Association of treatment delay, migration and urbanicity in psychosis
Association of treatment delay, migration and urbanicity in psychosis
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DOI：
10.1016/j.eurpsy.2011.05.001
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发表时间：
2012-10-01
影响因子：
7.8
通讯作者：
Wiersma, D.
中科院分区：
文献类型：
--
作者：
Boonstra, N.;Sterk, B.;Wiersma, D.
背景- 影响精神病未治疗持续时间的因素有：患者延迟、患者延迟和精神卫生保健服务延迟。为了找到最有效的干预措施来减少DUP，重要的是要知道这些途径中的哪些因素有助于DUP。- 研究治疗延迟、迁移状态和城市化的成分之间的关系。- 在来自农村、城市和高度城市化地区的首发精神病患者中（n = 182），确定DUP、迁移状态和护理途径。- 平均DUP为53.6周（中位数8.9，SD = 116.8）。来自高度城市化地区的患者和第一代移民的患者延迟时间明显更长。MHS延迟时间较长的患者谁已经接受了MHS治疗的其他诊断。- 需要采取具体的干预措施，重点关注生活在高度城市化地区的患者和第一代移民，以缩短患者延误。MHS应该改善已经在治疗其他诊断的患者的精神病的早期发现。(C)2011年Elsevier Masson SAS。All rights reserved.
Background. - Several factors may contribute to duration of untreated psychosis (DUP): patient-delay, referral-delay and treatment-delay caused by mental health care services (MHS-delay). In order to find the most effective interventions to reduce DUP, it is important to know what factors in these pathways to care contribute to DUP.Aim. - To examine the relationship of the constituents of treatment delay, migration status and urbanicity.Method. - In first episode psychotic patients (n = 182) from rural, urban and highly urbanized areas, DUP, migration status and pathways to care were determined.Results. - Mean DUP was 53.6 weeks (median 8.9, SD = 116.8). Patient-delay was significantly longer for patients from highly urbanized areas and for first generation immigrants. MHS-delay was longer for patients who were treated already by MHS for other diagnoses.Conclusions. - Specific interventions are needed focusing on patients living in highly urbanized areas and first generation immigrants in order to shorten patient delay. MHS should improve early detection of psychosis in patients already in treatment for other diagnosis. (C) 2011 Elsevier Masson SAS. All rights reserved.