Early psychosis intervention outpatient service of the 1st Psychiatric University Clinic in Athens: 3 Years of experience

Kollias, C.T.; Xenaki, Lida-Alkisti; Dimitrakopoulos, Stefanos; Kosteletos, Ioannis; Kontaxakis, V.P.; Stefanis, Nikos C.; Papageorgiou, Charalabos

doi:10.1111/eip.12407

Cited by 9 publications

(22 citation statements)

References 47 publications

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“…38,39 Similar efforts are systematically organized also in Greece. 40,41 The significance of early intervention and development of prevention strategies for vulnerable populations are increasingly gaining ground in the military environment. 42 A recent study in the Greek army revealed that the duration of untreated psychosis is minimal for soldiers experiencing a first episode psychosis compared to the average time in the community.…”

Section: Discussionmentioning

confidence: 99%

The diathesis-stress model in the emergence of major psychiatric disorders during military service

Chasiropoulou¹,

Siouti²,

Mougiakos³

et al. 2020

Psychiatriki

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E xisting evidence and the diathesis-stress model hypothesis suggest that stress as an environmental factor may trigger the onset of psychiatric disorders, such as psychosis spectrum disorders, mood disorders, anxiety disorders, in people with an underlying vulnerability. The purpose of this study was to determine the period of time during military service at which symptomatology of clinical significance is more often developed, considering that stress of service and adaptation to its requirements is common to all army recruits. A retrospective file study for the years 2017-2018 was conducted in order to identify male soldiers who were hospitalized in the psychiatric clinic of 414 Athens Military hospital and diagnosed as F20-29, F30-39 and F40-48 according to ICD-10. The number of hospitalizations per clinical diagnosis and the time of onset relatively to the month of military service were examined. A total of 139 cases were screened, 119 of which had disorders falling into the diagnostic categories F20-29, F30-39 and F40-48. 53% of total hospitalizations took place within the first two months of a nine-month military service. It was found that the risk of disorder onset within the first two months of military service was statistically higher (OR=0.210, p=0.001) for a schizophrenic spectrum disorder (F20-29) compared to F30-39 and F40-48 disorders. After adjusting for potential confounders, such as heritability for psychiatric disorders, urbanicity, history of substance use or age, the risk for hospitalization within the first two months continued to be significantly predicted by F20-29 disorder (OR=0.255, p=0.022) compared to other diagnoses. Individuals vulnerable in developing a psychotic disorder appear to have lower stress tolerance and may manifest an earlier disease onset, when exposed to the stress of military service compared to subjects predisposed to develop mood or anxiety disorders. Stress during military service is of major importance for the emergence of the whole psychopathology spectrum, particularly in vulnerable individuals. The development of prevention and early intervention strate

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Section: Discussionmentioning

confidence: 99%

The diathesis-stress model in the emergence of major psychiatric disorders during military service

Chasiropoulou¹,

Siouti²,

Mougiakos³

et al. 2020

Psychiatriki

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“…In all, 17 studies described the clinical activity of public mental health services providing intervention and early detection for young UHR patients: UK (M. Broome et al, 2005;Fusar-Poli et al, 2013), Greece (Kollias et al, 2016), France (Oppetit et al, 2016), Poland (Kotlicka-Antczak, Pawełczyk, Rabe-Jabło nska, & Pawełczyk, 2015) and…”

Section: Participating Departmentsmentioning

confidence: 99%

Early intervention for everyone? A review of cross‐cultural issues and their treatment in ultra‐high‐risk (UHR) cohorts

Deriu

Moro

Benoit

2018

Early Intervention Psych

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This systematic review demonstrates barriers to the access to participation in early intervention research for migrants and ethnic minorities. This selection bias may result in lower validity for the CAARMS among these populations and thus in inadequate intervention programmes. Along with targeted studies, minorities' access to participation in UHR cohorts should be improved through 3 tools: interpreters at recruitment and for administration of CAARMS, a guide to cultural formulation and transcultural data collection.

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“…The rate of transition to psychosis and the rate of psychosis relapse after 3 years was estimated to be 19.2% and 11.7% respectively. 27 The field about patients who are at a high risk of developing psychosis in Greece remains neglected since nothing else has been found to be reported or published. This finding could be interpreted in several ways.…”

Section: Early Intervention For Psychosis In Greecementioning

confidence: 99%

Early intervention services in Greece: Time to focus on people at high risk

et al. 2018

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Over the last twenty years, a lot of early intervention services operate worldwide with the aim of offering assistance and promoting the early diagnosis and management, not only of people who experience a first episode of psychosis but also of individuals that are at high risk of developing psychosis. The early intervention services that operate in other countries have been reviewed in correlation with the current status of early intervention services for psychosis in Greece. Early intervention services were first established in Australia, and now hundreds of similar programs exist in Europe, North America and Asia. Furthermore, early intervention services incorporate teams that engage people who have an at risk mental state (ARMS), and are at high risk of developing psychosis. The first clinical service for individuals at high risk for psychosis was established in Melbourne in 1995, and an increasing number of similar services have since emerged worldwide. One of the largest of these is OASIS (Outreach and Support in South London). The first early intervention service was developed during the December 2007, in a rural catchment region of north-western Greece, in Ioannina. After the establishment of Ioannina Early Intervention Service, there was a growing interest of the Greek psychiatric community in the issues of early detection and prevention of psychotic disorders which led to the development of early psychosis units in other regions of Greece, like Athens, Thessaloniki and Patras. However, this field remains neglected in Greece, since in the absence of funding for such early detection services, there are only a few programs that operate mainly on a voluntary basis. Moreover, specialized mental health services for people at high risk for psychosis that have significant clinical benefits and are also cost effective, do not exist in the majority of Greek services. Greece and other countries in a similar condition need to understand the significance of untreated or poorly treated psychotic disorders that affect a lot of young people in late adolescence and early adult life. Focusing on people at high risk of developing psychosis will promote public health and will help not only to prevent the onset of psychotic disorders but to enhance their prognosis as well.

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Early psychosis intervention outpatient service of the 1st Psychiatric University Clinic in Athens: 3 Years of experience

Cited by 9 publications

References 47 publications

The diathesis-stress model in the emergence of major psychiatric disorders during military service

The diathesis-stress model in the emergence of major psychiatric disorders during military service

Early intervention for everyone? A review of cross‐cultural issues and their treatment in ultra‐high‐risk (UHR) cohorts

Early intervention services in Greece: Time to focus on people at high risk

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