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

Authors
 Young-Chul Chung  ;  Hee-Yeon Jung  ;  Sung-Wan Kim  ;  Seung-Hwan Lee  ;  Sang-Eun Shin  ;  Yun-Mi Shin  ;  Jong-Ik Park  ;  Suk K. An  ;  andYoung-Hoon Kim 
Citation
 EARLY INTERVENTION IN PSYCHIATRY, Vol.4(2) : 124-131, 2010 
Journal Title
EARLY INTERVENTION IN PSYCHIATRY
ISSN
 1751-7885 
Issue Date
2010
MeSH
Adaptation, Psychological ; Adolescent ; Adult ; Female ; Humans ; Male ; Mental Disorders/complications ; Mental Disorders/diagnosis* ; Patient Acceptance of Health Care/psychology ; Psychotic Disorders/complications ; Psychotic Disorders/diagnosis ; Psychotic Disorders/psychology ; Psychotic Disorders/therapy* ; Risk ; Severity of Illness Index ; Time Factors
Keywords
duration of attenuated psychotic symptoms ; high risk ; prodrome ; psychosis
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.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1751-7893.2010.00170.x/abstract
DOI
10.1111/j.1751-7893.2010.00170.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
An, Suk Kyoon(안석균) ORCID logo https://orcid.org/0000-0003-4576-6184
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101049
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