The family-oriented open dialogue approach in the treatment of first-episode psychosis: Nineteen

The family-oriented open dialogue approach in the treatment of first-episode psychosis: Nineteen–year outcomes. Bergström, T., Seikkula, J., Alakare, B., Mäki, P., Köngäs-Saviaro, P., Taskila, J. J., Tolvanen, A., & Aaltonen, J. Psychiatry Research, 270:168–175, December, 2018. ZSCC: 0000025

Paper doi abstract bibtex

Open Dialogue (OD) is a family-oriented early intervention approach which has demonstrated good outcomes in the treatment of ﬁrst-episode psychosis (FEP). Nevertheless, more evidence is needed. In this register-based cohort study the long-term outcomes of OD were evaluated through a comparison with a control group over a period of approximately 19 years. We examined the mortality, the need for psychiatric treatment, and the granting of disability allowances. Data were obtained from Finnish national registers regarding all OD patients whose treatment for FEP commenced within the time of the original interventions (total N = 108). The control group consisted of all Finnish FEP patients who had a follow-up of 19–20 years and who were guided to other Finnish specialized mental healthcare facilities (N = 1763). No diﬀerence between the samples was found regarding the annual incidence of FEP, the diagnosis, and suicide rates. Over the entire follow-up, the ﬁgures for durations of hospital treatment, disability allowances, and the need for neuroleptics remained signiﬁcantly lower with OD group. Findings indicated that many positive outcomes of OD are sustained over a long time period. Due to the observational nature of the study, randomized trials are still needed to provide more information on eﬀectiveness of approach.

@article{bergstrom_family-oriented_2018,
	title = {The family-oriented open dialogue approach in the treatment of first-episode psychosis: {Nineteen}–year outcomes},
	volume = {270},
	issn = {01651781},
	shorttitle = {The family-oriented open dialogue approach in the treatment of first-episode psychosis},
	url = {https://linkinghub.elsevier.com/retrieve/pii/S0165178117323338},
	doi = {10.1016/j.psychres.2018.09.039},
	abstract = {Open Dialogue (OD) is a family-oriented early intervention approach which has demonstrated good outcomes in the treatment of ﬁrst-episode psychosis (FEP). Nevertheless, more evidence is needed. In this register-based cohort study the long-term outcomes of OD were evaluated through a comparison with a control group over a period of approximately 19 years. We examined the mortality, the need for psychiatric treatment, and the granting of disability allowances. Data were obtained from Finnish national registers regarding all OD patients whose treatment for FEP commenced within the time of the original interventions (total N = 108). The control group consisted of all Finnish FEP patients who had a follow-up of 19–20 years and who were guided to other Finnish specialized mental healthcare facilities (N = 1763). No diﬀerence between the samples was found regarding the annual incidence of FEP, the diagnosis, and suicide rates. Over the entire follow-up, the ﬁgures for durations of hospital treatment, disability allowances, and the need for neuroleptics remained signiﬁcantly lower with OD group. Findings indicated that many positive outcomes of OD are sustained over a long time period. Due to the observational nature of the study, randomized trials are still needed to provide more information on eﬀectiveness of approach.},
	language = {en},
	urldate = {2020-04-02},
	journal = {Psychiatry Research},
	author = {Bergström, Tomi and Seikkula, Jaakko and Alakare, Birgitta and Mäki, Pirjo and Köngäs-Saviaro, Päivi and Taskila, Jyri J. and Tolvanen, Asko and Aaltonen, Jukka},
	month = dec,
	year = {2018},
	note = {ZSCC: 0000025},
	pages = {168--175},
}

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