Confirmations, advances and recommendations for the daily care of schizophrenia based on the French national FACE-SZ cohort
FOND, Guillaume
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
SCHURHOFF, Franck
Fondation FondaMental [Créteil]
IMRB - "Neuropsychiatrie translationnelle" [Créteil] [U955 Inserm - UPEC]
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Fondation FondaMental [Créteil]
IMRB - "Neuropsychiatrie translationnelle" [Créteil] [U955 Inserm - UPEC]
FOND, Guillaume
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
SCHURHOFF, Franck
Fondation FondaMental [Créteil]
IMRB - "Neuropsychiatrie translationnelle" [Créteil] [U955 Inserm - UPEC]
Fondation FondaMental [Créteil]
IMRB - "Neuropsychiatrie translationnelle" [Créteil] [U955 Inserm - UPEC]
BERNA, Fabrice
Neuropsychologie Cognitive et Physiopathologie de la Schizophrénie [NCPS]
Fondation FondaMental [Créteil]
Neuropsychologie Cognitive et Physiopathologie de la Schizophrénie [NCPS]
Fondation FondaMental [Créteil]
CAPDEVIELLE, Delphine
Centre Hospitalier Régional Universitaire [Montpellier] [CHRU Montpellier]
Fondation FondaMental [Créteil]
Centre Hospitalier Régional Universitaire [Montpellier] [CHRU Montpellier]
Fondation FondaMental [Créteil]
CHEREAU, Isabelle
Fondation FondaMental [Créteil]
Neuro-Psycho Pharmacologie des Systèmes Dopaminergiques sous-corticaux [NPsy-Sydo]
Fondation FondaMental [Créteil]
Neuro-Psycho Pharmacologie des Systèmes Dopaminergiques sous-corticaux [NPsy-Sydo]
D′AMATO, Thierry
Centre de recherche en neurosciences de Lyon - Lyon Neuroscience Research Center [CRNL]
Fondation FondaMental [Créteil]
Centre de recherche en neurosciences de Lyon - Lyon Neuroscience Research Center [CRNL]
Fondation FondaMental [Créteil]
MISDRAHI, David
Institut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
Centre hospitalier Charles Perrens [Bordeaux]
Fondation FondaMental [Créteil]
< Réduire
Institut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
Centre hospitalier Charles Perrens [Bordeaux]
Fondation FondaMental [Créteil]
Langue
EN
Article de revue
Ce document a été publié dans
Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2020-07-13, vol. 101, p. 109927
Résumé en anglais
Background The National FondaMental Centers of Expertise (FACE) for Schizophrenia (SZ) have been created to shorten the gap between research and clinical practice. Objectives To synthetize in a review the 10-year findings ...Lire la suite >
Background The National FondaMental Centers of Expertise (FACE) for Schizophrenia (SZ) have been created to shorten the gap between research and clinical practice. Objectives To synthetize in a review the 10-year findings issued from the FACE-SZ cohort analyses. Methods More than 1000 patients were evaluated in 10 expert centers since 2010 with a 2-day long comprehensive standardized battery including neuropsychological testes and physical health assessment and followed-up for 3 years. Results 1. The phase 0 cross-sectional analyses have confirmed well-known data: over-prescription of first-generation antipsychotics, antipsychotic polytherapy and long-term benzodiazepine and under-prescription of clozapine, 13% of drug-induced parkinsonism, 18% of akathisia, a mean duration of untreated psychosis of 18 months, one third of poorly-adherent patients, 24% of metabolic syndrome and 52% of current tobacco smokers with poor care for physical illnesses; a yearly mean financial cost of 15,000 euro/patient. 2. FACE-SZ also yielded additional data in insufficiently explored area: a half of major depression issues (among them one third of undiagnosed major depression and 44% of treated patients with unremitted depression), major depression having a strong impact on Quality of Life independently of negative symptoms, 22% of moderated to severe untreated physical pain. 3. FACE-SZ has explored emerging fields of research, including development of 4 stages- model of schizophrenia, chronic low-grade peripheral inflammation, latent Toxoplasma infection, hypovitaminosis D, and a model for relapse prediction at 2 years. Discussion The associated factors and implications for public health programs were discussed. Based on the FACE-SZ findings and literature, the FACE-SZ group has yielded recommendations to improve daily care for schizophrenia and for future research.< Réduire
Mots clés en anglais
Schizophrenia
Cohort
FACE-SZ
Daily practice
Recommendations