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What factors are related to delayed treatment in individuals at high risk for psychosis?

Authors
Chung, YC; Jung, HY; Kim, SW; Lee, SH; Shin, SE; Shin, YM; Park, JI; An, SK; Kim, YH
Citation
Early intervention in psychiatry, 4(2):124-131, 2010
Journal Title
Early intervention in psychiatry
ISSN
1751-78851751-7893
Abstract
BACKGROUND: Previous studies have shown that the individuals at high risk for psychosis suffer from depression, anxiety, and deficits in social functioning. The present report describes help-seeking behaviours, baseline psychopathology, and duration of attenuated psychotic symptoms (DUAPS) and their associations with other variables.



METHODS: Using the Comprehensive Assessment of At-Risk Mental States (CAARMS), we conducted systematic evaluations of individuals at high risk for psychosis. Help-seeking behaviours, current Axis I diagnoses, DUAPS, and baseline psychopathology were investigated. Demographic and clinical characteristics of short and long DUAPS groups were compared.



RESULTS: Thirty-eight subjects were recruited from nine centres. Participants seldom sought psychiatric services at their first help-seeking contact, and the mean DUAPS was 22.00 +/- 28.59 months. Most participants had current Axis I diagnoses, and depressive disorder NOS was the most common of these. Higher levels of depression, anxiety, obsessive-compulsive symptoms, and functional impairment were also identified. We found no significant differences between short and long DUAPS groups in baseline psychopathology. However, we observed significantly lesser distressing intensity of thought contents and significantly greater social impairment in the long-DUAPS group.



CONCLUSION: These findings suggest that high-risk subjects frequently received delayed treatment despite symptomatic distress and functional impairment. No direct evidence supporting the delayed effect of the DUAPS on baseline psychopathology was found.
MeSH terms
Adaptation, PsychologicalAdolescentAdultFemaleHumansMaleMental Disorders/diagnosis*Patient Acceptance of Health Care/psychologyPsychotic Disorders/complicationsPsychotic Disorders/diagnosisPsychotic Disorders/psychologyPsychotic Disorders/therapy*RiskSeverity of Illness IndexTime Factors
DOI
10.1111/j.1751-7893.2010.00170.x
PMID
20536968
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Psychiatry & Behavioural Sciences
AJOU Authors
신, 윤미
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