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Longer Duration of Untreated Psychosis is Associated with Poorer Outcomes for Patients with Delusional Infestation
- Source :
- Acta Dermato-Venereologica, Vol 98, Iss 9, Pp 848-854 (2018)
- Publication Year :
- 2018
- Publisher :
- Medical Journals Sweden, 2018.
-
Abstract
- We examined the association between the duration of untreated psychosis and outcome for patients with delusional infestation. This multi-centre international study included 211 consecutive patients. Illness severity was evaluated at first presentation and outcome was measured with the Clinical Global Impression scale (CGI) at baseline and follow-up. A regression analysis showed a clear clinical and statistically significant association between shorter duration of untreated psychosis and better outcome at follow-up. Patients with a duration of untreated psychosis of less than one year showed a CGI-S change from 5.37 to 2.07; those with a duration of untreated psychosis of 1–5 years a change from 5.48 to 2.59, and those with a duration of untreated psychosis of >5 years a change from 5.59 to 3.37. This difference of 1.1 CGI points between the groups resembles a clinically relevant difference in patient outcome. Our results suggest that longer duration of untreated psychosis in patients with delusional infestation is associated with significantly less favour­able clinical outcomes.
Details
- Language :
- English
- ISSN :
- 00015555 and 16512057
- Volume :
- 98
- Issue :
- 9
- Database :
- Directory of Open Access Journals
- Journal :
- Acta Dermato-Venereologica
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.54401a2c6dc542c7bf38daff9f9635f7
- Document Type :
- article
- Full Text :
- https://doi.org/10.2340/00015555-2888