<p>
<b>RESULTS</b>
</p>
<p>HOB patients (29% of the sample) were more likely to be male with lower level of premorbid functioning and education, have used illicit substances and have attempted suicide. They presented with a more complex clinical picture and had poorer 18-month outcome. Most importantly, they had a significantly longer duration of untreated psychosis.</p>
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<b>CONCLUSIONS</b>
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<p>On the basis of the high prevalence and specific features of EP patients with HOB, our study confirms a need for additional research in this domain and for the development of specific treatment strategies. Most importantly, it suggests a need for the promotion of early detection strategies among the populations of young offenders, considering that some of them may be going through the early phases of a psychotic disorder and that reduction of treatment delay and provision of well adapted interventions may have a significant impact at numerous levels in such patients.</p>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Previous literature suggests that early psychosis (EP) patients with a history of offending behavior (HOB) have specific clinical needs. The aims of this study were to assess: (1) the prevalence of HOB in a representative sample of EP; (2) the premorbid and baseline characteristics of patients with HOB, and (3) the potential differences in short-term outcome of such patients when compared to patients without HOB.</AbstractText>
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<LastName>Gravier</LastName>
<ForeName>Bruno</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Service of Correctional Medicine and Psychiatry (SMPP) and Legal Psychiatry Institute, Department of Psychiatry, Lausanne University Hospital (CHUV), Clinique de Cery, 1008 Prilly, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>McGorry</LastName>
<ForeName>Patrick D</ForeName>
<Initials>PD</Initials>
<AffiliationInfo>
<Affiliation>Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Parkville, VIC 3052, Australia; Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria 3052, Melbourne, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Conus</LastName>
<ForeName>Philippe</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Treatment and Early Intervention in Psychosis Program(TIPP), Service of General Psychiatry, Department of Psychiatry, Lausanne University Hospital (CHUV), Clinique de Cery, 1008 Prilly, Switzerland; Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Parkville, VIC 3052, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>11</Month>
<Day>20</Day>
</ArticleDate>
</Article>
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<Country>Netherlands</Country>
<MedlineTA>Schizophr Res</MedlineTA>
<NlmUniqueID>8804207</NlmUniqueID>
<ISSNLinking>0920-9964</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003415" MajorTopicYN="N">Crime</DescriptorName>
<QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName>
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<MeshHeading>
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<DescriptorName UI="D012559" MajorTopicYN="N">Schizophrenia</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012565" MajorTopicYN="Y">Schizophrenic Psychology</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Duration of untreated psychosis</Keyword>
<Keyword MajorTopicYN="N">Early psychosis</Keyword>
<Keyword MajorTopicYN="N">Offending behavior</Keyword>
<Keyword MajorTopicYN="N">Outcome</Keyword>
</KeywordList>
</MedlineCitation>
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<History>
<PubMedPubDate PubStatus="received">
<Year>2014</Year>
<Month>06</Month>
<Day>27</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2014</Year>
<Month>09</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2014</Year>
<Month>09</Month>
<Day>20</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2014</Year>
<Month>12</Month>
<Day>4</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2014</Year>
<Month>12</Month>
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<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2015</Year>
<Month>12</Month>
<Day>29</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">25468182</ArticleId>
<ArticleId IdType="pii">S0920-9964(14)00622-7</ArticleId>
<ArticleId IdType="doi">10.1016/j.schres.2014.09.078</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Suisse</li>
</country>
<region>
<li>Canton de Berne</li>
<li>Victoria (État)</li>
</region>
<settlement>
<li>Berne</li>
<li>Melbourne</li>
</settlement>
<orgName>
<li>Université de Melbourne</li>
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<name sortKey="Marion Veyron, Regis" sort="Marion Veyron, Regis" uniqKey="Marion Veyron R" first="Régis" last="Marion-Veyron">Régis Marion-Veyron</name>
</noRegion>
<name sortKey="Gravier, Bruno" sort="Gravier, Bruno" uniqKey="Gravier B" first="Bruno" last="Gravier">Bruno Gravier</name>
<name sortKey="Schimmelmann, Benno G" sort="Schimmelmann, Benno G" uniqKey="Schimmelmann B" first="Benno G" last="Schimmelmann">Benno G. Schimmelmann</name>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Lambert, Martin" sort="Lambert, Martin" uniqKey="Lambert M" first="Martin" last="Lambert">Martin Lambert</name>
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<country name="Australie">
<region name="Victoria (État)">
<name sortKey="Cotton, Sue M" sort="Cotton, Sue M" uniqKey="Cotton S" first="Sue M" last="Cotton">Sue M. Cotton</name>
</region>
<name sortKey="Conus, Philippe" sort="Conus, Philippe" uniqKey="Conus P" first="Philippe" last="Conus">Philippe Conus</name>
<name sortKey="Mcgorry, Patrick D" sort="Mcgorry, Patrick D" uniqKey="Mcgorry P" first="Patrick D" last="Mcgorry">Patrick D. Mcgorry</name>
</country>
</tree>
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