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Early Detection and Intervention in Schizophrenia

Early Detection and Intervention in Schizophrenia VIEWPOINT A New Therapeutic Model Schizophrenia is a brain disorder with lifetime preva- tal supports, and range of outcomes observed, all pa- Jeffrey A. Lieberman, MD lence near 1%. This disorder is clinically manifested by tients who develop schizophrenia would benefit from Department of psychotic, negative, and cognitive symptoms that typi- prompt, effective treatment to limit the disruption to Psychiatry, Columbia cally emerge in adolescence and early adulthood (peak their lives caused by the symptoms of their illness and University College of age for males, 20 years; for females, 25 years) and fol- the potential for progression and lasting disability. Physicians and Surgeons, New York lows a course characterized by recurrent exacerba- Collectively,thesefindingshavesuggestedthevalue State Psychiatric tions and remissions, resulting in a chronic state of re- of early detection, intervention, and sustained engage- Institute, New York, sidual symptoms and functional impairment. ment with treatment to enhance recovery and prevent New York. TheannualcostofschizophreniaintheUnitedStates disability. isapproximately60billiondollars,includingdirectmedi- Lisa B. Dixon, MD, MPH cal costs, non–health care costs, and lost productivity. Effectiveness of Treatment Department of Thisisbecauseindividualsbecomeillearlyinlifeandhave Pharmacologic treatment of schizophrenia has targeted Psychiatry, Columbia high rates of unemployment and psychiatric and medi- reducingsymptomsandpreventingrelapse,whereaspsy- University College of cal comorbidities. chosocial approaches have focused on http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Early Detection and Intervention in Schizophrenia

JAMA , Volume 310 (7) – Aug 21, 2013

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2013.8804
pmid
23989167
Publisher site
See Article on Publisher Site

Abstract

VIEWPOINT A New Therapeutic Model Schizophrenia is a brain disorder with lifetime preva- tal supports, and range of outcomes observed, all pa- Jeffrey A. Lieberman, MD lence near 1%. This disorder is clinically manifested by tients who develop schizophrenia would benefit from Department of psychotic, negative, and cognitive symptoms that typi- prompt, effective treatment to limit the disruption to Psychiatry, Columbia cally emerge in adolescence and early adulthood (peak their lives caused by the symptoms of their illness and University College of age for males, 20 years; for females, 25 years) and fol- the potential for progression and lasting disability. Physicians and Surgeons, New York lows a course characterized by recurrent exacerba- Collectively,thesefindingshavesuggestedthevalue State Psychiatric tions and remissions, resulting in a chronic state of re- of early detection, intervention, and sustained engage- Institute, New York, sidual symptoms and functional impairment. ment with treatment to enhance recovery and prevent New York. TheannualcostofschizophreniaintheUnitedStates disability. isapproximately60billiondollars,includingdirectmedi- Lisa B. Dixon, MD, MPH cal costs, non–health care costs, and lost productivity. Effectiveness of Treatment Department of Thisisbecauseindividualsbecomeillearlyinlifeandhave Pharmacologic treatment of schizophrenia has targeted Psychiatry, Columbia high rates of unemployment and psychiatric and medi- reducingsymptomsandpreventingrelapse,whereaspsy- University College of cal comorbidities. chosocial approaches have focused on

Journal

JAMAAmerican Medical Association

Published: Aug 21, 2013

References