Evidence map›Paper›PMID 36396628›Full record

ReviewTranslational psychiatry2022

Heterogeneity in treatment outcomes and incomplete recovery in first episode psychosis: does one size fit all?

Siân Lowri Griffiths, Paris Alexandros Lalousis, Stephen J Wood, Rachel Upthegrove

Abstract readReview
In one paragraph

Review in Translational psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Siân Lowri Griffiths *Institute for Mental Health, University of Birmingham, Birmingham, UK. s.l.griffiths@bham.ac.uk.ORCID 0000-0003-0031-7174
Paris Alexandros Lalousis *Institute for Mental Health, University of Birmingham, Birmingham, UK.ORCID 0000-0001-9642-3080
Stephen J WoodInstitute for Mental Health, University of Birmingham, Birmingham, UK.
Rachel UpthegroveInstitute for Mental Health, University of Birmingham, Birmingham, UK.ORCID 0000-0001-8204-5103

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The heterogeneity in recovery outcomes for individuals with First Episode Psychosis (FEP) calls for a strong evidence base to inform practice at an individual level. Between 19-89% of young people with FEP have an incomplete recovery despite gold-standard evidence-based treatments, suggesting current service models, which adopt a 'one-size fits all' approach, may not be addressing the needs of many young people with psychosis. The lack of consistent terminology to define key concepts such as recovery and treatment resistance, the multidimensional nature of these concepts, and common comorbid symptoms are some of the challenges faced by the field in delineating heterogeneity in recovery outcomes. The lack of robust markers for incomplete recovery also results in potential delay in delivering prompt, and effective treatments to individuals at greatest risk. There is a clear need to adopt a stratified approach to care where interventions are targeted at subgroups of patients, and ultimately at the individual level. Novel machine learning, using large, representative data from a range of modalities, may aid in the parsing of heterogeneity, and provide greater precision and sophistication in identifying those on a pathway to incomplete recovery.

Indexed as

Psychotic DisordersAdolescentHumansTreatment Outcome

Identifiers

PMID36396628
PMCPMC9671914

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.