University of Worcester Worcester Research and Publications

A Randomized Controlled Trial of Comprehensive Early Intervention Care in Patients with First-Episode Psychosis in Japan: 1.5-year Outcomes from the J-CAP Study

Nishida, A., Ando, S., Yamasaki, S., Koike, S., Ichihashi, K., Miyakoshi, Y., Maekawa, S., Nakamura, T., Natsubori, T., Ichikawa, E., Ishigami, H., Sato, K., Matsunaga, A., Smith, Jo and French, P. (2018) A Randomized Controlled Trial of Comprehensive Early Intervention Care in Patients with First-Episode Psychosis in Japan: 1.5-year Outcomes from the J-CAP Study. Journal of Psychiatric Research, 102. pp. 136-141. ISSN 0022-3956

Japan CBT study Atsushi and Syudo Manuscript draft July 2017.pdf - Accepted Version

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The first episode of psychosis represents a critical period wherein comprehensive early intervention in psychosis (EIP) may alter the course of illness. However, evidence from randomized controlled trials that have examined the impact of comprehensive EIP care on clinical and functional recovery assessed by independent blinded raters is limited. The objective of this study was to conduct a single-blinded multicenter trial comparing comprehensive EIP care and standard care in young patients with first-episode psychosis (FEP) in Japan (J-CAP Study). A total of 77 participants with FEP (aged 15–35 years) were randomized to receive standard care or specialized comprehensive EIP care and were followed up for 1.5 years (trial no.: UMIN000005092). Function (measured with the Global Assessment of Functioning) and clinical remission (defined by internationally standardized criteria proposed by the Remission in Schizophrenia Working Group) were evaluated by independent raters who were blinded to group assignment. Dropout rate and other secondary outcomes were also examined. The specialized EIP care group had a higher clinical remission rate (odds ratio, 6.3; 95% confidence interval, 1.0–37.9) and lower treatment dropout rate (odds ratio, 0.038; 95% confidence interval, 0.002–0.923) than the standard care group, even after adjusting for baseline characteristics. Functional improvement in the specialized EIP care group was slightly higher than that in the standard care group, but this difference was not statistically significant (p = 0.195). From the results, we conclude that comprehensive EIP care may provide advantages over standard care in patients with FEP.

Item Type: Article
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Uncontrolled Discrete Keywords: randomized controlled trial, early intervention, psychosis, first-episode, course of illnes
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: College of Health, Life and Environmental Sciences > School of Allied Health and Community
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Depositing User: Karol Kosinski
Date Deposited: 12 Apr 2018 11:21
Last Modified: 16 Jul 2020 07:07

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