Pharmacological prevention and treatment in clinical at-risk states for psychosis

Ruhrmann, Stephan; Klosterkötter, Joachim; Bodatsch, Mitja; Bechdolf, Andreas; Schimmelmann, Benno Graf; Nikolaides, Alexandra; Hilboll, Desiree; Schultze-Lutter, Frauke (2012). Pharmacological prevention and treatment in clinical at-risk states for psychosis. Current pharmaceutical design, 18(4), pp. 550-7. Hilversum: Bentham Science Publishers 10.2174/138161212799316172

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Over the last couple of decades, the treatment of psychoses has much advanced; yet, despite all progress, the individual and societal burden associated with psychosis and particularly schizophrenia has largely remained unchanged. Therefore, much hope is currently placed on indicated prevention as a mean to fight these burdens before they set in. Though the number of studies investigating pharmacological interventions is still limited, encouraging results have been reported from the pioneering trials, despite several methodological limitations. Furthermore, it has become clear that persons characterized by the at-risk criteria are already ill and do not only need preventive intervention, but also treatment. In consequence, outcome criteria have to be broadened to cover the current needs of the patients. As is indicated by a recent study successfully using Omega-3 fatty acids for both purposes, it may be promising to develop and investigate interventions especially for the at-risk state, independent of their effectiveness in manifest disease states. Treatment studies may become promoted by the proposed introduction of a new disorder category into DSM-V. Future prevention studies, however, need to solve the challenge of changing immediate transition rates, demanding for new risk enrichment strategies as a prerequisite for feasible trial designs.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy

UniBE Contributor:

Schimmelmann, Benno Karl Edgar and Schultze-Lutter, Frauke

ISSN:

1381-6128

Publisher:

Bentham Science Publishers

Language:

English

Submitter:

Myriam Pyrlik

Date Deposited:

04 Oct 2013 14:36

Last Modified:

06 Dec 2013 13:36

Publisher DOI:

10.2174/138161212799316172

PubMed ID:

22239587

Web of Science ID:

000304315500025

URI:

https://boris.unibe.ch/id/eprint/14645 (FactScience: 221718)

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