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]
< Reduce
Institut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
Centre hospitalier Charles Perrens [Bordeaux]
Fondation FondaMental [Créteil]
Language
EN
Article de revue
This item was published in
Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2020-07-13, vol. 101, p. 109927
English Abstract
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 ...Read more >
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.Read less <
English Keywords
Schizophrenia
Cohort
FACE-SZ
Daily practice
Recommendations