Concepts of ‘self’ in delusion resolution

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Cognitive and affective perspectives on formation and maintenance of grandiose delusions of a patient with schizophrenia

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Sustainability of Treatment Effect of a 3-year Early Intervention Programme for First-episode Psychosis in Hong Kong

Parallel Session 1 – Health and Health Services: abstract no. S2published_or_final_versio

Subjective recovery in patients with first-episode psychosis in Hong Kong

Poster PresentationINTRODUCTION: The concept of recovery can be organized into two types: objective and subjective (1). Objective recovery is defined as the remission of clinical symptoms and improved everyday functioning, while subjective recovery is a personal understanding of recovery that varies individually. Understanding subjective recovery facilitates treatment adherence. The study aims to investigate the subjective determinants of perceived non-recovery to patients with first-episode psychosis in Chinese sample and the factors affecting subjective recovery ...published_or_final_versio

12-year follow-up student of mortality due to suicide among first-episode psychosis cohort: Is the early intervention program more effective in reducing excess mortality due to suicide in psychosis

Oral Presentation: O10. Treatment and clinical service: no. O10.8published_or_final_versio

Web-Based Psychoeducation Program for Caregivers of First-Episode of Psychosis: An Experience of Chinese Population in Hong Kong

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Relationship between cognitive function and symptomology with self-stigma in patients with schizophrenia-spectrum disorders

E-PosterBACKGROUND: Self-stigma can be understood as a process of an individual gaining awareness of the associated stereotypes, agreeing with them and thus applying them to oneself [1]. This suggests the involvement of complex cognitive processes behind the development of self-stigma. Previous studies have also suggested that clinical symptoms are related to both cognitive function and self-stigma [2,3]. The current study examined the relationship of cognitive functions, clinical symptoms and self-stigma ...published_or_final_versio

The Effect of Paternal Age on Relapse in First-Episode Schizophrenia

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Early intervention for psychotic disorders: Real-life implementation in Hong Kong

Hong Kong is among the first few cities in Asia to have implemented early intervention for psychosis in 2001. Substantial changes in psychosis service have since taken place. We reviewed available outcome data in Hong Kong, with reference to the philosophy of early intervention in psychosis, discussing experience and lessons learned from the implementation process, and future opportunities and challenges. Data accumulated in the past decade provided evidence for the benefits and significance of early intervention programmes: patients under the care of early intervention service showed improved functioning, milder symptoms, and fewer hospitalizations and suicides. Early intervention is more cost-effective compared with standard care. Stigma and misconception remains an issue, and public awareness campaigns are underway. In recent years, a critical mass is being formed, and Hong Kong has witnessed the unfolding of public service extension, new projects and organizations, and increasing interest from the community. Several major platforms are in place for coherent efforts, including the public Early Assessment Service for Young people with psychosis (EASY) programme, the Psychosis Studies and Intervention (PSI) research unit, the independent Hong Kong Early Psychosis Intervention Society (EPISO), the Jockey Club Early Psychosis (JCEP) project, and the postgraduate Psychological Medicine (Psychosis Studies) programme. The first decade of early intervention work has been promising; consolidation and further development is needed on many fronts of research, service and education. © 2012 Elsevier B.V.postprin

Aerobic Exercise and Yoga Improve NeuroCognitive Function in Women with Early Psychosis

Impairments of attention and memory are evident in early psychosis, and are associated with functional disability. In a group of stable, medicated women patients, we aimed to determine whether participating in aerobic exercise or yoga improved cognitive impairments and clinical symptoms. A total of 140 female patients were recruited, and 124 received the allocated intervention in a randomized controlled study of 12 weeks of yoga or aerobic exercise compared with a wait-list group. The primary outcomes were cognitive functions including memory and attention. Secondary outcome measures were the severity of psychotic and depressive symptoms, and hippocampal volume. Data from 124 patients were included in the final analysis based on the intention-to-treat principle. Both yoga and aerobic exercise groups demonstrated significant improvements in working memory (P<0.01) with moderate to large effect sizes compared to the wait-list control group. The yoga group showed additional benefits in verbal acquisition (P<0.01) and attention (P=0.01). Both types of exercise improved overall and depressive symptoms (all P≤0.01) after 12 weeks. Small increases in hippocampal volume were observed in the aerobic exercise group compared with wait-list (P=0.01). Both types of exercise improved working memory in early psychosis patients, with yoga having a larger effect on verbal acquisition and attention than aerobic exercise. The application of yoga and aerobic exercise as adjunctive treatments for early psychosis merits serious consideration. This study was supported by the Small Research Funding of the University of Hong Kong (201007176229), and RGC funding (C00240 / 762412) by the Authority of Research, Hong Kong.published_or_final_versio