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Shortened duration of untreated first episode of psychosis: changes in patient characteristics at treatment

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Tor Ketil Larsen
  • T H McGlashan
  • Jan Olav Johannessen
  • Svein Friis
  • C Guldberg
  • U Haahr
  • M Horneland
  • I Melle
  • L C Moe
  • S Opjordsmoen
  • Simonsen, Erik
  • P Vaglum

OBJECTIVE: This study examined whether duration of untreated psychosis can be shortened in patients with first episodes of DSM-IV schizophrenia spectrum disorders and whether shorted duration alters patient appearance at treatment.

METHOD: Two study groups were ascertained in the same Norwegian health care sector: one from 1993-1994 with usual detection methods and one from 1997-1998 with early detection strategies that included education about psychosis.

RESULTS: Patients with early detection had a shorter median duration of untreated psychosis by 21.5 weeks than patients with usual detection. The number with psychosis was greater in the early detection group; the number with schizophrenia was less. Early detection patients had more substance abuse and were younger, better adjusted premorbidly, and less ill.

CONCLUSIONS: Early detection can shorten duration of untreated psychosis and help more patients when they are less severely ill. Given the devastation of psychosis, this is a significant treatment advance.

OriginalsprogEngelsk
TidsskriftThe American Journal of Psychiatry
Vol/bind158
Udgave nummer11
Sider (fra-til)1917-9
Antal sider3
ISSN0002-953X
DOI
StatusUdgivet - nov. 2001

ID: 186481182