Agarkar Smita
Weill Medical College of Clinical Psychiatry, White Plains, NY, USA.
Clin Schizophr Relat Psychoses. 2012 Apr;6(1):45-8. doi: 10.3371/CSRP.6.1.6.
Several factors may contribute to increase in duration of untreated psychosis (DUP). In most cases, early intervention, namely psychopharmacological or psychosocial intervention, is done after first-episode psychosis. It is important to know what factors can contribute to duration of untreated psychosis. During this phase, patients often display unspecific symptoms such as anxiety and depression, personality disorders, and abuse of alcohol or drugs. These symptoms could go unrecognized and, hence, cause a delay in seeking treatment. In addition, functional and social decline frequently occurs in the prodromal phase or in the early course of schizophrenia. The purpose of this paper is to highlight barriers that cause delay in treatment and to review early detection and specific treatment strategies that may help to improve outcomes leading to psychosocial recovery.
有几个因素可能导致未治疗精神病持续时间（DUP）增加。在大多数情况下，早期干预，即心理药物治疗或心理社会干预，是在首次发作精神病后进行的。了解哪些因素会导致未治疗精神病的持续时间很重要。在此阶段，患者常表现出焦虑、抑郁、人格障碍以及酒精或药物滥用等非特异性症状。这些症状可能未被识别，从而导致寻求治疗的延迟。此外，功能和社会衰退经常发生在精神分裂症的前驱期或病程早期。本文旨在强调导致治疗延迟的障碍，并回顾早期检测和可能有助于改善结局从而实现心理社会康复的具体治疗策略。
