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  4. Le concept de staging a-t-il changé la prise en charge de la schizophrénie ? [Has the concept of staging modified treatment of schizophrenia yet ?]
 
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Titre

Le concept de staging a-t-il changé la prise en charge de la schizophrénie ? [Has the concept of staging modified treatment of schizophrenia yet ?]

Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Encéphale : journal de psychiatrie  
Auteur(s)
Conus, P.
Auteure/Auteur
Liens vers les personnes
Conus, Philippe  
Liens vers les unités
Psychiatrie générale  
ISSN
0013-7006
Statut éditorial
Publié
Date de publication
2018-12
Volume
44
Numéro
6S
Première page
S24
Dernière page/numéro d’article
S29
Peer-reviewed
Oui
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The concept of staging is applied in medicine since many years, in order to better adapt treatment to patients' needs. Some authors have suggested one should also apply this concept to psychiatric disorders. If this approach seems to make sense, concrete progress in the domain are still limited. It is in the field of psychosis that most development have occurred, in the favorable context of early intervention programs. Some very detailed models have recently been proposed where successive stages of psychotic disorders are defined and corresponding treatment options are proposed. However, the limited reliability of clinical diagnoses systems and the absence of biomarkers allowing a more objective delineation of these various stages still hampers the concrete application of such strategies. Despite these limitations, the staging concept has already started to modify the mental health offer, especially for adolescents and young adults, for example through the development of the Headspace centers in Australia and other countries. These centers constitute accessible entry point for help seekers with mental health issues where treatment is defined according to the stage of illness. If such programs seem promising, a better understanding of the mechanisms underlying the development of psychiatric disorders seems important in order to facilitate the identification of stages and define the nature of the treatment needed for each of them, considering such knowledge has been the crucial for the development of the staging model in somatic disorders.
Sujets

Adolescent

Diagnostic and Statis...

Disease Progression

Humans

Induction Chemotherap...

International Classif...

Psychotic Disorders/c...

Psychotic Disorders/d...

Psychotic Disorders/p...

Psychotic Disorders/t...

Recurrence

Remission Induction

Research Design

Schizophrenia/classif...

Schizophrenia/diagnos...

Schizophrenia/patholo...

Schizophrenia/therapy...

Schizophrenic Psychol...

Young Adult

Early intervention

Intervention précoce

Psychose

Psychosis

Schizophrenia

Schizophrénie

Staging

Traitement

Treatment

PID Serval
serval:BIB_D76B54AEF6D8
DOI
10.1016/S0013-7006(19)30075-2
PMID
30935483
WOS
000455559000006
Permalien
https://iris.unil.ch/handle/iris/225595
Date de création
2019-04-11T08:32:39.666Z
Date de création dans IRIS
2025-05-21T04:39:24Z
Fichier(s)
En cours de chargement...
Vignette d'image
Nom

30935483.pdf

Version du manuscrit

postprint

Taille

606.02 KB

Format

Adobe PDF

PID Serval

serval:BIB_D76B54AEF6D8.P001

URN

urn:nbn:ch:serval-BIB_D76B54AEF6D86

Somme de contrôle

(MD5):2ca19bb01cd0e201e79fde78a849fcb0

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