SHORT REPORTS |
Department of Psychiatry, Dalhousie University, Halifax, Canada
Group Health Co-operative, Seattle, USA
Correspondence: Dr S. Kisely, Dalhousie University Psychiatry,Centre for Clinical Research, 5790 University Avenue, Halifax, NS B3H 1V7, Canada. Tel.: +1 902 494 7075; fax: +1 902 494 1597, email: Stephen.Kisely{at}cdha.nshealth.ca
Funding detailed in Acknowledgement
Studies have assessed the association between a longer duration of untreated symptoms and outcome for psychoses in specialist care. We investigated the effect of longer duration on the outcome of common psychiatric disorders in primary care, where most patients are treated. Patients presenting to primary care for new episodes in 10 countries were recruited into a prospective cohort study. Information on duration of untreated symptoms and psychosocial status was collected for 351 individuals using standardised instruments and this was repeated 1 year later. At 1-year follow-up, longer duration was associated with worse psychiatric outcome even after controlling for potential confounders.
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