ผู้วิจัย/Authors: Natalia Widiasih Raharjanti, Suryo Dharmono, Irmansyah.

ชื่อเรื่อง/Title: Duration of Untreated Psychotic and Pathway to Care in Jakarta and Bogor, Indonesia.

แหล่งที่มา/Source: ASEAN Journal of Psychiatry. Vol. 9, Supplement 1, 26-29 August 2008, page 70.

รายละเอียด / Details:

Objective: Duration of untreated psychotic (DUP) and its related factors have not been study yet in Indonesia. With shorter DUP, early detection and therapy might improve long-term outcome in patients with first episode psychosis. The purpose of this study is to find out DUP, including related factors and pathway to care in patients with first-episode psychosis. Methods: This was a descriptive cross sectional study with 50 respondents, using consecutive sampling method. Instruments used in this study were SCID-IV, PANSS, SUMD, IRAOS, Health Seeking Action Pathway Instrument, PAS, PSST, GAF, Stigma Scale and DAS. Statistical analysis was performed using SPSS version 11.50. Results: Average DUP were 32.53 weeks (SD 47,265) with median 14 weeks. Bivariate & multivariate analysis found significant association between DUP and onset (p=0.009), negative symptoms (p=0.005), premorbid function (p=0.016), and postmorbid function (p=0.10). First in tervention was traditional treatment (38%) and counseling with religious figures (30%), and only 10% went directly to mental health service. The main reason was strange behavior (70%), social environment disturbance (32%) and aggressive behavior (26%). Negative feeling (62%) and stigma (46%) were the reason of avoiding mental health service. Conclusion: DUP of first episode psychosis are 14 weeks (median). There were significant association between DUP and onset of the disease, type of sympotoms, premorbid and postmorbid function. There were lack of understanding about mental illness, while traditional approach and counseling to religious figures played prominent role in the intervention of first episode psychosis. There are negative perception in mental health service in the society.

Keywords: duration, untreated psychotic, pathway to care, Jakarta

ปีที่เผยแพร่/Year: 2008

Address: Department of Psychiatry, Faculty of Medicine, University of Indonesia, Indonesia

Code: 2010000351

ISSN/ISBN: 0218-3420

Country of publication: Thailand

Language: English

Category: Abstract

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