Digital Trajectories to Care in First-Episode Psychosis

被引：25

作者：

Birnbaum, Michael L. ^{[1
,2
]}

Rizvi, Asra F. ^{[1
,2
]}

Faber, Keren ^{[1
]}

Addington, Jean ^{[4
]}

Correll, Christoph U. ^{[1
,3
]}

Gerber, Carla ^{[5
]}

Lahti, Adrienne C. ^{[6
]}

Loewy, Rachel L. ^{[7
]}

Mathalon, Daniel H. ^{[7
,8
]}

Nelson, Leigh Anne ^{[9
]}

Voineskos, Aristotle N. ^{[10
,11
]}

Walker, Elaine F. ^{[12
]}

Ward, Elise ^{[13
]}

Kane, John M. ^{[1
,2
]}

机构：

[1] Northwell Hlth, Zucker Hillside Hosp, Dept Psychiat, Glen Oaks, NY 11004 USA

[2] Feinstein Inst Med Res, Manhasset, NY USA

[3] Charite, Dept Child & Adolescent Psychiat, Berlin, Germany

[4] Univ Calgary, Hotchkiss Brain Inst, Calgary, AB, Canada

[5] Peacehlth Med Grp, Dept Behav Hlth, Eugene, OR USA

[6] Univ Alabama Birmingham, Dept Psychiat, Birmingham, AL USA

[7] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA USA

[8] Dept Vet Affairs San Francisco Healthcare Syst, San Francisco, CA USA

[9] Univ Missouri, Sch Pharm, Kansas City, MO 64110 USA

[10] Univ Toronto, Dept Psychiat, Toronto, ON, Canada

[11] Ctr Addict & Mental Hlth, Toronto, ON, Canada

[12] Emory Univ, Dept Psychol, Atlanta, GA 30322 USA

[13] Henderson Behav Hlth, Lauderdale Lakes, FL USA

来源：

PSYCHIATRIC SERVICES | 2018年 / 69卷 / 12期

关键词：

SERVICE;

D O I：

10.1176/appi.ps.201800180

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: The emphasis on reducing the duration of untreated psychosis (DUP) has highlighted complex barriers to accessing appropriate services. Internet and social media use by individuals with first-episode psychosis (FEP) was examined to explore how these platforms might be used to facilitate treatment initiation. Methods: Participants ages 15-35 were interviewed with the Pathways to Care for Psychosis Questionnaire, an 81-item instrument designed to explore online activity during symptom emergence. Results: Of 112 participants, 90% used the Internet and social media daily. The Internet was listed as the most used resource (62%) for information while symptoms were emerging. A minority (19%) shared concerns via social media, and 76% responded favorably to the possibility of receiving online mental health support. Conclusions: The Internet and social media were part of daily life for participants with FEP. Activity continued throughout the DUP, offering the prospect of earlier intervention. Participants expressed positive attitudes toward Internet-based outreach and engagement efforts.

引用

页码：1259 / 1263

页数：5

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