Duration of Untreated Psychosis in Community Treatment Settings in the United States
Duration of Untreated Psychosis in Community Treatment Settings in the United States
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DOI：
10.1176/appi.ps.201400124
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发表时间：
2015-07-01
影响因子：
3.8
通讯作者：
Kane, John M.
中科院分区：
文献类型：
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作者：
Addington, Jean;Heinssen, Robert K.;Kane, John M.
目的：这项研究是第一次检查未治疗的精神病（DUP）的持续时间在社区精神卫生中心接受护理的人在UnitedStates.Methods：参与者是404个人（年龄15-40）谁提出了在21个州的34个非学术诊所治疗首发精神病。结果：中位DUP为74周（平均值=193.5 +/- 262.2周; 68%的参与者DUP超过6个月）。较长的DUP的相关因素包括早期的年龄在第一精神病症状，物质使用障碍，积极和一般症状的严重程度，较差的功能，并从门诊治疗settings.Conclusions转介：本研究报告较长的DUP比在学术环境中进行的研究，但发现类似的DUP的相关性。在美国减少DUP将需要检查当地服务环境中治疗延迟的因素，并采取有针对性的策略来缩小专业FEP护理途径的差距。
Objective: This study is the first to examine duration of untreated psychosis (DUP) among persons receiving care in community mental health centers in the United States.Methods: Participants were 404 individuals (ages 15-40) who presented for treatment for first-episode psychosis at 34 nonacademic clinics in 21 states. DUP and individual- and site-level variables were measured.Results: Median DUP was 74 weeks (mean=193.5 +/- 262.2 weeks; 68% of participants had DUP of greater than six months). Correlates of longer DUP included earlier age at first psychotic symptoms, substance use disorder, positive and general symptom severity, poorer functioning, and referral from outpatient treatment settings.Conclusions: This study reported longer DUP than studies conducted in academic settings but found similar correlates of DUP. Reducing DUP in the United States will require examination of factors in treatment delay in local service settings and targeted strategies for closing gaps in pathways to specialty FEP care.