An investigation of duration of untreated psychosis and the affecting factors

• Published in: Journal of psychiatric and mental health nursing 2014-02, Vol.21 (1), p.87-92
• Main Authors: Sadeghieh Ahari, S., Nikpou, H., Molavi, P., Abdi, R., Amani, F., Shirinzadeh, B.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; duration of untreated psychosis (DUP); Female; first episode of psychosis; Humans; Iran - epidemiology; Male; Middle Aged; Nursing; psychosis; Psychotic Disorders - epidemiology; Psychotic Disorders - physiopathology; Psychotic Disorders - therapy; Time Factors; Young Adult
• ISSN: 1351-0126; 1365-2850
• DOI: 10.1111/jpm.12067

Accessible summary The mean duration of untreated psychosis (DUP) were 261.3 ± 110.8 and 212.5 ± 143.5 days for patients referring to Razi and Fatemi hospital. The DUP mean here was found to be higher as compared with that of the developed countries. Lower education, implausible beliefs and culturally rooted social stigma status of visiting a psychiatrist were found to be playing a role in making DUP longer. One of the main goals in treatment planning of psychiatric disorders is early diagnosis of patients in the early psychosis period so that duration of untreated psychosis (DUP) is decreased and the treatment response and outcome is improved. The aim of this study was to investigate the DUP of psychosis and factors affecting it. In this cross‐sectional study, 80 patients from the psychiatric clinic of Fatemi hospital in Ardabil and Razi hospital in Tabriz who were in the first episode of psychosis completed a questionnaire. The data were analysed by SPSS statistical software. In this study, the mean DUP measured from the appearance of the first symptoms of psychosis were 261.3 ± 110.8 and 212.5 ± 143.5 days for patients referring to Razi and Fatemi hospital, respectively. About 65% of the patients in Fatemi hospital and 32.5% of them in Razi hospital considered visiting a psychiatrist as hard and very hard. The DUP mean here was found to be higher as compared with that of the developed countries. The following factors were found to be playing a role in making DUP longer: lower education, implausible beliefs and culturally rooted social stigma status of visiting a psychiatrist.