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Determinants of duration of untreated psychosis in an Irish catchment area sample

Published online by Cambridge University Press:  13 June 2014

Mary Clarke ,
Stephen Browne ,
Orfhlaith McTigue ,
Maurice Gervin ,
Anthony Kinsella ,
John L Waddington ,
Conall Larkin  and
Eadbhard O'Callaghan
Mary Clarke
Affiliation:
DETECT Early Interventin in Psychosis Service, 1 Marine Terrace, Dun Laoghaire, Co Dublin, Ireland
Stephen Browne
Affiliation:
DETECT Early Interventin in Psychosis Service, 1 Marine Terrace, Dun Laoghaire, Co Dublin, Ireland
Orfhlaith McTigue
Affiliation:
DETECT Early Interventin in Psychosis Service, 1 Marine Terrace, Dun Laoghaire, Co Dublin, Ireland
Maurice Gervin
Affiliation:
DETECT Early Interventin in Psychosis Service, 1 Marine Terrace, Dun Laoghaire, Co Dublin, Ireland
Anthony Kinsella
Affiliation:
Department of Mathematics, Dublin Institute of Technology, Dublin 8, Ireland
John L Waddington
Affiliation:
Stanley Research Unit, Department of Clinical Pharmacology, Royal College of Surgeons in Ireland, Dublin 2, Ireland
Conall Larkin
Affiliation:
DETECT Early Interventin in Psychosis Service, 1 Marine Terrace, Dun Laoghaire, Co Dublin, Ireland
Eadbhard O'Callaghan
Affiliation:
DETECT Early Interventin in Psychosis Service, 1 Marine Terrace, Dun Laoghaire, Co Dublin, Ireland
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Abstract

Objective: To examine the variables that influence of duration of untreated psychosis (DUP) prior to presentation in persons with a first episode of psychosis.

Method: Prospective examination of consecutive first presentations with DSM-IV psychosis attending a community based psychiatric service.

Results: One hundred and seventy-one patients had an average duration of untreated psychosis of 18 months and a median of five months. The mean duration of untreated mania was 1.5 months, median 0.75 months. DUP was predicted by social withdrawal and diagnosis in the total group and by prodrome in the schizophrenia/schizophreniform group. DUP was not associated with age at onset of psychosis, educational years or living status.

Conclusions: There are significant differences in DUP between diagnostic groups. Increased social withdrawal is associated with a longer DUP.

Keywords

PsychosisSchizophreniaEarly interventionOutcome
Type
Original Papers
Information
Irish Journal of Psychological Medicine , Volume 24 , Issue 2 , June 2007 , pp. 50 - 54
Copyright
Copyright © Cambridge University Press 2007

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