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首页> 外文期刊>The British journal of psychiatry : >Initiatives to shorten duration of untreated psychosis: systematic review
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Initiatives to shorten duration of untreated psychosis: systematic review

机译：缩短未治疗精神病持续时间的举措：系统评价

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Background Long duration of untreated psychosis (DUP) is common and associated with poor outcomes. Strategies to enhance early detection of first-episode psychosis have been advocated. Aims To evaluate initiatives for early detection of psychosis. Method Systematic review of available evidence on the effectiveness of early detection initiatives to reduce the DUP. Results The review included 11 studies which evaluated 8 early detection initiatives. Evidence suggests that general practitioner education campaigns and dedicated early intervention services do not by themselves reduce DUP or generate more treated cases. Evidence for multifocus initiatives is mixed: intensive campaigns targeting the general public as well as relevant professionals may be needed. No studies evaluated initiatives targeting young people or professionals from non-health organisations. Conclusions How early detection can be achieved is not clear. Evidence is most promising for intensive public awareness campaigns: these require organisation and resourcing at a regional or national level. More good-quality studies are needed to address gaps in knowledge.
机译：背景长期未治疗的精神病（DUP）很常见，并伴有不良的预后。有人提出了加强早期发现精神病的策略。目的评估精神病的早期发现计划。方法对有关减少DUP的早期检测计划有效性的可用证据进行系统回顾。结果回顾包括11项研究，评估了8种早期发现计划。有证据表明，全科医生教育运动和专门的早期干预服务本身并不能减少DUP或产生更多的治疗病例。关于多焦点计划的证据好坏参半：可能需要针对公众和相关专业人士的密集运动。没有研究评估针对年轻人或来自非卫生组织的专业人员的计划。结论尚不清楚如何实现早期发现。证据对于强化公众意识运动是最有希望的：这些运动需要在地区或国家级别进行组织和提供资源。需要更多高质量的研究来解决知识方面的空白。

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