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Prediction of duration of psychosis before first admission

Published online by Cambridge University Press:  16 April 2020

H Verdoux ,
C Bergey ,
F Assens ,
F Abalan ,
B Gonzales ,
P Pauillac ,
O Fournet ,
F Liraud ,
JP Beaussier  and
C Gaussares
...Show all authors
H Verdoux
Affiliation:
Department of Psychiatry, University Victor Segalen Bordeaux Hôpital Charles Perrens, Bordeaux, France
C Bergey
Affiliation:
Hôpital Charles Perrens, Bordeaux, France
F Assens
Affiliation:
Hôpital Charles Perrens, Bordeaux, France
F Abalan
Affiliation:
Hôpital Charles Perrens, Bordeaux, France
B Gonzales
Affiliation:
Hôpital Charles Perrens, Bordeaux, France
P Pauillac
Affiliation:
Department of Psychiatry, University Victor Segalen Bordeaux Hôpital Charles Perrens, Bordeaux, France
O Fournet
Affiliation:
Department of Psychiatry, University Victor Segalen Bordeaux Hôpital Charles Perrens, Bordeaux, France
F Liraud
Affiliation:
Hôpital Charles Perrens, Bordeaux, France
JP Beaussier
Affiliation:
Hôpital Charles Perrens, Bordeaux, France
C Gaussares
Affiliation:
Hôpital Charles Perrens, Bordeaux, France
B Etchegaray
Affiliation:
Hôpital Charles Perrens, Bordeaux, France
M Bourgeois
Affiliation:
Department of Psychiatry, University Victor Segalen Bordeaux Hôpital Charles Perrens, Bordeaux, France
J van Os
Affiliation:
University of Maastricht, The Netherlands
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Summary

Objective:

To assess the factors predicting the delay between onset of psychotic symptoms and first admission in a populationbased sample.

Method:

The duration of psychosis before admission was ascertained in a standardised way for 59 consecutively first-admitted patients presenting with psychotic symptoms.

Results:

The median of the duration of psychosis before admission was 3 months (interquartile range 0.5-14). A delay ≥ 3 months was independently predicted by family history of psychiatric hospitalisation (odds ratio [OR] = 12.1, 95% confidence interval [CI] 1.15-97.0, P = 0.02). low educational level (OR = 7.7, 95% CI 1.0-50.0, P = 0.05), poor global adjustment in the preceding year (OR = 0.93, 95% CI 0.860.99, P = 0.04). and by greater global severity of illness at admission (OR = 4.0, 95% CI 0.87-18.3, P = 0.07).

Conclusion:

As these factors are also known to predict poor outcome, our results suggest that the association between duration of untreated psychosis and poor prognosis may be mediated, at least in part, by such demographic and clinical variables.

Keywords

first admissionpsychosis durationpredictive factorsoutcome
Type
Original article
Information
European Psychiatry , Volume 13 , Issue 7 , November 1998 , pp. 346 - 352
Copyright
Copyright © Elsevier, Paris 1998

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