{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T18:34:43Z","timestamp":1696358083405},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,6,20]],"date-time":"2013-06-20T00:00:00Z","timestamp":1371686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2014,11]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>Early intervention (EI<\/jats:styled-content>) services for psychosis aim to reduce the duration of untreated psychosis (DUP<\/jats:styled-content>) with intensive large\u2010scale multi\u2010focus initiatives, including public awareness campaigns. As a consequence of this approach, individuals with a very long DUP<\/jats:styled-content> who might have otherwise remained undiagnosed may come to medical attention. The aim of this study was to investigate if an EI<\/jats:styled-content> service detected additional cases of individuals with a first\u2010episode psychosis (FEP<\/jats:styled-content>) with a very long DUP<\/jats:styled-content> and identify demographic and clinical characteristics associated with a very long DUP<\/jats:styled-content>.<\/jats:p><\/jats:sec>Methods<\/jats:title>We compared the distribution of the DUP<\/jats:styled-content> in cases with FEP<\/jats:styled-content> in a cohort from an EI<\/jats:styled-content> service in a geographically defined catchment area with a historical control group. Participants were interviewed using the S<\/jats:styled-content>tructured C<\/jats:styled-content>linical I<\/jats:styled-content>nterview for DSM IV<\/jats:styled-content> (D<\/jats:styled-content>iagnostic and S<\/jats:styled-content>tatistical M<\/jats:styled-content>anual of M<\/jats:styled-content>ental D<\/jats:styled-content>isorders, F<\/jats:styled-content>ifth E<\/jats:styled-content>dition) diagnoses and the Beiser scale to determine the DUP<\/jats:styled-content>.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 172 individuals were included in the EI<\/jats:styled-content> service and 151 were included from the historical control. There was no difference in the distribution of the DUP<\/jats:styled-content> in the EI<\/jats:styled-content> service compared with the historical control group (\u03c72<\/jats:sup>\u2009=\u20093.77, degrees of freedom (d.f.)\u2009=\u20093, P<\/jats:italic>\u2009=\u20090.29). In the EI<\/jats:styled-content> service, 7.6% of cases had a DUP<\/jats:styled-content> between 24 and 35.9 months compared to 3.3% in the historical control, and 13.4% of cases in the EI<\/jats:styled-content> service had a DUP<\/jats:styled-content> of greater than three years compared to 10.6% in the historical control. A very long DUP<\/jats:styled-content> was associated with unemployment, less insight and involuntary treatment.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Further examination of the pathways to care in cases with a long DUP<\/jats:styled-content> may clarify the contribution of help\u2010seeking and health system delays for these individuals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.12063","type":"journal-article","created":{"date-parts":[[2013,6,21]],"date-time":"2013-06-21T03:35:28Z","timestamp":1371785728000},"page":"332-339","source":"Crossref","is-referenced-by-count":14,"title":["Detection and characteristics of individuals with a very long duration of untreated psychosis in an early intervention for psychosis service"],"prefix":"10.1111","volume":"8","author":[{"given":"Brian","family":"O'Donoghue","sequence":"first","affiliation":[{"name":"DETECT, Early Intervention in Psychosis Service Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Lyne","sequence":"additional","affiliation":[{"name":"DETECT, Early Intervention in Psychosis Service Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Kinsella","sequence":"additional","affiliation":[{"name":"DETECT, Early Intervention in Psychosis Service Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niall","family":"Turner","sequence":"additional","affiliation":[{"name":"DETECT, Early Intervention in Psychosis Service Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eadbhard","family":"O'Callaghan","sequence":"additional","affiliation":[{"name":"DETECT, Early Intervention in Psychosis Service Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Clarke","sequence":"additional","affiliation":[{"name":"DETECT, Early Intervention in Psychosis Service Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,6,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.187.48.s116"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2005.05.024"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.08.013"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbr110"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.109.075622"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-004-0798-5"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-005-0901-6"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.187.48.s29"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.105.014068"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.107.048942"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.6.593"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1994.tb01487.x"},{"issue":"33","key":"e_1_2_6_14_1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1192\/S0007125000297651","article-title":"First\u2010episode schizophrenia with long duration of untreated psychosis. 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