Abstract:
AIM:The current study explored the effect of an early intervention (EI) service for psychosis in Hong Kong (EASY) on the reduction of the duration of untreated psychosis (DUP) at 10 years, in adolescent and adult patients. METHOD:Data from three first-episode psychosis (FEP) studies conducted over 10 years using the same DUP assessment was analysed. FEP study 1 year before the EI service (2000) was used as a control, with those aged <25 comprising the youth psychosis control group and those aged over 25 comprising the adult psychosis control group. Data from the EASY service collected in 2010 constituted the youth psychosis EI group and data from an adult EI service collected from 2009 to 2011 constituted the adult psychosis EI group. DUP of EI and control groups was compared. The effect of the mode of onset and family history of psychosis on DUP was studied. RESULTS:DUP in the adult group was significantly reduced from median of 180 days to 93 days after 10 years (U = 12 906.50, P = 0.01), particularly in those with gradual onset and without family history. However, no significant change of DUP was found in the youth psychosis group. CONCLUSIONS:Results of the current study provide evidence that EI programmes with public awareness campaign can significantly reduce DUP of adult patients but not in youth group. The effect is more specific in those with long DUP. Further research should explore the specific factors contributed to the long DUP of patients of different age groups so as to establish targeted intervention strategies.
journal_name
Early Interv Psychiatryjournal_title
Early intervention in psychiatryauthors
Chan SKW,Chau EHS,Hui CLM,Chang WC,Lee EHM,Chen EYHdoi
10.1111/eip.12313subject
Has Abstractpub_date
2018-06-01 00:00:00pages
331-338issue
3eissn
1751-7885issn
1751-7893journal_volume
12pub_type
杂志文章abstract:AIM:To help clinicians carry out a comprehensive, medical diagnostic assessment in first-episode patients who are suspected of developing schizophrenia. METHODS:Conceptual review of the published work with emphasis on the diagnostic goals of excluding medical causes of psychosis and establishing a medical baseline. R...
journal_title:Early intervention in psychiatry
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更新日期:2009-02-01 00:00:00
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journal_title:Early intervention in psychiatry
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,随机对照试验
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journal_title:Early intervention in psychiatry
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journal_title:Early intervention in psychiatry
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journal_title:Early intervention in psychiatry
pub_type: 杂志文章,meta分析
doi:10.1111/eip.12689
更新日期:2019-04-01 00:00:00
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journal_title:Early intervention in psychiatry
pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Early intervention in psychiatry
pub_type: 杂志文章
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journal_title:Early intervention in psychiatry
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2019-04-01 00:00:00