Factors influencing duration of untreated psychosis in patient with first episode schizophrenia
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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weeks/ six months) had more negative symptoms and socially withdrawn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)