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Schizophr Res. 2007 Nov;96(1-3):206-14. Epub 2007 Aug 24.

Determinants of help-seeking and system related components of delay in the treatment of first-episode psychosis.

Author information

1
McGill University, PEPP Montreal, Douglas Hospital Research Centre, 6875 LaSalle Boulevard, Montreal, Quebec, Canada H4H 1R3. laura.bechard-evans@douglas.mcgill.ca

Abstract

INTRODUCTION:

Knowledge about factors that influence different components of duration of untreated psychosis (DUP) is important for designing interventions to reduce DUP.

METHOD:

We tested associations between help-seeking and referral components of DUP (DUP-H and DUP-R, respectively) and the following predictor variables: age, gender, ethnicity, living arrangement, pre-morbid adjustment, age at onset of psychosis, diagnosis, level of symptoms, type of first and total number of mental health contacts prior to and after the onset of psychosis in a sample of 98 first-episode psychosis patients (FEP).

RESULTS:

Longer DUP-HS was significantly associated with earlier age at onset, diagnosis of schizophrenia spectrum psychosis and poor pre-morbid adjustment during adolescence. Longer DUP-R was associated with earlier age at onset and first help-seeking contact having been made with a non-medical professional.

CONCLUSIONS:

Relatively non-malleable patient characteristics are likely to influence delay in help-seeking while more malleable systemic characteristics influence delay associated with referral for specialized treatment.

PMID:
17719746
DOI:
10.1016/j.schres.2007.07.017
[Indexed for MEDLINE]
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