Determinants of duration of untreated psychosis and the pathway to care in Singapore
- PMID: 15864975
- DOI: 10.1177/0020764005053278
Determinants of duration of untreated psychosis and the pathway to care in Singapore
Abstract
Introduction: Delays in providing effective treatment for a patient with psychosis has significant negative effects on the outcome. This includes more hospitalizations, longer periods of inpatient care, slower and less complete recovery, and more frequent relapses. In this study, we established the Duration of Psychosis (DUP) in a sample of patients with first-episode psychosis and examined the pathways to care.
Methods: The sample comprised patients presenting with first-episode psychosis to the psychiatric services of the Institute of Mental Health, Singapore, from January to December 2000. The association between the DUP and demographic, clinical and social variables was examined.
Results: The DUP ranged from 0.1 to 336 months. The mean DUP was 32.6 (SD = 59.8) months, with a median of 12 months. Twenty four percent of the patients had sought consultation with a traditional healer prior to consulting a psychiatrist. The DUP of this group of patients was not significantly different from those who sought help elsewhere.
Conclusions: The DUP of our patients was longer than that reported in studies done in the West. The attitudes and beliefs of family in the Asian society are likely to be crucial in the pathways to care.
Similar articles
-
Pathways to care, DUP, and types of interventions over 5 years following psychosis onset: findings from a naturalistic study conducted in routine generalist mental health services.Soc Psychiatry Psychiatr Epidemiol. 2020 Feb;55(2):175-186. doi: 10.1007/s00127-019-01775-x. Epub 2019 Sep 11. Soc Psychiatry Psychiatr Epidemiol. 2020. PMID: 31511926
-
[Tunisian mothers' beliefs about their child's first psychotic episode].Encephale. 2012 Dec;38(6):473-9. doi: 10.1016/j.encep.2012.01.012. Epub 2012 May 29. Encephale. 2012. PMID: 23200613 French.
-
[Pathways-to-Care for First-Episode psychotic patients--an overview of international studies].Fortschr Neurol Psychiatr. 2012 Feb;80(2):72-8. doi: 10.1055/s-0031-1273428. Epub 2011 Jul 7. Fortschr Neurol Psychiatr. 2012. PMID: 21739407 Review. German.
-
A community intervention for early identification of first episode psychosis: impact on duration of untreated psychosis (DUP) and patient characteristics.Soc Psychiatry Psychiatr Epidemiol. 2005 May;40(5):337-44. doi: 10.1007/s00127-005-0901-6. Soc Psychiatry Psychiatr Epidemiol. 2005. PMID: 15902403
-
Who cares? Pathways to psychiatric care for young people experiencing a first episode of psychosis.Psychiatr Serv. 1995 Nov;46(11):1166-71. doi: 10.1176/ps.46.11.1166. Psychiatr Serv. 1995. PMID: 8564507 Review.
Cited by
-
Association of cardiovascular metabolic risk factor measurements with psychiatric readmission among in-hospital patients with severe mental illness: a retrospective study.BMC Psychiatry. 2022 Jan 18;22(1):43. doi: 10.1186/s12888-022-03704-w. BMC Psychiatry. 2022. PMID: 35042498 Free PMC article.
-
Mental illness stigma's reasons and determinants (MISReaD) among Singapore's lay public - a qualitative inquiry.BMC Psychiatry. 2020 Aug 26;20(1):422. doi: 10.1186/s12888-020-02823-6. BMC Psychiatry. 2020. PMID: 32847539 Free PMC article.
-
Mental healthcare in Singapore.Int Psychiatry. 2007 Oct 1;4(4):88-90. eCollection 2007 Oct. Int Psychiatry. 2007. PMID: 31507910 Free PMC article.
-
Perceptions about pasung (physical restraint and confinement) of schizophrenia patients: a qualitative study among family members and other key stakeholders in Bogor Regency, West Java Province, Indonesia 2017.Int J Ment Health Syst. 2018 Jun 25;12:35. doi: 10.1186/s13033-018-0216-0. eCollection 2018. Int J Ment Health Syst. 2018. PMID: 29983734 Free PMC article.
-
Pathways to care among psychiatric outpatients in a tertiary mental health institution in Singapore.Int J Soc Psychiatry. 2018 Sep;64(6):554-562. doi: 10.1177/0020764018784632. Epub 2018 Jun 27. Int J Soc Psychiatry. 2018. PMID: 29947273 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical