Duration of untreated psychosis and pathways to care in patients with first‐episode psychosis in Iran

Sharifi, Vandad; Kermani-Ranjbar, Tahereh; Amini, Homayoun; Alaghband-Rad, Javad; Salesian, N.; Seddigh, Arshia

doi:10.1111/j.1751-7893.2009.00119.x

Cited by 34 publications

(34 citation statements)

References 28 publications

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“…Regarding our study it is worth highlighting that all patients presenting with first psychosis episode were admitted in an acute psychiatric ward, which clinically indicates more severe and acute state without the possibility to manage the psychotic symptoms in an out-patient care settings. This finding is in concordance with observations from other authors on psychosis in acute psychiatric wards (Cratsley et al, 2008;Bhui et al, 2014;Sharifi et al, 2009).…”

Section: Discussionsupporting

confidence: 94%

Clinical and Sociodemographic Characteristics in First-Episode Psychosis Patients in a Rural Region of Latvia

Berze

Bezina

Pavlovs

et al. 2019

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

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The first psychosis is a crucial point for further development of mental disorders. Previous evidence has demonstrated that psychotic disorders, including schizophrenia, are associated with a large number of years living with the disability. It is a global aim to improve prognosis of psychotic disorders, especially in rural regions, where mental health care possibly is not so easily accessible for patients. The aim of this study was to investigate clinical and sociodemographic determinants in association with patient and illness related factors to improve knowledge and understanding of first time psychosis patients in a rural region. This is a descriptive, cohort-based study of all consecutive first episode psychosis (F20, F23, ICD 10) patients admitted in the Daugavpils Psychoneurological Hospital (DPNH) between January 2016 and December 2017. Of the 94 first-time patients hospitalised in DPNH with symptoms of psychosis, 69 met the inclusion criteria. Our results showed that median age of patients was 33 years (IQR 27.5–42.0), median duration of untreated illness (DUI) was 30 months (IQR 11.0–60.0), and median duration of untreated psychosis (DUP) was 8 weeks (IQR 4.0–48.0). The results showed that 55.1% of first psychosis patients had not seen any health care specialist before being admitted to the psychiatric hospital. We found statistically significant differences between some sociodemographic aspects in DUI/DUP. Patients who lived with relatives had the longest DUI — 36 months, compared with 12 months for those who had established their own family. Unemployed patients had longer DUI — 36 months, compared with 12 months for employed patients. Similar findings were shown for associations with DUP. To our knowledge this study adds several important findings that help to better understand first psychosis patients.

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Section: Discussionsupporting

confidence: 94%

Clinical and Sociodemographic Characteristics in First-Episode Psychosis Patients in a Rural Region of Latvia

Berze

Bezina

Pavlovs

et al. 2019

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

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“…There was a significant relationship between duration of delay in treatment for first symptoms of psychosis and gender which was consistent with findings of Apeldoorn et al (7), Malla et al (14), Sharifi et al (6), and Wunderink et al (9). To put it in other words, in this study, women referred for treatment with shorter delay than men.…”

Section: Discussionsupporting

confidence: 92%

“…That is, Iranian patients used more classical drugs that had positive effects on their symptoms while patients of other countries used more new (atypical) drugs with non-pharmacological treatments. In another research carried out by Sharifi et al (6) to determine duration of untreated psychosis and pathways to care in patients with first-episode psychosis admitted to Roozbeh Hospital, Iran. Findings of this study showed that delay in treatment was not correlated with gender, marital status, level of education of the patient, roommates, number of roommates, and the place of first referral of the patient, but correlated with age, place of residence, and patient's occupation.…”

Section: Introductionmentioning

confidence: 99%

Investigating Delay in Treatment for First Symptoms of Psychosis Based on Demographic and Social Factors in Patients Referred to Farabi Hospital of Kermanshah (2015)

Heidarian

Ahadi

Shakeri

et al. 2018

J Clin Res Paramed Sci

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Background: Delay in treating the symptoms of psychosis, both in terms of personal and family problems and in terms of economic and social consequences, is of particular importance. The purpose of this study is to investigate demographic and social factors associated with delay in treatment for first symptoms of psychosis in order to better prepare the ground for its prevention. Methods: This is a descriptive cross-sectional study performed using a sequential sampling method on all patients who experienced the first psychosis attack. Then, data are extracted from a clinical interview based on clinical checklist approved by specialists. Using SPSS software (V.25) descriptive statistics including frequency, mean and standard deviation were obtained, and also Kruskal-Wallis and Mann-Whitney tests were performed. Results: The obtained results showed that mean delay in treatment for first symptoms of psychosis was 48.5 ± 65.6 weeks. There was a significant relationship between gender (P = 0.0353), age (P = 0.0198), father's occupation (P = 0.0198), history of referral to the first therapist (P = 0.0059), and source of referral (P = 0.0497), on one hand, and delay in treatment for first symptoms of psychosis. Conclusions: The results of this study indicated that, with better understanding of demographic and social factors, besides educating families and doctors, it may be possible to help reducing the overall time of referral to a psychiatric services provider and thereby contribute to First treatment of the patients.

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“…Similar proportions of patients initially sought help from psychiatrists (n = 23, 25.3%) as from traditional healers (n = 21, 23.1%), with a smaller proportion seeking help first from a general practioner (n = 16, 17.6%). 8 Causal attributions, pathway to care and clinical features were examined in a sample of 54 firstepisode psychosis patients in South Africa to test if there were associations between these factors and DUP. The results showed that both spiritual attributions of cause (49% of patients) and a previous consultation with a traditional healer (39% of patients) were associated with long DUP.…”

Section: Introductionmentioning

confidence: 99%

Duration of untreated psychosis and pathway to care in Riyadh, Saudi Arabia

Fayez

Lappin

Murray

et al. 2015

Early Intervention Psych

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Duration of untreated psychosis and pathways to care in patients with first‐episode psychosis in Iran

Abstract: Median DUP was not long in an inpatient sample with first-episode psychosis, which may be due to the preponderance of affective and acute psychoses in this sample and some help-seeking or service variables.

Cited by 34 publications

References 28 publications

Clinical and Sociodemographic Characteristics in First-Episode Psychosis Patients in a Rural Region of Latvia

Clinical and Sociodemographic Characteristics in First-Episode Psychosis Patients in a Rural Region of Latvia

Investigating Delay in Treatment for First Symptoms of Psychosis Based on Demographic and Social Factors in Patients Referred to Farabi Hospital of Kermanshah (2015)

Duration of untreated psychosis and pathway to care in Riyadh, Saudi Arabia

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