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Duration of untreated psychosis and it's effect on the symptomatic recovery in schizophrenia - preliminary results.
Neuro Endocrinol Lett. 2008 Dec; 29(6):990-4.NE

Abstract

OBJECTIVES

A long duration of untreated psychosis (DUP) is known to be associated with a poorer prognosis and with worse symptomatic and functional outcome. The aim of the study was to test the hypothesis that early detection and treatment with antipsychotics in the prodromal phase of the illness improves the outcome; to compare short and long-term outcome in patients with DUP longer than 1 year (group 1) with patients that were treated already in the prodromal phase of the disease (group 0).

DESIGN AND SETTING

Eighty-seven patients with schizophrenia were included to the retrospective study, 37 patients to group 0 and 50 patients to group 1. The course and outcome of the disease was studied in the two groups. The severity of schizophrenia was evaluated by measuring several outcome parameters. The symptom severity was evaluated using a check list developed from CAARMS inventory; the average daily dose of antipsychotics was calculated as well as the number and duration of hospital admissions. Groups were compared during the acute psychosis of first episode (t1) and at the conclusion of the study (t2).

RESULTS

More symptoms of greater intensity were present during the first and second evaluations in group 1 as compared to group 0 patients. The patients in group 0 needed lower dosages of antipsychotics even several years after treatment had been initiated. This effect persisted until the final evaluation; 11% were without antipsychotics at the conclusion of the study. Patients in group 1 were hospitalized more frequently; they needed more hospitalizations and these were of longer duration. Only 38% of patients in group 0 were treated in the hospital, 27% were hospitalized only once.

CONCLUSIONS

Better outcome can be achieved with early antipsychotic treatment. Patients with long DUP differ from patients who were treated already in the prodromal phase in several outcome measures.

Authors+Show Affiliations

University Psychiatric Hospital, Ljubljana, Slovenia.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19112411

Citation

Novak Sarotar, Brigita, et al. "Duration of Untreated Psychosis and It's Effect On the Symptomatic Recovery in Schizophrenia - Preliminary Results." Neuro Endocrinology Letters, vol. 29, no. 6, 2008, pp. 990-4.
Novak Sarotar B, Pesek MB, Agius M, et al. Duration of untreated psychosis and it's effect on the symptomatic recovery in schizophrenia - preliminary results. Neuro Endocrinol Lett. 2008;29(6):990-4.
Novak Sarotar, B., Pesek, M. B., Agius, M., & Kocmur, M. (2008). Duration of untreated psychosis and it's effect on the symptomatic recovery in schizophrenia - preliminary results. Neuro Endocrinology Letters, 29(6), 990-4.
Novak Sarotar B, et al. Duration of Untreated Psychosis and It's Effect On the Symptomatic Recovery in Schizophrenia - Preliminary Results. Neuro Endocrinol Lett. 2008;29(6):990-4. PubMed PMID: 19112411.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Duration of untreated psychosis and it's effect on the symptomatic recovery in schizophrenia - preliminary results. AU - Novak Sarotar,Brigita, AU - Pesek,Marjeta Blinc, AU - Agius,Mark, AU - Kocmur,Margareta, PY - 2008/06/30/received PY - 2008/09/08/accepted PY - 2008/12/30/entrez PY - 2008/12/30/pubmed PY - 2009/4/4/medline SP - 990 EP - 4 JF - Neuro endocrinology letters JO - Neuro Endocrinol Lett VL - 29 IS - 6 N2 - OBJECTIVES: A long duration of untreated psychosis (DUP) is known to be associated with a poorer prognosis and with worse symptomatic and functional outcome. The aim of the study was to test the hypothesis that early detection and treatment with antipsychotics in the prodromal phase of the illness improves the outcome; to compare short and long-term outcome in patients with DUP longer than 1 year (group 1) with patients that were treated already in the prodromal phase of the disease (group 0). DESIGN AND SETTING: Eighty-seven patients with schizophrenia were included to the retrospective study, 37 patients to group 0 and 50 patients to group 1. The course and outcome of the disease was studied in the two groups. The severity of schizophrenia was evaluated by measuring several outcome parameters. The symptom severity was evaluated using a check list developed from CAARMS inventory; the average daily dose of antipsychotics was calculated as well as the number and duration of hospital admissions. Groups were compared during the acute psychosis of first episode (t1) and at the conclusion of the study (t2). RESULTS: More symptoms of greater intensity were present during the first and second evaluations in group 1 as compared to group 0 patients. The patients in group 0 needed lower dosages of antipsychotics even several years after treatment had been initiated. This effect persisted until the final evaluation; 11% were without antipsychotics at the conclusion of the study. Patients in group 1 were hospitalized more frequently; they needed more hospitalizations and these were of longer duration. Only 38% of patients in group 0 were treated in the hospital, 27% were hospitalized only once. CONCLUSIONS: Better outcome can be achieved with early antipsychotic treatment. Patients with long DUP differ from patients who were treated already in the prodromal phase in several outcome measures. SN - 0172-780X UR - https://www.unboundmedicine.com/medline/citation/19112411/Duration_of_untreated_psychosis_and_it's_effect_on_the_symptomatic_recovery_in_schizophrenia___preliminary_results_ L2 - http://www.diseaseinfosearch.org/result/6442 DB - PRIME DP - Unbound Medicine ER -