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Article: Duration of untreated psychosis and clinical outcome 1 year after first-episode psychosis

TitleDuration of untreated psychosis and clinical outcome 1 year after first-episode psychosis
Authors
KeywordsHong Kong
Psychotic disorders
Treatment outcome
Issue Date2005
PublisherHong Kong College of Psychiatrists. The Journal's web site is located at http://www.hkjpsych.com/search.jsp
Citation
Hong Kong Journal Of Psychiatry, 2005, v. 15 n. 1, p. 4-8+33 How to Cite?
AbstractObjective: The effectiveness of early intervention for patients with first-episode psychosis is uncertain. This study aimed to explore the association of duration of untreated psychosis and short-term clinical outcome. Patients and Methods: Ninety four patients receiving treatment from an early intervention programme in Hong Kong (the Early Assessment Service for Young People with First-episode Psychosis) were retrospectively assessed using a standardised survey to examine the relationship between duration of untreated psychosis and 1-year outcome variables such as treatment adherence, time to treatment response, and academic and occupational functioning. Results: Patients with a shorter duration of untreated psychosis had better treatment adherence and responded to treatment more quickly than patients with a longer duration of untreated psychosis. However, patients with a shorter duration of untreated psychosis were more likely to be admitted to hospital during their first psychotic episode. Duration of untreated psychosis was not related to the level of occupational functioning and the risk for relapse after stabilisation of first-episode psychosis. Conclusions: These findings suggest that patients with a shorter duration of untreated psychosis tend to present more acutely, yet have a faster rate of recovery, than patients with a longer duration of untreated psychosis. Duration of untreated psychosis has a significant effect on treatment adherence in the initial recovery phase. However, further studies are required to evaluate the relationship between duration of untreated psychosis and long-term outcome, as well as the impact of duration of untreated psychosis on the subsequent utilisation of health services. © 2005 Hong Kong College of Psychiatrists.
Persistent Identifierhttp://hdl.handle.net/10722/81466
ISSN
2012 SCImago Journal Rankings: 0.158
References

 

DC FieldValueLanguage
dc.contributor.authorChow, DHFen_HK
dc.contributor.authorLaw, BTTen_HK
dc.contributor.authorChang, Een_HK
dc.contributor.authorChan, RCKen_HK
dc.contributor.authorLaw, CWen_HK
dc.contributor.authorChen, EYHen_HK
dc.date.accessioned2010-09-06T08:18:06Z-
dc.date.available2010-09-06T08:18:06Z-
dc.date.issued2005en_HK
dc.identifier.citationHong Kong Journal Of Psychiatry, 2005, v. 15 n. 1, p. 4-8+33en_HK
dc.identifier.issn1026-2121en_HK
dc.identifier.urihttp://hdl.handle.net/10722/81466-
dc.description.abstractObjective: The effectiveness of early intervention for patients with first-episode psychosis is uncertain. This study aimed to explore the association of duration of untreated psychosis and short-term clinical outcome. Patients and Methods: Ninety four patients receiving treatment from an early intervention programme in Hong Kong (the Early Assessment Service for Young People with First-episode Psychosis) were retrospectively assessed using a standardised survey to examine the relationship between duration of untreated psychosis and 1-year outcome variables such as treatment adherence, time to treatment response, and academic and occupational functioning. Results: Patients with a shorter duration of untreated psychosis had better treatment adherence and responded to treatment more quickly than patients with a longer duration of untreated psychosis. However, patients with a shorter duration of untreated psychosis were more likely to be admitted to hospital during their first psychotic episode. Duration of untreated psychosis was not related to the level of occupational functioning and the risk for relapse after stabilisation of first-episode psychosis. Conclusions: These findings suggest that patients with a shorter duration of untreated psychosis tend to present more acutely, yet have a faster rate of recovery, than patients with a longer duration of untreated psychosis. Duration of untreated psychosis has a significant effect on treatment adherence in the initial recovery phase. However, further studies are required to evaluate the relationship between duration of untreated psychosis and long-term outcome, as well as the impact of duration of untreated psychosis on the subsequent utilisation of health services. © 2005 Hong Kong College of Psychiatrists.en_HK
dc.languageengen_HK
dc.publisherHong Kong College of Psychiatrists. The Journal's web site is located at http://www.hkjpsych.com/search.jspen_HK
dc.relation.ispartofHong Kong Journal of Psychiatryen_HK
dc.subjectHong Kongen_HK
dc.subjectPsychotic disordersen_HK
dc.subjectTreatment outcomeen_HK
dc.titleDuration of untreated psychosis and clinical outcome 1 year after first-episode psychosisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1026-2121&volume=15&spage=4&epage=8&date=2005&atitle=Duration+of+Untreated+Psychosis+and+Clinical+Outcome+1+Year+after+First-episode+Psychosisen_HK
dc.identifier.emailChen, EYH: eyhchen@hku.hken_HK
dc.identifier.authorityChen, EYH=rp00392en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-27744525614en_HK
dc.identifier.hkuros111166en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-27744525614&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue1en_HK
dc.identifier.spage4en_HK
dc.identifier.epage8+33en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridChow, DHF=35980720200en_HK
dc.identifier.scopusauthoridLaw, BTT=36639652600en_HK
dc.identifier.scopusauthoridChang, E=26660593400en_HK
dc.identifier.scopusauthoridChan, RCK=35236280300en_HK
dc.identifier.scopusauthoridLaw, CW=8627115600en_HK
dc.identifier.scopusauthoridChen, EYH=7402315729en_HK

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