A 20-Year Follow-up of First Episode Psychosis: Longitudinal Effects of Early Treatment Strategies and Relapse

ConditionSchizophrenia
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-65
SponsorThe University of Hong Kong

About this trial

The study aims to address the following questions:

1. Do subgroups defined by early medication choices, relapse, and medication taken over 20 years differ in clinical, cognitive, and functional outcomes? 2. What are the long-term cognitive functioning trajectories, what factors predict these trajectories, and how do they relate to outcomes? 3. What might be the mechanisms behind medication discontinuation and poor long-term outcome, including the roles of multiple relapses and treatment resistance after first-episode psychosis?

Eligible patients will be invited to a one-time face-to-face interview. A trained research assistant will guide the participants through questions about their background, clinical symptoms, daily functioning, cognitive abilities, and psychological well-being.

Eligibility criteria

Qualifiers

None

Disqualifiers

A diagnosis of schizophrenia or non-affective psychosis (schizophreniform disorder, schizoaffective disorder, brief psychotic disorder, or psychosis not otherwise specified) (DSM-IV)

Aged 18 to 65 years at the time of original enrolment

Had been treated with antipsychotic drugs for at least 12 months

No history of relapse or exacerbation or had to be asymptomatic (free of positive symptoms of psychosis) at study entry.

Trial design

Treatments tested in this trial

  • Not listed

Trial groups

178 Participants
are grouped into 2 trial groups

Sponsors and collaborators

The University of Hong Kong

Lead sponsor

Research Grants Council, Hong Kong

Collaborator