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Duration of untreated psychosis and the long-term course of schizophrenia

Published online by Cambridge University Press:  16 April 2020

L. de Haan
Affiliation:
Adolescent Clinic, Academic Medical Center, University of Amsterdam,Amsterdam, The Netherlands
M. van der Gaag
Affiliation:
University of Leiden, Department of Psychiatry and Parnassia Research Center,The Hague, The Netherlands
J. Wolthaus*
Affiliation:
Adolescent Clinic, Academic Medical Center, University of Amsterdam,Amsterdam, The Netherlands
*
*Correspondence and reprints: L. de Haan, Academic Medical Center, University of Amsterdam, Department of Psychiatry, Postbox 22700, 1100 DE Amsterdam, The Netherlands
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Summary

This study examines the relationship between duration of untreated psychosis (DUP) and long-term symptomatic and social outcome in 205 patients with schizophrenia, whose parents are member of a consumer organisation. We found only a tendency that longer DUP was related to negative symptoms, but no relation to other outcome domains. The results of this study do not support antipsychotic intervention at the earliest sign of psychosis in order to ‘protect the brain’.

Type
Original article
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2000

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References

Bleuler, MThe schizophrenic disorders; the long term patient and family studies New HavenYale University Press 1978Google Scholar
Ciompi, LCatamnestic long-term study on the course of life and ageing of schizophrenics Schizophr Bull 6 1980 606–618CrossRefGoogle ScholarPubMed
Crow, T.J, MacMillan, J.F, Johnson, A.L, Johnstone, E.C IIA randomised controlled trial of prophylactic neuroleptic treatment Br J Psychiatry 148 1986 120–127CrossRefGoogle ScholarPubMed
Falloon, I, Kydd, R.R, Coverdale, J.H, Laidlaw, T.MEarly detection and intervention for initial episodes of schizophrenia Schizophr Bull 22 1996 271–282CrossRefGoogle ScholarPubMed
Lieberman, J.A, Alvir, J.M.J, Koreen, A, Geisler, S.H, Chakos, M, Sheitman, B et al. Psychobiological correlates of treatment response in schizophrenia Neuropsychopharmacology 14 Suppl 1996 13–21CrossRefGoogle Scholar
Kraemer, H.C, Kazdin, A.E, Offord, D.R, Kessler, R.C, Jensen, P.S, Kupfer, D.JComing to terms with the terms of risk Arch Gen Psychiatry 54 1997 337–343CrossRefGoogle ScholarPubMed
Lieberman, J.A, Sheitmann, B.B, Kinon, B.JNeurochemical sensitization in the pathophysiology of schizophrenia: Deficits and dysfunction in neuronal regulation and plasticity Neuropsychopharmacology 17 1997 205–227CrossRefGoogle ScholarPubMed
Loebel, A.D, Lieberman, J.A, Alvir, J.M.J, Mayerhoff, D.I, Geisler, S.H, Szymanski, S.RDuration of psychosis and outcome in first-episode schizophrenia A J Psychiatry 149 1992 1183–1188Google ScholarPubMed
Loebel, AD, Lieberman, JA, Alvir, JMJ, Geisler, SH, Koreen, A, Chakos, M. Time to treatment response in successive episodes of early onset schizophrenia. Presented at the international Congress on Schizophrenia Research in Hot Springs, Virginia; 8-12 April 1995.CrossRefGoogle Scholar
McGlashan, T.H, Johannessen, J.OEarly detection and intervention with schizophrenia: rationale Schizophr Bull 22 1996 201–222CrossRefGoogle ScholarPubMed
McGorry, P.D, Edwards, J, Mihalopoulos, C, Harrigan, S.M, Jackson, H.JEPPIC: an evolving system of early detection and optimal management Schizophr Bull 22 1996 305–326CrossRefGoogle ScholarPubMed
Schene, A.H, van Wijngaarden, BA survey of an organisation for families of patients with serious mental illness in the Netherlands Psychiatr Serv 46 1995 807–813Google ScholarPubMed
Waddington, J.L, Youssef, H.A, Kinsella, ASequential cross-sectional and 10-year prospective study of severe negative symptoms in relation to duration of initially untreated psychosis in chronic schizophrenia Psychol M 25 1995 849–857CrossRefGoogle ScholarPubMed
Wiersma, D, Nienhuis, F.J, Slooff, C.J, Giel, RNatural course of schizophrenic disorders: A 15-year follow-up of a Dutch incidence cohort Schizophr Bull 24 1998 75–85CrossRefGoogle ScholarPubMed
Wyatt, R.J, Henter, I.D, Bartko, J.JThe long-term effects of placebo in patients with chronic schizophrenia Biol Psychiatry 46 1999 1092–1105CrossRefGoogle ScholarPubMed
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