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First-episode schizophrenia with long duration of untreated psychosis. Pathways to care.
Br J Psychiatry Suppl. 1998; 172(33):45-52.BJ

Abstract

BACKGROUND

The early course of illness in first-episode schizophrenia was examined with special emphasis on the duration of untreated psychosis and pathways to care.

METHOD

The consecutively admitted individuals (n = 34) were assessed on premorbid functioning, duration of untreated psychosis, global functioning, symptoms and social network. To clarify the obstacles for receiving earlier treatment, 17 case histories with long duration of untreated psychosis were intensively studied.

RESULTS

The duration of untreated psychosis was on average very long (130 weeks), the median value was 54 weeks. The long duration of untreated psychosis group (> 54 weeks) had greater deterioration in the premorbid phase, a weaker social network and were more withdrawn than the short duration of untreated psychosis group (< 54 weeks). The main obstacles for receiving treatment were withdrawal and poor social network.

CONCLUSIONS

In order to identify people earlier, a system of detection must be mobile, easily accessible and attentive to early symptoms of psychosis. It seems to be important to educate the social network related to the individual about the importance of early treatment.

Authors+Show Affiliations

Psychiatric Hospital of Rogaland, Stavanger, Norway.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

9764126

Citation

Larsen, T K., et al. "First-episode Schizophrenia With Long Duration of Untreated Psychosis. Pathways to Care." The British Journal of Psychiatry. Supplement, vol. 172, no. 33, 1998, pp. 45-52.
Larsen TK, Johannessen JO, Opjordsmoen S. First-episode schizophrenia with long duration of untreated psychosis. Pathways to care. Br J Psychiatry Suppl. 1998;172(33):45-52.
Larsen, T. K., Johannessen, J. O., & Opjordsmoen, S. (1998). First-episode schizophrenia with long duration of untreated psychosis. Pathways to care. The British Journal of Psychiatry. Supplement, 172(33), 45-52.
Larsen TK, Johannessen JO, Opjordsmoen S. First-episode Schizophrenia With Long Duration of Untreated Psychosis. Pathways to Care. Br J Psychiatry Suppl. 1998;172(33):45-52. PubMed PMID: 9764126.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - First-episode schizophrenia with long duration of untreated psychosis. Pathways to care. AU - Larsen,T K, AU - Johannessen,J O, AU - Opjordsmoen,S, PY - 1998/10/9/pubmed PY - 1998/10/9/medline PY - 1998/10/9/entrez SP - 45 EP - 52 JF - The British journal of psychiatry. Supplement JO - Br J Psychiatry Suppl VL - 172 IS - 33 N2 - BACKGROUND: The early course of illness in first-episode schizophrenia was examined with special emphasis on the duration of untreated psychosis and pathways to care. METHOD: The consecutively admitted individuals (n = 34) were assessed on premorbid functioning, duration of untreated psychosis, global functioning, symptoms and social network. To clarify the obstacles for receiving earlier treatment, 17 case histories with long duration of untreated psychosis were intensively studied. RESULTS: The duration of untreated psychosis was on average very long (130 weeks), the median value was 54 weeks. The long duration of untreated psychosis group (> 54 weeks) had greater deterioration in the premorbid phase, a weaker social network and were more withdrawn than the short duration of untreated psychosis group (< 54 weeks). The main obstacles for receiving treatment were withdrawal and poor social network. CONCLUSIONS: In order to identify people earlier, a system of detection must be mobile, easily accessible and attentive to early symptoms of psychosis. It seems to be important to educate the social network related to the individual about the importance of early treatment. SN - 0960-5371 UR - https://www.unboundmedicine.com/medline/citation/9764126/First_episode_schizophrenia_with_long_duration_of_untreated_psychosis__Pathways_to_care_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=9764126.ui DB - PRIME DP - Unbound Medicine ER -