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Published Online: 1 December 2012

Defining Treatment as Usual for Attenuated Psychosis Syndrome: A Survey of Community Practitioners

Elizabeth Jacobs, Ph.D., Emily Kline, M.A., and Jason Schiffman, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 63, Number 12
https://doi.org/10.1176/appi.ps.201200045
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Abstract

Objective

Schizophrenia and related disorders are often preceded by attenuated psychosis symptoms, sometimes referred to as attenuated psychosis syndrome, but little is known about practitioners’ current practices with regard to this population. This survey of clinical psychologists, psychiatrists, and general practitioners explored treatment as usual of attenuated psychosis syndrome.

Methods

In 2008, a total of 1,500 practitioners were mailed surveys containing vignettes describing individuals with full, attenuated, and no psychotic symptoms and a checklist of possible interventions. Practitioners were asked to select interventions that would help or harm the individual.

Results

The responses (N=293, 20%) suggested that practitioners treated attenuated psychosis syndrome similarly to full-threshold psychosis. The use of antipsychotic medications to treat attenuated symptoms was endorsed by 69% of practitioners. Family support groups and family involvement were endorsed by 58% and 49% of respondents, respectively.

Conclusions

Further development and dissemination of practice guidelines may help providers treat attenuated psychosis syndrome.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: Stravinsky II, by Larry Rivers, 1966. Color lithograph, printed from ten stones and one photographic plate; 28 1/16 × 39 15/16 inches. Museum of Fine Arts, Boston. Lee M. Friedman Fund, 66.899. Photograph © 2012 Museum of Fine Arts, Boston.
Psychiatric Services
Volume 63 • Number 12 • December 2012
Pages: 1252 - 1256
PubMed: 23203362

History

Published online: 1 December 2012
Published in print: December 2012

Authors

Details

Elizabeth Jacobs, Ph.D.
Dr. Jacobs is affiliated with the Department of Psychology, University of Hawaii, Manoa. Ms. Kline and Dr. Schiffman are with the Department of Psychology, University of Maryland, Baltimore County. Send correspondence to Dr. Schiffman at the department at 1000 Hilltop Circle, Baltimore, MD 21250 (e-mail: [email protected]).
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Emily Kline, M.A.
Dr. Jacobs is affiliated with the Department of Psychology, University of Hawaii, Manoa. Ms. Kline and Dr. Schiffman are with the Department of Psychology, University of Maryland, Baltimore County. Send correspondence to Dr. Schiffman at the department at 1000 Hilltop Circle, Baltimore, MD 21250 (e-mail: [email protected]).
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Jason Schiffman, Ph.D.
Dr. Jacobs is affiliated with the Department of Psychology, University of Hawaii, Manoa. Ms. Kline and Dr. Schiffman are with the Department of Psychology, University of Maryland, Baltimore County. Send correspondence to Dr. Schiffman at the department at 1000 Hilltop Circle, Baltimore, MD 21250 (e-mail: [email protected]).
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