Cognition is a treatment priority for young people with psychosis: Findings from the Your Mind, Your Choice survey

Stainton, Alexandra; Cheng, Nicholas; Bryce, Shayden; Dalton, Alex; Ojinnaka, Angelica; Zbukvic, Isabel; Ratheesh, Aswin; O'Halloran, Chris; Uren, Jacquie; Gates, Jesse; Daglas-Georgiou, Rothanthi; Wood, Stephen J.; Allott, Kelly

doi:10.1016/j.schres.2023.10.019

Schizophrenia Research

2023

DOI: 10.1016/j.schres.2023.10.019

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Cognition is a treatment priority for young people with psychosis: Findings from the Your Mind, Your Choice survey

Alexandra Stainton,

Nicholas Cheng,

Shayden Bryce

et al.

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2024

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Cited by 2 publications

References 9 publications

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Treatment Preferences in Acute Psychosis: A Comparison of Patient and Staff Perspectives on Symptom Prioritization and Biopsychosocial Interventions

Fischer,

Moritz,

Scheunemann

et al. 2024

Psychiatr Q

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Patients with acute psychosis are often confronted with the prejudice that they refuse all treatment due to lack of insight. This study examined and compared the aims and preferences for treatment of patients with acute psychosis and of psychiatric inpatient staff. A total of 142 inpatients being treated for a psychotic disorder on either a locked or an open ward indicated which of a range of symptoms they want to be treated and which of various biopsychosocial treatment options they would like to receive. Staff members from the same wards reported which psychiatric symptoms they deemed relevant in the treatment of psychosis and which treatment options should be offered. Patients assigned the highest treatment need to neurocognitive symptoms, followed by affective and positive symptoms. In contrast, staff assigned the highest treatment need to positive symptoms, followed by neurocognitive and affective symptoms. Patients and staff on open wards expressed more treatment needs overall than did patients and staff on locked wards. Patients’ desire for treatment differed across treatment types. In comparing patients on locked versus open wards, patients on open wards expressed higher approval of medication than patients on locked wards. Even patients with highly acute psychosis being treated on locked psychiatric wards endorsed treatment. Treatment preferences of this group deviated markedly in some instances from staffs’ preferences. Considering their specific needs may contribute to increasing patient self-efficacy, and improving adherence to treatment.

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Treatment Preferences in Acute Psychosis: A Comparison of Patient and Staff Perspectives on Symptom Prioritization and Biopsychosocial Interventions

Fischer,

Moritz,

Scheunemann

et al. 2024

Psychiatr Q

View full text Add to dashboard Cite

show abstract

Strategies for Achieving Better Cognitive Health in Individuals with Schizophrenia Spectrum: A Focus on the Canadian Landscape: Stratégies pour atteindre une meilleure santé cognitive chez les personnes souffrant du spectre de la schizophrénie : un regard sur le paysage canadien

Lepage,

Guimond,

Raedler

et al. 2024

Can J Psychiatry

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Background Schizophrenia spectrum disorders (SSDs) are a group of psychiatric disorders characterized by positive and negative symptoms as well as cognitive impairment that can significantly affect daily functioning. Method We reviewed evidence-based strategies for improving cognitive function in patients with SSDs, focusing on the Canadian landscape. Results Although antipsychotic medications can address the positive symptoms of SSDs, cognitive symptoms often persist, causing functional impairment and reduced quality of life. Moreover, cognitive function in patients with SSDs is infrequently assessed in clinical practice, and evidence-based recommendations for addressing cognitive impairment in people living with schizophrenia are limited. While cognitive remediation (CR) can improve several domains of cognitive function, most individuals with SSDs are currently not offered such an intervention. While the development of implementation strategies for CR is underway, available and emerging pharmacological treatments may help overcome the limited capacity for psychosocial approaches. Furthermore, combining pharmacological with non-pharmacological interventions may improve outcomes compared to pharmacotherapy or CR alone. Conclusion This review highlights the challenges and discusses the potential solutions related to the assessment and management of cognitive impairment to help mental health-care practitioners better manage cognitive impairment and improve daily functioning in individuals with SSDs.

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Cognition is a treatment priority for young people with psychosis: Findings from the Your Mind, Your Choice survey

Cited by 2 publications

References 9 publications

Treatment Preferences in Acute Psychosis: A Comparison of Patient and Staff Perspectives on Symptom Prioritization and Biopsychosocial Interventions

Treatment Preferences in Acute Psychosis: A Comparison of Patient and Staff Perspectives on Symptom Prioritization and Biopsychosocial Interventions

Strategies for Achieving Better Cognitive Health in Individuals with Schizophrenia Spectrum: A Focus on the Canadian Landscape: Stratégies pour atteindre une meilleure santé cognitive chez les personnes souffrant du spectre de la schizophrénie : un regard sur le paysage canadien

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