Factors influencing duration of untreated psychosis in patient with first episode schizophrenia

Loading...
Thumbnail Image
Date
2001
Authors
Husain, Rohayah
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Duration of untreated psychosis (DUP) in first episode Schizophrenics patient in average was very long (one to two years). However which factors influenced the duration of untreated psychosis in first episode Schizophrenia in the Malay patient has not been fully evaluated To determine factors associated with duration of untreated psychosis (DUP) in first episode Schizophreniform Disorder and Schizophrenia admitted to psychiatric ward, at Hospital Kota Bharu, Kelantan Forty consecutive first admissions who fulfill the criteria for the study were selected. At hospitalization the sociodemographic, social network and duration of untreated psychosis were determined from the patients and relatives. Patients' symptoms and level of functioning were assessed using PANSS and GAF scale. Decision makers' attitude and knowledge towards modem treatment were evaluated descriptively. The data were analyzed using simple and multiple logistic regressions The duration of untreated psychosis (DUP) was an average very long (159 weeks). The median value was 40 weeks. The long DUP (>26 weeks/ six months) had more negative symptoms and socially withdrawn compared to the short DUP (<26 weeks/ six months) In order to identify the patient earlier, thus reducing the DUP, the health care delivery system needs to emphasize on increasing awareness and knowledge about the clinical presentation of Schizophrenia especially negative symptoms. The patient's social networks have a great task to bring patients for early treatment. The decisions makers' attitude and knowledge toward modem treatment for psychosis need to be emphasized.
Description
Keywords
Duration of untreated psychosis (DUP)
Citation