دورية أكاديمية
Naturalistic follow-up study of rehospitalization rates and assigned disability status of patients with first-episode schizophrenia spectrum psychosis in South East Latvia: preliminary results.
| العنوان: | Naturalistic follow-up study of rehospitalization rates and assigned disability status of patients with first-episode schizophrenia spectrum psychosis in South East Latvia: preliminary results. |
|---|---|
| المؤلفون: | Sile L; Department of Doctoral Studies, Riga Stradins University, Riga, Latvia.; Department of Mental Health Care, Daugavpils Psychoneurological Hospital, Daugavpils, Latvia., Bezina K; Department of Mental Health Care, Daugavpils Psychoneurological Hospital, Daugavpils, Latvia., Kvartalovs D; Department of Mental Health Care, Daugavpils Psychoneurological Hospital, Daugavpils, Latvia., Erts R; Faculty of Medicine, University of Latvia, Riga, Latvia., Kikuste S; Department of Mental Health Care, Daugavpils Psychoneurological Hospital, Daugavpils, Latvia., Sapele I; Department of Mental Health Care, Daugavpils Psychoneurological Hospital, Daugavpils, Latvia., Rancans E; Department of Psychiatry and Narcology, Riga Stradins University, Riga, Latvia. |
| المصدر: | Nordic journal of psychiatry [Nord J Psychiatry] 2021 Feb; Vol. 75 (2), pp. 87-96. Date of Electronic Publication: 2020 Jul 30. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 100927567 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1502-4725 (Electronic) Linking ISSN: 08039488 NLM ISO Abbreviation: Nord J Psychiatry Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Oslo ; Boston : Scandinavian University Press, c1999- |
| مواضيع طبية MeSH: | Psychotic Disorders*/epidemiology , Psychotic Disorders*/therapy , Schizophrenia*/epidemiology , Schizophrenia*/therapy, Follow-Up Studies ; Hospitalization ; Humans ; Latvia/epidemiology |
| مستخلص: | Background: Patients with first-episode schizophrenia spectrum psychosis (FEP) are at risk of not visiting an out-patient psychiatrist and are assigned disability status within a short period after diagnosis. Objective: The aim of this study was to conduct a naturalistic follow-up of FEP patients to explore their use of mental healthcare services and the rate of assigned disability status after FEP. Methods: This was the first study in Latvia to include all consecutive patients with FEP admitted to the largest regional hospital in South East Latvia, Daugavpils Psychoneurological Hospital (DPNH). Patients received standard treatment in a real-world environment. The mean follow-up time was 33 months (Min = 20 months, Max = 40 months). Results: From the 94 consecutive FEP patients admitted to DPNH (1 January 2016 to 31 December 2017), 68 participated and provided informed consent to be followed up. During the first 12 months after discharge from the acute psychiatric ward, 23% ( n = 14) never visited a psychiatrist, and 6.5% ( n = 4) had a single visit to get prescription for medication. Furthermore, 36.1% ( n = 22) had a rehospitalization during the first 12 months. At the end of follow-up period, 34.4% ( n = 21) of patients were assigned disability status within a median time of 8 months (IQR 4.5‒20.0). Conclusion: Approximately, one-third of patients did not continue treatment as out-patients after FEP. One-third of FEP patients were assigned disability status. We suggest that Latvia needs improved treatment options for FEP patients, such as early intervention. |
| فهرسة مساهمة: | Keywords: Psychosis; disability; out-patient care; rehospitalization; schizophrenia |
| تواريخ الأحداث: | Date Created: 20200731 Date Completed: 20210203 Latest Revision: 20210203 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1080/08039488.2020.1799429 |
| PMID: | 32729764 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1502-4725 |
|---|---|
| DOI: | 10.1080/08039488.2020.1799429 |