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Effect of an early detection programme on duration of untreated psychosis

Part of the Scandinavian TIPS study^*

Ullevål University Hospital, Oslo

PER VAGLUM, MD

Department of Behavioural Medicine, University of Oslo, Norway

ULRIK HAAHR, MD

Roskilde Psychiatric University Hospital Fjorden, Roskilde, Denmark

JAN OLAV JOHANNESSEN, MD and TOR K. LARSEN, MD

Rogaland Psychiatric Hospital, Stavanger

INGRID MELLE, MD and STEIN OPJORDSMOEN, MD

Ullevål University Hospital, Oslo

BJØRN RISOVD RUND, PhD

Institute of Psychology, University of Oslo, Norway

ERIK SIMONSEN, MD

Roskilde Psychiatric University, Hospital Fjorden, Roskilde, Denmark

THOMAS H. McGLASHAN, MD

Yale University School of Medicine, New Haven, Connecticut, USA

Correspondence: Professor Svein Friis, Department of Research and Education, Division of Psychiatry, Ullevål University Hospital, Oslo N-0407, Norway. Tel: +47 22 11 84 40; fax: +47 22 11 78 48; e-mail: svein.friis{at}medsin.uio.no

Declaration of interest Supporters included Lundbeck Pharma, Eli Lilly and Janssen-Cilag Pharmaceuticals; full details in Acknowledgements.

^* Paper presented at the Third International Early Psychosis Conference, Copenhagen, Denmark, September 2002.

Background It is unclear whether an early detection programme increases or decreases the number of patients with a long duration of untreated psychosis (DUP), and whether these differ from other patients with a long DUP.

Aims To investigate whether the number and characteristics of patients with a long DUP in the early detection programme differ from those with a long DUP in the non-early detection programme.

Method We compared the number and characteristics of patients with a DUP 2 years in an early detection area and a non-early detection area.

Results The early detection programme recruited slightly fewer patients with a long DUP than the non-early detection programme. The patients in the early detection programme had lower PANSS scores, but more frequently had a deteriorating course of premorbid social functioning.

Conclusions An early detection programme does not seem to drain a pool of previously undetected patients with a long DUP. The patients in the early detection programme seem to have a lower symptomlevel at baseline and to have had a deteriorating premorbid social course.

This article has been cited by other articles:

				S. P. Singh Outcome measures in early psychosis: Relevance of duration of untreated psychosis The British Journal of Psychiatry, August 1, 2007; 191(50): s58 - s63. [Abstract] [Full Text] [PDF]