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Implementing early intervention in psychosis in Indonesia: A scoping review.
Theodoridou, Anastasia; Schultze-Lutter, Frauke; Ambarini, Tri Kurniati.
Afiliación
  • Theodoridou A; Psychiatric University Hospital Zurich, University of Zurich, Lenggstrasse 31, Zürich 8032, Switzerland. Electronic address: anastasia.theodoridou@uzh.ch.
  • Schultze-Lutter F; Department of Psychiatry and Psychotherapy, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Bergische Landstr. 2, Düsseldorf 40629, Germany; Department of Psychology, Faculty of Psychology, Airlangga University, Kampus B Jalan Airlangga No. 4-6, Surabaya 60286, Indonesia; University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bolligenstr. 111, Haus A, 3000 Bern 60, Switzerland. Electronic address: frauke.schultze-lu
  • Ambarini TK; Department of Psychology, Faculty of Psychology, Airlangga University, Kampus B Jalan Airlangga No. 4-6, Surabaya 60286, Indonesia. Electronic address: tri.ambarini@psikologi.unair.ac.id.
Asian J Psychiatr ; 101: 104189, 2024 Nov.
Article en En | MEDLINE | ID: mdl-39260293
ABSTRACT
In order to prevent the immense burden and costs associated with psychotic disorders, (preventive) interventions in the early phase are considered a most promising strategy. Yet, their implementation faces particular challenges in low- and middle-income countries, where treatment gaps are greatest and resources are extremely limited. To exemplify these challenges, we conducted a scoping review of the relevant literature from Indonesia, a lower-middle-income Southeast-Asian country. We searched PubMed, CINAHL, Web of Science, PsycInfo, Garuda, and Repository UNAIR in titles and abstracts, using the following English search term and its equivalent in Bahasa Indonesia (early OR risk OR prodromal) AND (psychosis OR schizophrenia OR psychotic) AND Indonesia. We included full papers on service delivery to first-episode psychosis (FEP) or clinical high-risk of psychosis (CHR), and on assessment of CHR in Indonesia. Seven papers, including one newspaper article, met our inclusion criteria. They showed a focus on economic, widely applicable risk assessments, mainly questionnaires or artificial intelligence-based algorithms, and brief interventions, particularly psychoeducation. Furthermore, our review exposed several areas that require further examination. In particular, Western diagnostic definitions of psychotic disorders and their early course need to be re-examined in the light of local health concepts and the role of the spiritual world. This re-examination is crucial for developing and prospectively validating culturally adapted definitions of CHR states and early intervention strategies for both CHR and FEP, with particular attention to the role of the (extended) family and spiritual, traditional healers, who are often the first point of contact.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Intervención Médica Temprana Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Asian J Psychiatr Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Intervención Médica Temprana Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Asian J Psychiatr Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos