Dutta Mithun, Spoorthy Mamidipalli Sai, Patel Shrimaan, Agarwala Nitish
Department of Psychiatry, Raipur Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Department of Psychiatry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Indian J Psychiatry. 2019 Jan-Feb;61(1):53-59. doi: 10.4103/psychiatry.IndianJPsychiatry_234_17.
Patients with psychosis often seek treatment at a later date after the onset of illness. There are a multitude of factors behind the treatment delay in these patients, reduction of this delay will help in better prognosis of these patients.
A cross sectional study was conducted to understand the various reasons responsible for treatment delay in patients with psychosis. 25 subjects were selected by purposive sampling and their family members were interviewed. Qualitative analysis was carried out to identify various factors.
Reasons for treatment delay were at several levels like illness related, patient related, treatment related, family related factors. However the most common themes among these were unawareness of illness, explanatory models of illness, stigma, financial constraints. Other themes like relation of symptoms with premorbid personality, life events, absence of paternal support were also unfolded in the current study.
There is significant delay between onset of psychosis and treatment seeking. Several factors are responsible for treatment delay in patients with psychotic illness. However they vary depending upon the socio-cultural background of the patient and their family members. Hence the interventions devised towards reducing the delay should be individualised.
精神病患者常在发病后较晚才寻求治疗。这些患者治疗延迟背后有诸多因素，减少这种延迟将有助于改善这些患者的预后。
进行了一项横断面研究，以了解导致精神病患者治疗延迟的各种原因。通过目的抽样选取了25名受试者，并对其家庭成员进行了访谈。进行定性分析以确定各种因素。
治疗延迟的原因存在于疾病相关、患者相关、治疗相关、家庭相关等多个层面。然而，其中最常见的主题是对疾病的认识不足、疾病的解释模式、耻辱感、经济限制。本研究还揭示了其他主题，如症状与病前人格的关系、生活事件、缺乏父亲的支持。
精神病发作与寻求治疗之间存在显著延迟。有几个因素导致精神病患者治疗延迟。然而，它们因患者及其家庭成员的社会文化背景而异。因此，为减少延迟而设计的干预措施应个体化。
