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- Publisher Website: 10.1007/s00127-013-0688-9
- Scopus: eid_2-s2.0-84885956689
- PMID: 23620097
- WOS: WOS:000325711900011
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Article: Predictors of help-seeking duration in adult-onset psychosis in Hong Kong
Title | Predictors of help-seeking duration in adult-onset psychosis in Hong Kong |
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Authors | |
Keywords | Duration of untreated psychosis Early psychosis Help-seeking Pathways Schizophrenia |
Issue Date | 2013 |
Publisher | Springer 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? |
Abstract | Purpose: 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 Identifier | http://hdl.handle.net/10722/192738 |
ISSN | 2023 Impact Factor: 3.6 2023 SCImago Journal Rankings: 1.780 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Hui, CLM | en_US |
dc.contributor.author | Tang, JYM | en_US |
dc.contributor.author | Wong, GHY | en_US |
dc.contributor.author | Chang, WC | en_US |
dc.contributor.author | Chan, SKW | en_US |
dc.contributor.author | Lee, EHM | en_US |
dc.contributor.author | Chen, EYH | en_US |
dc.date.accessioned | 2013-11-20T05:00:08Z | - |
dc.date.available | 2013-11-20T05:00:08Z | - |
dc.date.issued | 2013 | en_US |
dc.identifier.citation | Social Psychiatry and Psychiatric Epidemiology, 2013, v. 48 n. 11, p. 1819-1828 | en_US |
dc.identifier.issn | 0933-7954 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/192738 | - |
dc.description.abstract | Purpose: 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.language | eng | en_US |
dc.publisher | Springer Medizin. The Journal's web site is located at http://www.springer.com/steinkopff/psychiatrie/journal/127 | - |
dc.relation.ispartof | Social Psychiatry and Psychiatric Epidemiology | en_US |
dc.subject | Duration of untreated psychosis | - |
dc.subject | Early psychosis | - |
dc.subject | Help-seeking | - |
dc.subject | Pathways | - |
dc.subject | Schizophrenia | - |
dc.title | Predictors of help-seeking duration in adult-onset psychosis in Hong Kong | en_US |
dc.type | Article | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1007/s00127-013-0688-9 | en_US |
dc.identifier.pmid | 23620097 | - |
dc.identifier.scopus | eid_2-s2.0-84885956689 | en_US |
dc.identifier.hkuros | 214634 | - |
dc.identifier.hkuros | 229890 | - |
dc.identifier.volume | 48 | en_US |
dc.identifier.issue | 11 | en_US |
dc.identifier.spage | 1819 | en_US |
dc.identifier.epage | 1828 | en_US |
dc.identifier.isi | WOS:000325711900011 | - |
dc.identifier.issnl | 0933-7954 | - |