TY - JOUR T1 - Treatment Delay and Pathways to Care in First Episode Psychosis TT - تأخیر در درمان و مسیر مراجعه بیماران دچار پسیکوز بار اول JF - ijpcp JO - ijpcp VL - 13 IS - 4 UR - http://ijpcp.iums.ac.ir/article-1-354-en.html Y1 - 2008 SP - 343 EP - 350 KW - referral pathways KW - first episode psychosis KW - untreated psychosis N2 - AbstractObjectives: The aim of this study was investigation the duration of untreated psychosis (DUP), associated factors and pathways to care among patients with first episode psychosis admitted to Roozbeh Hospital. Method: In this cross-sectional study, 91 patients with the diagnosis of first episode psychosis admitted to Roozbeh Hospital in Tehran, were assessed regarding the duration of untreated psychosis (DUP, defined as the duration between the appearance of first symptoms of psychosis and the time of the first adequate treatment or admission to the hospital), pathways to care and mode of illness onset. Data were analyzed using the Mann-Whitney test, Kruskall Wallis test, and Spearman’s Correlation Coefficient.Results: In 35.2% of the subjects, the illness had an acute mode of onset (less than two weeks). Regarding the type of disorders, bipolar disorder (29.7%) and schizophrenia (19.8) constituted the most prevalent diagnoses. Mean DUP was 52.03 weeks (with a standard deviation of 114.7 weeks). Most patients were seen by psychiatrists and the second most people referred to were traditional healers. Referrals to Roozbeh Hospital were mostly by family and friends.  In this study DUP was longer in patients living in urban areas (p M3 ER -