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dc.contributor.authorBergström, Tomi
dc.contributor.authorSeikkula, Jaakko
dc.contributor.authorKöngäs-Saviaro, Päivi
dc.contributor.authorTaskila, Jyri J.
dc.contributor.authorAaltonen, Jukka
dc.date.accessioned2022-11-15T11:20:53Z
dc.date.available2022-11-15T11:20:53Z
dc.date.issued2023
dc.identifier.citationBergström, T., Seikkula, J., Köngäs-Saviaro, P., Taskila, J. J., & Aaltonen, J. (2023). Need adapted use of medication in the open dialogue approach for psychosis : a descriptive longitudinal cohort study. <i>Psychosis</i>, <i>15</i>(2), 134-144. <a href="https://doi.org/10.1080/17522439.2022.2134444" target="_blank">https://doi.org/10.1080/17522439.2022.2134444</a>
dc.identifier.otherCONVID_159389450
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/83908
dc.description.abstractBackground The open dialogue (OD) approach includes the need-adapted use of psychiatric medication in treating first-episode psychosis (FEP), but there is limited information on how psychiatric medications are actually used in OD-based services. This study aims to analyse long-term medication dispensing patterns among FEP cohort treated according to the OD. Methods The OD cohort consisted of people who received treatment for FEP in the Finnish Western Lapland catchment area at a time of OD implementation (n=61). The comparison group included people whose FEP treatment commenced outside the catchment area during the mid-1990s (n=1378). Data were gathered from national registers from onset to the end of the 10-year follow-up or death. A non-confirmatory descriptive comparison was performed to evaluate the usage patterns and cumulative exposure to psychiatric medication. Results Under OD, a smaller proportion had been dispensed benzodiazepines, antidepressants, and neuroleptics. Persons who had received these medications did not differ in cumulative exposure. In both groups, most of those who received neuroleptics in the first follow-up years continued using medication throughout follow-up. Discussion OD may assist in detecting FEP patients who can manage without neuroleptics, thus minimizing iatrogenic effects. Due to the observational design, further studies are required to confirm this hypothesis.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherRoutledge
dc.relation.ispartofseriesPsychosis
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherAvoimen dialogin hoitomalli
dc.subject.otherAntidepressants
dc.subject.otherantipsychotics
dc.subject.otheranxiolytics
dc.subject.otherrisk–benefit ratio
dc.subject.otherschizophrenia
dc.subject.otherOD
dc.subject.otheropen dialog
dc.titleNeed adapted use of medication in the open dialogue approach for psychosis : a descriptive longitudinal cohort study
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202211155205
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosDepartment of Psychologyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange134-144
dc.relation.issn1752-2439
dc.relation.numberinseries2
dc.relation.volume15
dc.type.versionacceptedVersion
dc.rights.copyright© 2022 Informa UK Limited, trading as Taylor & Francis Group
dc.rights.accesslevelopenAccessfi
dc.subject.ysobentsodiatsepiinit
dc.subject.ysopsykiatrinen hoito
dc.subject.ysokohorttitutkimus
dc.subject.ysopitkittäistutkimus
dc.subject.ysomasennuslääkkeet
dc.subject.ysopsykoosit
dc.subject.ysoskitsofrenia
dc.subject.ysoneuroleptit
dc.subject.ysomielenterveyshäiriöt
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p8433
jyx.subject.urihttp://www.yso.fi/onto/yso/p7915
jyx.subject.urihttp://www.yso.fi/onto/yso/p25606
jyx.subject.urihttp://www.yso.fi/onto/yso/p14610
jyx.subject.urihttp://www.yso.fi/onto/yso/p39515
jyx.subject.urihttp://www.yso.fi/onto/yso/p4145
jyx.subject.urihttp://www.yso.fi/onto/yso/p9659
jyx.subject.urihttp://www.yso.fi/onto/yso/p9917
jyx.subject.urihttp://www.yso.fi/onto/yso/p990
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1080/17522439.2022.2134444
jyx.fundinginformationThis research received no specific grant from any funding agency, commercial, or not-for-profit sector.
dc.type.okmA1


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