Clinical and social correlates of duration of untreated psychosis in first-episode psychosis patients

Ann Acad Med Singap. 2006 Jan;35(1):24-6.

Abstract

Introduction: This study aims to examine the socio-demographic and clinical correlates of the duration of untreated psychosis (DUP) in first-episode psychosis patients in an Asian country.

Material and methods: Three hundred thirty-four patients from the Early Psychosis Intervention Programme (EPIP) of Singapore were recruited for the study. Socio-demographic data were collected and patients were diagnosed using SCID I (Structural Clinical Interview for DSM-IV Axis I Disorders). Other assessment scales were used to assess the level of psychopathology, overall functioning and the awareness of mental illness.

Results: Mean (SD) DUP was 16.3 (31.5) months. Patients who were single, unemployed, or brought by the police had a significantly longer DUP. Patients with a diagnosis of schizophrenia had a longer DUP as compared to patients with other forms of psychosis. The better functioning patients as indicated by a higher Global Assessment of Functioning score and those who were more insightful had a shorter DUP.

Conclusions: This study suggests that certain socio-demographic features and clinical diagnosis may determine DUP.

MeSH terms

  • Adolescent
  • Adult
  • Early Diagnosis
  • Episode of Care*
  • Female
  • Humans
  • Male
  • Pilot Projects
  • Psychotic Disorders / complications
  • Psychotic Disorders / diagnosis*
  • Risk Assessment
  • Risk Factors
  • Schizophrenia / complications
  • Schizophrenia / diagnosis
  • Singapore
  • Time Factors