First-episode psychosis: factors associated with delayed access to care in a rural Egyptian setting

El-Adl, Mamdouh; Elmahdy, Mohammed; Anis, Musheera

doi:10.1192/s1749367600002290

Cited by 2 publications

(3 citation statements)

References 12 publications

(8 reference statements)

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“…We contacted 13 authors to clarify some data points and 2 authors provided some additional information about their research that had been published in abstract form. 21,38 Twenty-seven samples from LAMI countries reported the interval between the onset of psychosis and contact with services in patients with schizophrenia-related psychosis.…”

Section: Results Of the Searchesmentioning

confidence: 99%

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Relationship between gross domestic product and duration of untreated psychosis in low- and middle-income countries

et al. 2008

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BackgroundThe duration of untreated psychosis (DUP), the period between the first onset of psychotic symptoms and treatment, has an important influence on the outcome of schizophrenia.AimsTo compare the published studies of DUP in low- and middle-income (LAMI) countries with the DUP of high-income countries, and examine a possible association between DUP and per capita income.MethodWe used six search strategies to locate studies of the DUP from LAMI countries published between January 1975 and January 2008. We then examined the relationship between DUP and measures of economic activity, which was assessed using the LAMI classification of countries and gross domestic product (GDP) purchasing power parity.ResultsThe average mean DUP in studies from LAMI countries was 125.0 weeks compared with 63.4 weeks in studies from high-income countries (P=0.012). Within the studies from LAMI countries, mean DUP fell by 6 weeks for every $1000 of GDP purchasing power parity.ConclusionsThere appears to be an inverse relationship between income and DUP in LAMI countries. The cost of treatment is an impediment to care and subsidised antipsychotic medication would improve the access to treatment and the outcome of psychotic illness in LAMI countries.

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Section: Results Of the Searchesmentioning

confidence: 99%

“…The cost of treatment is frequently reported as a barrier to care in low-income 21,36,37,39 and lower-middle-income 40,45,46 countries. For example, in a region of Nigeria the only available antipsychotic was a low dose of chlorpromazine for a few weeks per year provided by a charity.…”

Section: Long Dup In Lami Countries May Be Associated With Low Incomementioning

confidence: 99%

Relationship between gross domestic product and duration of untreated psychosis in low- and middle-income countries

et al. 2008

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“…The population of Eldakahlia is about 8 million; around 2 million live in Mansoura. 22 The psychiatric inpatient and outpatient facilities in Eldakahlia province are located in 2 main medical centers: Mansoura University Hospital and Mansoura General Hospital. They have an open referral policy completely free of charges serving a population of the whole Eldakahlia province (8 million people) as all district hospitals do not have psychiatric services.…”

Section: Clinical Settingmentioning

confidence: 99%

Family Profile of Heroin Users in Mansoura, Egypt

Elmahdy

Elsayed

El-Gamal

et al. 2010

Addictive Disorders &Amp; Their Treatment

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Objective:The primary aim of this study was to compare family structures and functions in male patients dependent on heroin and normal controls. Method:Eighty patients and 20 controls were recruited from inpatient units at 2 teaching hospitals in Mansoura, Egypt. A predesigned questionnaire was administered to assess family functioning (self-reports), and the DSM IV clinical criteria were used to assess psychopathology. Results:A wide range of family dysfunctions was reported by these patients: parental separation/divorce was higher in the group of dependents compared with the control group (18.8% vs. 10%), having a step mother (31.3% vs. 15%), the main caring person in the family was father (11.3% vs. 0%), mother (8.8% vs. 35%), or both parents (33.8% vs. 60%). Positive family history for substance abuse was significantly higher among heroin users (siblings 12.5% vs. 5%; father 6.3% vs. 5%; mother 3.8% vs. 0%; both parents 15% vs. 5%). Negative feelings toward parents were common in heroin users. In addition, perceptions of a negative attitude from parents were also higher. Moreover, aggressive response as a result of unacceptable behaviors was higher among heroin users: verbal aggression (12.5 vs. 0%), physical aggression (16.3% vs. 0%). Furthermore, religious affiliation was more likely to be less in heroin users' families as 61.3% compared with 85% of nonusers' families with marginally significant differences. Conclusion:The results of this study indicate that family dysfunctions are common in this group of patients. This will need to be considered in the treatment of this group of patients.

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First-episode psychosis: factors associated with delayed access to care in a rural Egyptian setting

Cited by 2 publications

References 12 publications

Relationship between gross domestic product and duration of untreated psychosis in low- and middle-income countries

Relationship between gross domestic product and duration of untreated psychosis in low- and middle-income countries

Family Profile of Heroin Users in Mansoura, Egypt

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