First Episode Psychosis (FEP): Factors associated with delayed access to care in a rural Egyptian setting

Abstract

A nationwide study was carried out comprising 50,877 persons aged 18-66, who were registered in 2003 in the Danish Psychiatric Register or in the National Patient Register with a psychiatric ICD-10 diagnosis. Of the population 87.1% were ethnic Danes, 7.8% migrants, 4.0% off-springs with one Danish born parent, 0.7% off-springs with both parents born outside Denmark and 0.3% adoptees. Males comprised 49% women 51% of the population. The 5 ethnic groups had significant differences in utilization of care, diagnostic distribution and use of coercion. Women had a higher contact rates in all groups apart from migrants. The contact rate among persons of Middle Eastern background was relatively low. Patients with a non-Danish background were more frequently nonvoluntarily admitted and had significantly more frequently contact with services due to a forensic measures. Substance abuse was higher among men in all ethnic groups. Contacts due to schizophrenia were higher among non-Danish patients and highest among young offspring males. Self-mutilating behaviour was seen more frequently among female off-springs from non-Western countries than among migrant women from non-Western countries. The paper will analyse selected significant differences among the ethnic groups. appropriate and diagnostic uncertainty. GPs need to be adequately informed about EIP & their important role to achieve this. References McGlashan TH: Recovery style from mental illness and long-term outcome.

Neurotic Disorders of General Medical Outpatients in Xi’an, China: Knowledge, Attitudes, and Help-Seeking Preferences

“…However, when asked if they would tell any of their friends if they or their relatives suffered from a neurotic disorder, only one in ten outpatients answered affirmatively. The explanation for these conflicted responses might be related to the persistent stigma associated with mental illness (34). …”

“…Public prejudices and social stigma toward mental disorders have impeded the early treatment and early recovery of psychiatric patients by delaying optimal utilization of mental health services (34, 36–38). To some extent, these same prejudices and social stigma have prompted most patients with neurotic disorders to seek care from physicians in general hospitals rather than from mental health specialists.…”

Relationship Between Socio-demographic Variables and Social Distance Towards the Mentally Ill

“…Despite outstanding breakthroughs in science and technology as well as increased knowledge of the brain and human behaviour, the mentally ill still suffer much stigmatization and rejection even in our modern world. Stigma can be defined as a sign of disgrace, which sets a person apart from others [1]. Stigma assault with mental illness has been strongly associated with suffering, disability and poverty [1].…”

“…Stigma can be defined as a sign of disgrace, which sets a person apart from others [1]. Stigma assault with mental illness has been strongly associated with suffering, disability and poverty [1].…”

“…Public prejudice and social distance towards mental illness have impeded early treatment and early recovery of the psychiatric patients through optimal utilization of mental health services [1][2][3][4]. In recent years, several programs have been initiated to reduce stigma and discrimination related to mental illness [6][7][8][9].…”