The key to reducing duration of untreated first psychosis: information campaigns.

Hdl Handle:
The key to reducing duration of untreated first psychosis: information campaigns.
Joa, Inge; Johannessen, Jan Olav; Auestad, Bjørn; Friis, Svein; McGlashan, Thomas; Melle, Ingrid; Opjordsmoen, Stein; Simonsen, Erik; Vaglum, Per; Larsen, Tor K
Schizophrenia bulletin 2008, 34 (3):466-72
Additional Links:

Full metadata record

DC FieldValue Language
dc.contributor.authorJoa, Inge-
dc.contributor.authorJohannessen, Jan Olav-
dc.contributor.authorAuestad, Bjørn-
dc.contributor.authorFriis, Svein-
dc.contributor.authorMcGlashan, Thomas-
dc.contributor.authorMelle, Ingrid-
dc.contributor.authorOpjordsmoen, Stein-
dc.contributor.authorSimonsen, Erik-
dc.contributor.authorVaglum, Per-
dc.contributor.authorLarsen, Tor K-
dc.identifier.citationSchizophrenia bulletin 2008, 34 (3):466-72en
dc.description.abstractThe TIPS early intervention program reduced the duration of untreated psychosis (DUP) in first-episode schizophrenia from 16 to 5 weeks in a health care sector using a combination of easy access detection teams (DTs) and a massive information campaign (IC) about the signs and symptoms of psychosis. This study reports what happens to DUP and presenting schizophrenia in the same health care sector when the IC is stopped. METHODS: Using an historical control design, we compare 2 cohorts of patients with first-episode Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition, non-affective psychosis at admission to treatment. The first cohort (N = 108) was recruited from January 1997 to December 2000, using an IC to raise awareness about recognizing psychosis to the public, the schools, and to general practitioners. The second cohort (N = 75) was recruited from January 2002 to June 2004 with no-IC. Easy access DTs were available to both cohorts. RESULTS: In the no-IC period, DUP increased back up to 15 weeks (median) and fewer patients came to clinical attention through the DTs. No-IC patients were diagnosed less frequently with schizophreniform disorder, more Positive and Negative Syndrome Scale positive and total symptoms, and poorer Global Assessment of Functioning (symptom) Scale scores. CONCLUSIONS: Intensive education campaigns toward the general public, the schools, and the primary health care services appear to be an important and necessary part of an early detection program. When such a campaign was stopped, there was a clear regressive change in help-seeking behavior with an increase in DUP and baseline symptoms.en
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Psykiatri, barnepsykiatri: 757en
dc.subject.meshDiagnostic and Statistical Manual of Mental Disordersen
dc.subject.meshDisease Progressionen
dc.subject.meshHealth Educationen
dc.subject.meshHealth Promotionen
dc.subject.meshInformation Disseminationen
dc.subject.meshProgram Developmenten
dc.subject.meshPsychotic Disordersen
dc.subject.meshSeverity of Illness Indexen
dc.subject.meshTime Factorsen
dc.titleThe key to reducing duration of untreated first psychosis: information campaigns.en
dc.typeJournal articleen
dc.typepeer revieweden
dc.contributor.departmentStavanger University Hospital, Regional Centre for Clinical Research in Psychosis, Psychiatric Clinic, Stavanger, Norway. ijo@sus.noen
dc.identifier.journalSchizophrenia bulletinen
All Items in HeRA are protected by copyright, with all rights reserved, unless otherwise indicated.