LONGIPEP: Patientheque in Patients With a Psychosis .
Study Details
Study Description
Brief Summary
Establishment of a patient library for patients who have had a first psychotic episode and who have an "at risk" status for psychotic disorder (GRD, APS, BLIPS group) or a psychosis threshold during CAARMS administration. Samples are taken on inclusion, at 2 years, and if relapse or significant clinical event within 5 years of inclusion, on 250 patients for 10 years.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
The constitution of this patient library will include results of clinical tests carried out in current practice, neurocognitive tests, blood samples, audio recordings, clinical follow-up, urine samples, fecal samples, brain imaging, EEG.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Other: Patient library All the patients are included in one arm. They will undergo various type of samples. |
Other: Blood samples (36 mL) + fecal samples + hair sample
Blood samples at inclusion, 2 years later and/or if relapse, fecal samples at inclusion and every years for 5 years, hair sample at inclusion
Other Names:
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Outcome Measures
Primary Outcome Measures
- CAARMS (Comprehensive assessment of at-risk mental states) score. [5 years]
The test will determine the mental state of the patient : "Not at risk of psychosis" "At risk of psychosis" "Psychosis threshold exceeded" It is organized into 7 clinical dimensions: 1) positive symptoms 2) cognitive changes: attention / concentration 3) emotional disturbance 4) negative symptoms 5) behavioral change 6) physical and motor changes 7) general psychopathology. Each category is scored between 0 and 6 depending on the level of intensity, frequency and duration of each symptom. In order to determine if a subject meets the UHR criteria for CAARMS, only the first category (positive symptoms) and its four subscales are used according to a scoring algorithm.
Secondary Outcome Measures
- CAARMS sub-assemblies [5 years]
If the patient is classified at risk of psychosis, the test will classify this risk into one of the three following categories : trait and state risk factor group, APS (attenuated psychotic symptoms) group, BLIPS (Brief, Limited or Intermittent Psychotic Symptoms) group.
- The MINI (Mini International Neuropsychiatric Interview) [5 years]
It is used to diagnose the main psychiatric disorders. The MINI makes it possible to determine a current and/or lifetime prevalence of the various disorders explored
Eligibility Criteria
Criteria
Inclusion Criteria:
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Major and or minor aged 15 to 30 assessed within the CEVUP (Consultation for the Assessment of Psychological Vulnerability) and cared for at the psychiatry center as part of a first psychotic episode (Diagnosis CIM 10: F20 -F29 first hospitalization). These patients are referred by care and medico-social partners (general practitioners, school doctors, school nurses, educators, addictologists, psychiatrists
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"At risk" status for psychotic disorder (GRD, APS, BLIPS group) or psychosis threshold during the CAARMS test (psychometric scale for the assessment of psychotic symptoms)
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Consent of the patient or his legal guardian
Exclusion Criteria:
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History of psychosis for more than one year
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"Not at risk" status for psychotic disorder on the CAARMS (psychometric scale for the assessment of psychotic symptomatology)
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IQ<70 (WAIS)
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Neurological disorder or other health problem that may explain the disorders
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Refusal to participate - History of psychosis for more than one year
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Chu Brest | Brest | France | 29609 |
Sponsors and Collaborators
- University Hospital, Brest
Investigators
- Principal Investigator: Michel WALTER, CHRU BREST
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 29BRC20.0097