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Clinical and social determinants of duration of untreated psychosis in the AESOP first-episode psychosis study

Morgan, Craig and Abdul-Al, Rudwan and Lappin, Julia M. and Jones, Peter B. and Fearon, Paul and Leese, Morven and Croudace, Tim and Morgan, Kevin D. and Dazzan, Paola and Craig, Tom K.J. and Leff, Julian and Murray, Robin M. (2006) Clinical and social determinants of duration of untreated psychosis in the AESOP first-episode psychosis study. British Journal of Psychiatry, 189 (5). pp. 446-452. ISSN 0007-1250

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Official URL: http://dx.doi.org/10.1192/bjp.bp.106.021303

Abstract

Background : Despite considerable research investigating the relationship between a long duration of untreated psychosis (DUP) and outcomes, there has been much less considering predictors of a long DUP. Aims : To investigate the clinical and social determinants of DUP in a large sample of patients with a first episode of psychosis. Method : All patients with a first episode of psychosis who made contact with psychiatric services over a 2-year period and were living in defined catchment areas in London and Nottingham, UK were included in the ÆSOP study. Data relating to clinical and social variables and to DUP were collected from patients, relatives and case notes. Results : An insidious mode of onset was associated with a substantially longer DUP compared with an acute onset, independent of other factors. Unemployment had a similar, if less strong, effect. Conversely, family involvement in help-seeking was independently associated with a shorter duration. There was weak evidence that durations were longer in London than in Nottingham. Conclusions : These findings suggest that DUP is influenced both by aspects of the early clinical course and by the social context.

Item Type:Article
Research Community:University of Westminster > Social Sciences, Humanities and Languages, School of
ID Code:4106
Deposited On:01 Jun 2007
Last Modified:30 Oct 2009 11:00

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