Family context and duration of untreated psychosis (DUP): Results from the Sao Paulo Study

Oliveira, Alexandra Martini de; Menezes, Paulo Rossi; Busatto, Geraldo F.; McGuire, Philip; Murray, Robin M.; Scazufca, Márcia

doi:10.1016/j.schres.2009.08.018

Cited by 22 publications

(20 citation statements)

References 51 publications

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“…Interestingly, the majority of patients presented to psychiatrists fi rst as the primary healthcare services were not well developed. A recently published large epidemiological study of patients with fi rstepisode psychosis in Sao Paulo, Brazil, found remarkable results (Oliveira et al, 2010). The investigators included 200 patients from a defi ned area of Sao Paulo who had made their fi rst contact with the mental health services, with most patients accessing the emergency psychiatric services.…”

Section: Duration Of Untreated Psychosismentioning

confidence: 99%

Early intervention in schizophrenia in developing countries: Focus on duration of untreated psychosis and remission as a treatment goal

Chiliza

Asmal

Emsley

2012

International Review of Psychiatry

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Early intervention services are based on the premise that untreated psychosis may have a deleterious effect on outcome, particularly in the early years of illness. The majority of the studies on duration of untreated psychosis have been conducted in developed countries; therefore this review focuses on publications from developing countries. We also review studies from developing countries that have been published following the Remission in Schizophrenia Working Group criteria. The duration of untreated psychosis is longer in developing countries, and is also associated with poor outcome, whereas remission rates following treatment of first-episode schizophrenia in developing countries appear to be higher than in developed countries. These two findings strongly argue for the establishment of early intervention services for schizophrenia in developing countries.

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Section: Duration Of Untreated Psychosismentioning

confidence: 99%

Early intervention in schizophrenia in developing countries: Focus on duration of untreated psychosis and remission as a treatment goal

Chiliza

Asmal

Emsley

2012

International Review of Psychiatry

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“…2006). However, we know that the duration of untreated psychoses is dependent on several elements, such as human, socioeconomic, demographic and cultural factors, and accessibility of care (Oliveira et al . 2010).…”

Section: Introductionmentioning

confidence: 99%

“…The duration of untreated psychoses has shown large variations, lasting days or even years (Marshall et al . 2005), and is longer among people not living with relatives (Oliveira et al . 2010).…”

Section: Introductionmentioning

confidence: 99%

Core components in the care of immigrants with psychoses: A Delphi survey of patients, families, and health-care staff

Hultsjö

Berterö

Arvidsson

et al. 2011

International Journal of Mental Health Nursing

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The aim of the present study was to identify core components in the care of immigrants with psychosis in Sweden. Experts (n=43) from different perspectives (immigrants, families, and health-care staff) were assembled and used to score the importance of statements regarding components in the care for a person with psychosis in three questionnaire rounds. After each round, the opinions were consolidated and compared to identify whether consensus was reached. Consensus was reached about the importance of being treated on equal terms, regardless of country of birth. Staff interest and respect, shown in different ways of understanding, was valued. Consensus could not be reached on approximately half of the statements, of which four tended to be ranked towards unimportant. Those included that staff should have specific cultural knowledge or that the patient should be allowed to decide whether to be cared for by male or female staff. Nor was it regarded as important to identify a person's religious or ethnic background. The results illustrate the importance of fundamental psychiatric nursing, which should enable nurses to identify and meet the basic needs of all patients, regardless of country of origin. Areas for which consensus was not reached illustrate a future challenge for health-care staff to identify situations when cultural clashes could appear. Staff should have strategies to accomplish cultural negotiations to build an effective treatment alliance with the patient, as well as the family, to meet individual needs.

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“…2 In Brazil, a study performed in the city of São Paulo showed that emergency services were the first contact of the patient with the health system in around 70% of the cases of first-episode psychosis, 3 and in around 50% of the cases this contact is made within up to four weeks of the onset of psychotic symptoms. 4 Some characteristics inherent to psychiatric emergency care may affect diagnostic accuracy. Usually, psychiatric diagnoses in emergency contexts are performed in a single assessment, based on a cross-sectional evaluation and with no additional information that could be provided by caretakers.…”

Section: Introductionmentioning

confidence: 99%

Diagnóstico diferencial de primeiro episódio psicótico: importância da abordagem otimizada nas emergências psiquiátricas

Del-Ben

Rufino

Marques

et al. 2010

Rev. Bras. Psiquiatr.

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Objective: To review the literature regarding the diagnosis of first-episode psychosis in the context of psychiatric emergency. Method: Review of empirical and review articles selected by electronic search in the PubMed database. Results: Specific features of emergency care -single, brief, and cross-sectional assessments with little information -may jeopardize the diagnostic process. These limitations can be circumvented by the application of operational diagnostic criteria, by the use of scales and structured interviews, and by short observation periods (24-72 hours). Diagnoses of bipolar disorder, schizophrenia, psychotic depression, and delusional disorder performed in the context of emergency have good stability, but the same does not apply to the diagnoses of brief psychotic disorder, schizophreniform disorder, and schizoaffective disorder. Firstepisode psychosis can occur in the course of the use of psychoactive substances and the persistence of psychotic symptoms even after cessation of the use of the substance is relatively frequent. The rational use of subsidiary tests may be of help in establishing the differential diagnosis of psychotic episodes due to general medical conditions. Conclusion: The diagnosis of first-episode psychosis can be adequately performed by psychiatric emergency services if evidence-based routines are implemented. Descriptors

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Family context and duration of untreated psychosis (DUP): Results from the Sao Paulo Study

Cited by 22 publications

References 51 publications

Early intervention in schizophrenia in developing countries: Focus on duration of untreated psychosis and remission as a treatment goal

Early intervention in schizophrenia in developing countries: Focus on duration of untreated psychosis and remission as a treatment goal

Core components in the care of immigrants with psychoses: A Delphi survey of patients, families, and health-care staff

Diagnóstico diferencial de primeiro episódio psicótico: importância da abordagem otimizada nas emergências psiquiátricas

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