Duration of Untreated Psychosis in Chinese and Mauritian: Impact of Clinical Characteristics and Patients' and Families' Perspectives on Psychosis

被引:9
作者
Thakoor, Jaya Prishni Devi [1 ]
Dong, Huixi [2 ]
Zhang, Xiaojie [2 ,3 ]
Wang, Gang [2 ]
Huang, Hui [2 ]
Xiang, Yutao [4 ]
Hao, Wei [2 ]
机构
[1] Sir Seewoosagur Ramgoolam Natl Hosp, Pamplemousses, Mauritius
[2] Cent S Univ, Mental Hlth Inst, Xiangya Hosp 2, Changsha, Hunan, Peoples R China
[3] Univ British Columbia, Brain Res Ctr, Vancouver, BC V5Z 1M9, Canada
[4] Univ Macau, Fac Hlth Sci, Unit Psychiat, Taipa, Macao Sar, Peoples R China
来源
PLOS ONE | 2016年 / 11卷 / 06期
关键词
MENTAL-HEALTH; HELP-SEEKING; 1ST-EPISODE SCHIZOPHRENIA; INTERNALIZED STIGMA; BIPOLAR DISORDER; ILLNESS; PATHWAYS; CARE; METAANALYSIS; SERVICES;
D O I
10.1371/journal.pone.0157083
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background Duration of untreated psychosis (DUP) is a potentially modifiable prognostic factor of course and prognosis of psychiatric disorders. Few studies have demonstrated that different cultural backgrounds or perspectives on psychosis may be important factors to the DUP. This study attempted to explore whether the DUP was different in Chinese and Mauritians and to clarify potential influencing factors to a long DUP (>3 months). Methods 200 patients from China and 100 patients from Mauritius were enrolled in the study. Their respective family members were also recruited. Demographic and clinical characteristics were collected, and the Internalized Stigma of Mental Illness (ISMI) scale was adapted to measure the stigma in all subjects. Binary logistic regression analysis was used to find the potential influencing factors to the long DUP. Results 35.3% of the enrolled patients had a long DUP. No significant difference was found in frequency of long DUP between the two countries. Chinese patients had relatively less perceptions of stigma. Furthermore, Chinese patients with a long DUP had more perception of breakup due to mental illness (OR = 2.22, p = 0.04) and more families' perception of the patient being disinherited due to mental illness (OR = 6.47, p = 0.01). Mauritian patients with a long DUP were less likely to have high monthly income (OR = 0.12, p<0.01), while they had less patients' awareness of mental illness (OR = 0.31, p<0.05) and less families' awareness of mental illness (OR = 0.14, p<0.01). Conclusion The results of this study underlined the importance of DUP in economic conditions, racial and sociocultural factors, and public awareness on psychosis in developing countries.
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页数:12
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