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Letters   |    
A Team Intervention for First-Episode Psychosis in Japan
Shuntaro Ando, M.D., M.Sc.P.H.; Atsushi Nishida, Ph.D.; Shinsuke Koike, M.D., Ph.D.
Psychiatric Services 2013; doi: 10.1176/appi.ps.005132012
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Dr. Ando and Dr. Nishida are affiliated with the Department of Psychiatry and Behavioral Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan. Dr. Koike is affiliated with the Department of Neuropsychiatry, Graduate School of Medicine, the University of Tokyo. Dr. Ando and Dr. Nishida contributed equally to this letter.

Copyright © 2013 by the American Psychiatric Association


To the Editor: For individuals with psychotic disorders, disengagement from treatment increases relapse risk (1). However, research on the effectiveness of interventions for early psychosis in preventing disengagement has yielded inconsistent results (2,3).

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Gitlin  M;  Nuechterlein  K;  Subotnik  KL  et al:  Clinical outcome following neuroleptic discontinuation in patients with remitted recent-onset schizophrenia.  American Journal of Psychiatry 158:1835–1842, 2001
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Petersen  L;  Jeppesen  P;  Thorup  A  et al:  A randomised multicentre trial of integrated versus standard treatment for patients with a first episode of psychotic illness.  BMJ 331:602, 2005
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Gleeson  JF;  Cotton  SM;  Alvarez-Jimenez  M  et al:  A randomized controlled trial of relapse prevention therapy for first-episode psychosis patients.  Journal of Clinical Psychiatry 70:477–486, 2009
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Bertolote  J;  McGorry  P:  Early intervention and recovery for young people with early psychosis: consensus statement.  British Journal of Psychiatry Supplement 48:s116–s119, 2005
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Koike  S;  Nishida  A;  Yamasaki  S  et al:  Comprehensive early intervention for patients with first-episode psychosis in Japan (J-CAP): study protocol for a randomised controlled trial.  Trials 12:156, 2011
[CrossRef] | [PubMed]
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