{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T13:09:26Z","timestamp":1792415366020,"version":"4.4.0"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Many people with psychosis do not seek help which delays access to recommended treatments. Duration of untreated psychosis is associated with poor healthcare outcomes and increased risk of relapse. The reasons why people delay accessing treatment remain unclear. This is the first systematic review to synthesise the literature examining professional and non\u2010professional help\u2010seeking in psychosis across clinical and subclinical populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched four databases (APA PsycINFO, APA PsycArticles, Medline and British Library EThOS) to generate a comprehensive account of the quantitative literature. Heterogeneity of measures precluded a meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 19 articles (including 9686 participants) that met criteria for the review. Help\u2010seeking in psychosis is associated with being female, having a higher level of education, and experiencing more than one symptom. People with psychosis report stigma, poor mental health literacy and lack of family support as key barriers. Clinicians report childhood physical abuse, insecure attachment and severity of psychosis as additional barriers. We also found differences in preferred sources of help across cultures. There is currently no consensus on reliable help\u2010seeking measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This is the first systematic review to examine help\u2010seeking behaviour in psychosis. Assertive and culturally sensitive engagement efforts should be targeted towards people with a history of early adversity, poor mental health literacy, limited social support and more severe psychosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12531","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T09:05:33Z","timestamp":1721034333000},"page":"583-605","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Psychosis and\n                    <scp>help\u2010seeking<\/scp>\n                    behaviour\u2013A systematic review of the literature"],"prefix":"10.1111","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5192-5646","authenticated-orcid":false,"given":"Laura","family":"Skrobinska","sequence":"first","affiliation":[{"name":"Psychology Department University of Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1579-7959","authenticated-orcid":false,"given":"Katherine","family":"Newman\u2010Taylor","sequence":"additional","affiliation":[{"name":"Psychology Department University of Southampton  Southampton UK"},{"name":"Psychology Department Southern Health NHS Foundation Trust  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4064-8576","authenticated-orcid":false,"given":"Katherine","family":"Carnelley","sequence":"additional","affiliation":[{"name":"Psychology Department University of Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100447.2002.02004.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/nmd.0b013e318266bcaa"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102753.2010.01516.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2006.09.006"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1192\/s0007125000297663"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.08.017"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781444318814.ch2"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316446002000104"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12385"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764014568129"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201200570"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010012\u20100628\u20100"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbaa130"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010021\u201001819\u2010w"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764020910456"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/17542863.2017.1376104"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/nmd.0b013e31820bc2f9"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638230500271089"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2015.15050632"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/13.2.261"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.171.6.509"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbp046"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529786"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2008.01.024"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u2010295x.98.2.224"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.9.975"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2012.00615"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbq092"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12371"},{"key":"e_1_2_9_32_1","first-page":"52","article-title":"Factors that contribute to delay in the initial treatment of psychosis","volume":"36","author":"Perkins D. 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