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Article: Predictors of help-seeking duration in adult-onset psychosis in Hong Kong

TitlePredictors of help-seeking duration in adult-onset psychosis in Hong Kong
Authors
Issue Date2013
PublisherSpringer Medizin. The Journal's web site is located at http://www.springer.com/steinkopff/psychiatrie/journal/127
Citation
Social Psychiatry and Psychiatric Epidemiology, 2013, v. 48 n. 11, p. 1819-1828 How to Cite?
AbstractPurpose: Delay in receiving treatment in psychosis may lead to adverse consequences. We examined the predictors for help-seeking duration in adult-onset psychosis Chinese patients in Hong Kong. We hypothesized that factors which are more related to the illness manifestation would be predictive of waiting time before any help-seeking initiation, and factors which are more related to one's knowledge about mental health services would be predictive of help-seeking duration. Methods: First-episode patients with psychosis were recruited from the Jockey Club Early Psychosis project. They were asked to report retrospectively all help-seeking behaviors involved since their first occurrence of psychotic symptoms until receipt of effective psychiatric treatment. Baseline characteristics, pre-morbid functioning and traits, and mode of illness onset were assessed. Results: Help-seeking pattern was analyzed in 360 patients who had subsequently reached the psychiatric services. They had an average of 2.5 help-seeking contacts. Nearly half of the first help-seeking process was initiated by family members. Only 1 % approached priests or traditional healers as the first step in help-seeking. Whereas a gradual mode of onset was significantly associated with longer waiting time to first help-seeking initiation, more premorbid schizoid and schizotypal traits and a migrant status were related to longer help-seeking duration. Conclusions: Current findings suggested that family members were the key decision makers in initiating help-seeking. Longer help-seeking duration in migrants has significant implications to both local and global mental health policy. © 2013 Springer-Verlag Berlin Heidelberg.
Persistent Identifierhttp://hdl.handle.net/10722/192738
ISSN
2015 Impact Factor: 2.513
2015 SCImago Journal Rankings: 1.095
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHui, CLMen_US
dc.contributor.authorTang, JYMen_US
dc.contributor.authorWong, GHYen_US
dc.contributor.authorChang, WCen_US
dc.contributor.authorChan, SKWen_US
dc.contributor.authorLee, EHMen_US
dc.contributor.authorChen, EYHen_US
dc.date.accessioned2013-11-20T05:00:08Z-
dc.date.available2013-11-20T05:00:08Z-
dc.date.issued2013en_US
dc.identifier.citationSocial Psychiatry and Psychiatric Epidemiology, 2013, v. 48 n. 11, p. 1819-1828en_US
dc.identifier.issn0933-7954en_US
dc.identifier.urihttp://hdl.handle.net/10722/192738-
dc.description.abstractPurpose: Delay in receiving treatment in psychosis may lead to adverse consequences. We examined the predictors for help-seeking duration in adult-onset psychosis Chinese patients in Hong Kong. We hypothesized that factors which are more related to the illness manifestation would be predictive of waiting time before any help-seeking initiation, and factors which are more related to one's knowledge about mental health services would be predictive of help-seeking duration. Methods: First-episode patients with psychosis were recruited from the Jockey Club Early Psychosis project. They were asked to report retrospectively all help-seeking behaviors involved since their first occurrence of psychotic symptoms until receipt of effective psychiatric treatment. Baseline characteristics, pre-morbid functioning and traits, and mode of illness onset were assessed. Results: Help-seeking pattern was analyzed in 360 patients who had subsequently reached the psychiatric services. They had an average of 2.5 help-seeking contacts. Nearly half of the first help-seeking process was initiated by family members. Only 1 % approached priests or traditional healers as the first step in help-seeking. Whereas a gradual mode of onset was significantly associated with longer waiting time to first help-seeking initiation, more premorbid schizoid and schizotypal traits and a migrant status were related to longer help-seeking duration. Conclusions: Current findings suggested that family members were the key decision makers in initiating help-seeking. Longer help-seeking duration in migrants has significant implications to both local and global mental health policy. © 2013 Springer-Verlag Berlin Heidelberg.en_US
dc.languageengen_US
dc.publisherSpringer Medizin. The Journal's web site is located at http://www.springer.com/steinkopff/psychiatrie/journal/127-
dc.relation.ispartofSocial Psychiatry and Psychiatric Epidemiologyen_US
dc.titlePredictors of help-seeking duration in adult-onset psychosis in Hong Kongen_US
dc.typeArticleen_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/s00127-013-0688-9en_US
dc.identifier.pmid23620097-
dc.identifier.scopuseid_2-s2.0-84885956689en_US
dc.identifier.hkuros214634-
dc.identifier.hkuros229890-
dc.identifier.volume48en_US
dc.identifier.issue11en_US
dc.identifier.spage1819en_US
dc.identifier.epage1828en_US
dc.identifier.isiWOS:000325711900011-

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