Duration of untreated psychosis and associated sociodemographic and clinical factors in first-episode psychosis: A study from Eastern Nepal.

Autor:	Limbu S; Department of Psychiatry, B.P. Koirala Institute of Health Sciences, Dharan, Nepal., Nepal S; Department of Psychiatry, B.P. Koirala Institute of Health Sciences, Dharan, Nepal., Mishra SK; Department of Psychiatry, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Jazyk:	angličtina
Zdroj:	International journal of psychiatry in medicine [Int J Psychiatry Med] 2025 Jan; Vol. 60 (1), pp. 57-70. Date of Electronic Publication: 2024 Apr 15.
DOI:	10.1177/00912174241247611
Abstrakt:	Objective: Duration of untreated psychosis (DUP) is considered an important factor in outcome. Individual, familial and illness factors may prolong DUP. Little data on this issue is available from the country of Nepal. The purpose of the present study was to assess DUP in patients with first-episode psychosis and identify associations with patients' sociodemographic and clinical factors. Methods: A cross-sectional, descriptive study was conducted in the department of psychiatry at Tertiary Hospital in the Eastern part of Nepal. Eighty-six patients were enrolled. ICD-10 was used to make the diagnosis. The Nottingham Onset Schedule-DUP version (NOS-DUP) was used to assess DUP. Positive and Negative Syndrome Scale (PANSS) was used to assess patients' clinical symptoms. Results: The mean (SD) DUP was 21.4 (42.1) months and median DUP was 3.0 months (IQR = 23.5). Participants from mountainous regions, those who were unemployed, having an insidious onset of illness, and patients with a diagnosis of schizophrenia had significantly longer DUP ( P < .005). Duration of untreated psychosis was also positively correlated with negative symptoms (r = .42, P < .001) and total PANSS score (r = .42, P < .001). Conclusion: Duration of untreated psychosis in first-episode psychotic patients was relatively long (compared to studies in other countries) and was found to be positively associated with living in mountainous regions of Nepal, being unemployed, having an insidious onset of illness, and having a diagnosis of schizophrenia. Programs and educational efforts are needed to ensure early treatment of patients with first-episode psychosis, especially in the mountainous rural areas of Nepal. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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