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Association of duration of untreated psychosis and functional level, in first episode of schizophrenia attendingan outpatient clinic in Sri Lanka

Authors:

Miyuru Chandradasa ,

Faculty of Medicine, University of Kelaniya, LK
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Layani Champika,

National Institute of Mental Health, LK
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Kavinda Gunathillaka,

National Institute of Mental Health, LK
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Jayan Mendis

National Institute of Mental Health, LK
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Abstract

Schizophrenia is a progressive disorder that affects thoughts, emotions, perceptions and psychosocial behaviour.The duration of untreated psychosis (DUP) is the time period from development of initial psychotic symptom in the patient to the beginning of adequate treatment. Studies in the west have indicated that longer DUP is associated with poorer prognosis and functional levelin schizophrenia. This study aimed to quantify the DUP retrospectively in a group of patients in their first episode of schizophrenia attending the outpatient psychiatry clinic ofNational Hospital of Sri Lanka. Their functional level was assessed using the modified general assessment of functioning scale (mGAF) prospectively over three months. The mean DUP was 35.5 months and a longer DUP was significantly associated with lower mGAF scores. This DUP is higher compared to western and Indian data, and indicates the need for early recognition and management. 

How to Cite: Chandradasa, M. et al., (2016). Association of duration of untreated psychosis and functional level, in first episode of schizophrenia attendingan outpatient clinic in Sri Lanka. Journal of the Postgraduate Institute of Medicine. 3, pp.E33: 1–E33: 6. DOI: http://doi.org/10.4038/jpgim.8112
Published on 27 Dec 2016.
Peer Reviewed

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