4.5 Article

Study protocol: The development of a pilot study employing a randomised controlled design to investigate the feasibility and effects of a peer support program following discharge from a specialist first-episode psychosis treatment centre

Journal

BMC PSYCHIATRY
Volume 10, Issue -, Pages -

Publisher

BMC
DOI: 10.1186/1471-244X-10-37

Keywords

-

Categories

Funding

  1. Myer Foundation
  2. Orygen Youth Health Research Centre
  3. NHMRC [566529]

Ask authors/readers for more resources

Background: Young people with first-episode psychosis (FEP) are at risk of a range of negative outcomes. Specialist FEP services have been developed to provide comprehensive, multi-disciplinary treatment. However, these services are often available for a restricted period and the services that young people may be transferred to are less comprehensive. This represents a risk of drop out from treatment services in a group already considered to be at risk of disengagement. Peer support groups have been shown to improve social relationships among people with psychosis however individual peer support programs have not been tested on young people with first-episode psychosis; nor have they been tested at the point of discharge from services. Methods/design: The study is an 18-month randomised controlled trial being conducted at Orygen Youth Health Research Centre in Melbourne, Australia. The aim of the study is to test the feasibility and effects of a 6-month peer support intervention delivered to young people with FEP over the period of discharge. Participants are young people aged 15-24 who are being discharged from a specialist first-episode psychosis treatment centre. There is a 6-month recruitment period. The intervention comprises two hours of contact per fortnight during which peer support workers can assist participants to engage with their new services, or other social and community activities. Participants will be assessed at baseline and post intervention (6 months). Discussion: This paper describes the development of a randomised-controlled trial which aims to pilot a peer support program among young people who are being discharged from a specialist FEP treatment centre. If effective, the intervention could lead to benefits not only for participants over the discharge period, but for peer support workers as well.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Psychiatry

Greater preference for eveningness is associated with negative symptoms in an ultra-high risk for psychosis sample

Jashmina J. Shetty, Christian Nicholas, Barnaby Nelson, Patrick D. McGorry, Suzie Lavoie, Connie Markulev, Miriam R. Schafer, Andrew Thompson, Hok Pan Yuen, Alison R. Yung, Dorien H. Nieman, Lieuwe de Haan, G. Paul Amminger, Jessica A. Hartmann

Summary: Investigating biological processes in at-risk individuals may help elucidate the aetiological mechanisms underlying psychosis development, refine prediction models and improve intervention strategies. The study examined associations between sleep disturbances, chronotype, depressive and psychotic symptoms in ultra-high risk individuals, finding that sleep disturbances were associated with increased depressive and attenuated positive psychotic symptoms, while eveningness preference was linked to increased negative symptoms.

EARLY INTERVENTION IN PSYCHIATRY (2021)

Review Psychiatry

Intervention strategies for ultra-high risk for psychosis: Progress in delaying the onset and reducing the impact of first-episode psychosis

Patrick D. McGorry, Cristina Mei, Jessica Hartmann, Alison R. Yung, Barnaby Nelson

Summary: This passage discusses the research findings on the efficacy of interventions for the UHR population and explores the optimal types of interventions, highlighting the clinical benefits of psychosocial treatment.

SCHIZOPHRENIA RESEARCH (2021)

Article Psychiatry

Association of Structural Magnetic Resonance Imaging Measures With Psychosis Onset in Individuals at Clinical High Risk for Developing Psychosis An ENIGMA Working Group Mega-analysis

Maria Jalbrzikowski, Rebecca A. Hayes, Stephen J. Wood, Dorte Nordholm, Juan H. Zhou, Paolo Fusar-Poli, Peter J. Uhlhaas, Tsutomu Takahashi, Gisela Sugranyes, Yoo Bin Kwak, Daniel H. Mathalon, Naoyuki Katagiri, Christine I. Hooker, Lukasz Smigielski, Tiziano Colibazzi, Esther Via, Jinsong Tang, Shinsuke Koike, Paul E. Rasser, Chantal Michel, Irina Lebedeva, Wenche ten Velden Hegelstad, Camilo de la Fuente-Sandoval, James A. Waltz, Romina Mizrahi, Cheryl M. Corcoran, Franz Resch, Christian K. Tamnes, Shalaila S. Haas, Imke L. J. Lemmers-Jansen, Ingrid Agartz, Paul Allen, G. Paul Amminger, Ole A. Andreassen, Kimberley Atkinson, Peter Bachman, Inmaculada Baeza, Helen Baldwin, Cali F. Bartholomeusz, Stefan Borgwardt, Sabrina Catalano, Michael W. L. Chee, Xiaogang Chen, Kang Ik K. Cho, Rebecca E. Cooper, Vanessa L. Cropley, Montserrat Dolz, Bjorn H. Ebdrup, Adriana Fortea, Louise Birkedal Glenthoj, Birte Y. Glenthoj, Lieuwe de Haan, Holly K. Hamilton, Mathew A. Harris, Kristen M. Haut, Ying He, Karsten Heekeren, Andreas Heinz, Daniela Hubl, Wu Jeong Hwang, Michael Kaess, Kiyoto Kasai, Minah Kim, Jochen Kindler, Mallory J. Klaunig, Alex Koppel, Tina D. Kristensen, Jun Soo Kwon, Stephen M. Lawrie, Jimmy Lee, Pablo Leon-Ortiz, Ashleigh Lin, Rachel L. Loewy, Xiaoqian Ma, Patrick McGorry, Philip McGuire, Masafumi Mizuno, Paul Moller, Tomas Moncada-Habib, Daniel Munoz-Samons, Barnaby Nelson, Takahiro Nemoto, Merete Nordentoft, Maria A. Omelchenko, Ketil Oppedal, Lijun Ouyang, Christos Pantelis, Jose C. Pariente, Jayachandra M. Raghava, Francisco Reyes-Madrigal, Brian J. Roach, Jan I. Rossberg, Wulf Rossler, Dean F. Salisbury, Daiki Sasabayashi, Ulrich Schall, Jason Schiffman, Florian Schlagenhauf, Andre Schmidt, Mikkel E. Sorensen, Michio Suzuki, Anastasia Theodoridou, Alexander S. Tomyshev, Jordina Tor, Tor G. Vaernes, Dennis Velakoulis, Gloria D. Venegoni, Sophia Vinogradov, Christina Wenneberg, Lars T. Westlye, Hidenori Yamasue, Liu Yuan, Alison R. Yung, Therese A. M. J. van Amelsvoort, Jessica A. Turner, Theo G. M. van Erp, Paul M. Thompson, Dennis Hernaus

Summary: This study investigates baseline structural neuroimaging differences between individuals at clinical high risk and healthy controls, as well as differences between those who later developed a psychotic disorder and those who did not. The findings suggest that lower cortical thickness in individuals at CHR is associated with later psychosis conversion, and certain regions with lower cortical thickness also show abnormal associations with age.

JAMA PSYCHIATRY (2021)

Article Psychiatry

Cannabidiol for at risk for psychosis youth: A randomized controlled trial

G. Paul Amminger, Ashleigh Lin, Melissa Kerr, Amber Weller, Jessica Spark, Charlotte Pugh, Sally O'Callaghan, Maximus Berger, Scott R. Clark, James G. Scott, Andrea Baker, Iain McGregor, David Cotter, Zoltan Sarnyai, Andrew Thompson, Alison R. Yung, Brian O'Donoghue, Eoin Killackey, Cathy Mihalopoulos, Hok Pan Yuen, Barnaby Nelson, Patrick D. McGorry

Summary: This study aims to test the efficacy of CBD in treating subthreshold psychotic symptoms in the at-risk stage of psychotic disorder. Through a randomized controlled trial, CBD will be compared to placebo in improving positive psychotic symptoms in UHR patients, with the hypothesis that CBD will be significantly more effective.

EARLY INTERVENTION IN PSYCHIATRY (2022)

Article Clinical Neurology

Investigation of structural brain correlates of neurological soft signs in individuals at ultra-high risk for psychosis

Ya Wang, Esmee E. Braam, Cassandra M. J. Wannan, Tamsyn E. Van Rheenen, Raymond C. K. Chan, Barnaby Nelson, Patrick D. McGorry, Alison R. Yung, Ashleigh Lin, Warrick J. Brewer, John Koutsogiannis, Stephen J. Wood, Dennis Velakoulis, Christos Pantelis, Vanessa L. Cropley

Summary: The study found a relationship between severity of neurological soft signs (NSS) and grey matter volume (GMV) in individuals at ultra-high risk for psychosis, particularly those who later transitioned to a psychotic disorder. While NSS showed little overall variation with GMV, sensory integration deficits were associated with lower GMV in specific brain areas in those who later developed psychosis.

EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE (2021)

Article Family Studies

Contact experiences and needs of children of prisoners before and during COVID-19: Findings from an Australian survey

Catherine Flynn, Lorana Bartels, Susan Dennison, Helen Taylor, Susy Harrigan

Summary: The majority of carers reported maintaining contact with the imprisoned parent during COVID-19 restrictions, but noted difficulties such as reduced availability, prison-based issues, and suitability of video/telephone visits for young children. While some benefits of videoconferencing were mentioned, respondents typically described the negative impact of restrictions, and lack of physical contact, on children's emotional well-being. Our findings suggest that video visiting should be complementary to in-person visits, tailored to children's needs, with support offered to families.

CHILD & FAMILY SOCIAL WORK (2022)

Review Psychiatry

A review of economic evaluations of health care for people at risk of psychosis and for first-episode psychosis

Gemma E. Shields, Deborah Buck, Filippo Varese, Alison R. Yung, Andrew Thompson, Nusrat Husain, Matthew R. Broome, Rachel Upthegrove, Rory Byrne, Linda M. Davies

Summary: This review examines the cost-effectiveness of health and social care interventions for individuals at risk of psychosis and those experiencing first-episode psychosis. The findings suggest that these interventions are generally cost-effective in reducing symptoms and preventing the onset of psychosis.

BMC PSYCHIATRY (2022)

Article Immunology

The association of plasma inflammatory markers with omega-3 fatty acids and their mediating role in psychotic symptoms and functioning: An analysis of the NEURAPRO clinical trial

Subash Raj Susai, David Mongan, Colm Healy, Mary Cannon, Barnaby Nelson, Connie Markulev, Miriam R. Schafer, Maximus Berger, Nilufar Mossaheb, Monika Schloegelhofer, Stefan Smesny, Ian B. Hickie, Gregor E. Berger, Eric Y. H. Chen, Lieuwe de Haan, Dorien H. Nieman, Merete Nordentoft, Anita Riecher-Roessler, Swapna Verma, Andrew Thompson, Alison Ruth Yung, Patrick D. McGorry, Melanie Focking, David Cotter, G. Paul Amminger

Summary: This study investigated the relationship of erythrocyte omega-3 FAs with plasma immune markers and examined whether the associations between omega-3 FAs and clinical outcomes were mediated via plasma immune markers in CHR individuals. The results indicate a predominantly anti-inflammatory relationship of omega-3 FAs on plasma inflammatory status in CHR individuals, but this did not appear to convey clinical benefits at 6 month and 12 month follow-up. Both immune and non-immune biological effects of omega-3 FAs would be resourceful in understanding the clinical benefits of omega-3 FAs in CHR population.

BRAIN BEHAVIOR AND IMMUNITY (2022)

Article Health Care Sciences & Services

Digital smartphone intervention to recognise and manage early warning signs in schizophrenia to prevent relapse: the EMPOWER feasibility cluster RCT

Andrew Gumley, Simon Bradstreet, John Ainsworth, Stephanie Allan, Mario Alvarez-Jimenez, Maximillian Birchwood, Andrew Briggs, Sandra Bucci, Sue Cotton, Lidia Engel, Paul French, Reeva Lederman, Shon Lewis, Matthew Machin, Graeme MacLennan, Hamish McLeod, Nicola McMeekin, Cathy Mihalopoulos, Emma Morton, John Norrie, Frank Reilly, Matthias Schwannauer, Swaran P. Singh, Suresh Sundram, Andrew Thompson, Chris Williams, Alison Yung, Lorna Aucott, John Farhall, John Gleeson

Summary: The study investigates the feasibility of a digital intervention in recognizing and managing early warning signs of relapse in schizophrenia to prevent relapse.

HEALTH TECHNOLOGY ASSESSMENT (2022)

Article Clinical Neurology

Intertwined associations between oxidative and nitrosative stress and endocannabinoid system pathways: Relevance for neuropsychiatric disorders

Gerwyn Morris, Ken Walder, Michael Berk, Andre F. Carvalho, Wolf Marx, Chiara C. Bortolasci, Alison R. Yung, Basant K. Puri, Michael Maes

Summary: The endocannabinoid system plays a crucial role in regulating various bodily functions and is associated with neuropsychiatric disorders. High levels of oxidative stress may impair CB1 and CB2 receptor activity, while upregulation of CB2 can reduce nitrosative stress and neuroinflammation.

PROGRESS IN NEURO-PSYCHOPHARMACOLOGY & BIOLOGICAL PSYCHIATRY (2022)

Article Psychology, Multidisciplinary

Psychometric evaluation of the self-efficacy questionnaire for children (SEQ-C): validation among Chinese children and adolescents

Han Xie, Aron Shlonsky, Susy Harrigan

Summary: This study examined the applicability of the Self-Efficacy Questionnaire for Children (SEQ-C) in a Chinese population. The results revealed that a modified Chinese version of the SEQ-C had good reliability and validity, and it was suitable for primary and secondary school children aged between 9 and 18 years.

CURRENT PSYCHOLOGY (2023)

Review Clinical Neurology

The role of metformin as a treatment for neuropsychiatric illness

Seetal Dodd, Luba Sominsky, Dan Siskind, Chiara C. Bortolasci, Andre F. Carvalho, Michael Maes, Adam J. Walker, Ken Walder, Alison R. Yung, Lana J. Williams, Hannah Myles, Tayler Watson, Michael Berk

Summary: Advances in psychopharmacology have been slow, necessitating investigation into new therapeutic approaches. Metformin, a widely used hypoglycemic agent, is being studied for its potential use in mental illness treatment beyond diabetes management.

EUROPEAN NEUROPSYCHOPHARMACOLOGY (2022)

Editorial Material Psychiatry

Fair funding for mental health research

Alison R. Yung, Marko Milicevic, Michael Berk

AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY (2023)

Review Psychiatry

Comorbidity between major depressive disorder and physical diseases: a comprehensive review of epidemiology, mechanisms and management

Michael Berk, Ole Kohler-Forsberg, Megan Turner, Brenda W. J. H. Penninx, Anna Wrobel, Joseph Firth, Amy Loughman, Nicola J. Reavley, John J. Mcgrath, Natalie C. Momen, Oleguer Plana-Ripoll, Adrienne O'Neil, Dan Siskind, Lana J. Williams, Andre F. Carvalho, Lianne Schmaal, Adam J. Walker, Olivia Dean, Ken Walder, Lesley Berk, Seetal Dodd, Alison R. Yung, Wolfgang Marx

Summary: Populations with common physical diseases are more likely to have major depressive disorder (MDD), and people with MDD are at a greater risk for physical diseases. This comorbidity is associated with worse outcomes, reduced treatment adherence, increased mortality, and higher healthcare utilization and costs. Shared genetic and biological pathways, as well as social and lifestyle factors, contribute to the high prevalence of comorbidity. Pharmacotherapies and psychotherapies are effective treatments, and lifestyle interventions and collaborative care models show promise for improving management.

WORLD PSYCHIATRY (2023)

Article Psychiatry

The EMPOWER blended digital intervention for relapse prevention in schizophrenia: a feasibility cluster randomised controlled trial in Scotland and Australia

Andrew Gumley, Simon Bradstreet, John Ainsworth, Stephanie Allan, Mario Alvarez-Jimenez, Lorna Aucott, Maximillian Birchwood, Andrew Briggs, Sandra Bucci, Sue M. Cotton, Lidia Engel, Paul French, Reeva Lederman, Shon Lewis, Matthew Machin, Graeme MacLennan, Hamish McLeod, Nicola McMeekin, Cathy Mihalopoulos, Emma Morton, John Norrie, Matthias Schwannauer, Swaran P. Singh, Suresh Sundram, Andrew Thompson, Chris Williams, Alison R. Yung, John Farhall, John Gleeson

Summary: This study aimed to assess the feasibility of a blended digital intervention for relapse prevention in schizophrenia. The results showed that this intervention was safe, acceptable, and feasible, indicating the need for further main trials.

LANCET PSYCHIATRY (2022)

No Data Available