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Assessing adolescent preference in the treatment of first-episode psychosis and psychosis risk

Authors

  • Patrick Welsh,

    Corresponding author
    1. School for Medicine, Pharmacy and Health, The Wolfson Research Institute, Durham University, Queen's Campus, Stockton-on-Tees
    2. South Durham Early Intervention in Psychosis Service, Tees, Esk and Wear Valleys NHS Foundation Trust, Bishop Auckland, UK
    • Corresponding author: Dr Patrick Welsh, School for Medicine, Pharmacy and Health, The Wolfson Research Institute, Durham University, Queen's Campus, Stockton-on-Tees, TS17 6BH, UK. Email: patrick.welsh@durham.ac.uk

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  • Paul A. Tiffin

    1. School for Medicine, Pharmacy and Health, The Wolfson Research Institute, Durham University, Queen's Campus, Stockton-on-Tees
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Abstract

Aim

The objective of this study was to investigate the treatment preferences of adolescents with a first-episode psychosis (FEP) or at-risk mental state (ARMS) for psychosis.

Methods

A questionnaire was distributed to all adolescents (12–18 years) within an early intervention in psychosis service based in North-East England, during a 3-month period.

Results

Forty eligible young people responded (53% response rate). The majority of FEP and ARMS participants endorsed psychoeducational material as the most popular treatment choice (36/40; 90%) from the interventions described. Participants with FEP indicated a significant preference for using antipsychotic medications over their ARMS counterparts (75% vs. 25%).

Conclusions

These findings support the use of psychoeducational interventions (both groups) and antipsychotic medication in adolescent FEP (as opposed to ARMS) patient groups, albeit in a small sample requiring replication. This study indicates that the generation of future treatment guidelines and the allocation of clinical resources should be informed by patient preference where possible.

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