Duration of untreated symptoms in common mental disorders: association with outcomes: International study.
Studies have assessed the association between a longer duration of untreated symptoms and outcome for psychoses in specialist care. We investigated the effect of longer duration on the outcome of common psychiatric disorders in primary care, where most patients are treated. Patients presenting to primary care for new episodes in 10 countries were recruited into a prospective cohort study. Information on duration of untreated symptoms and psychosocial status was collected for 351 individuals using standardised instruments and this was repeated 1 year later. At 1-year follow-up, longer duration was associated with worse psychiatric outcome even after controlling for potential confounders.
Kisely
Stephen
S
Department of Psychiatry, Dalhousie University, Centre for Clinical Research, 5790 University Avenue, Halifax, NS B3H 1V7, Canada. Stephen.Kisely@cdha.nshealth.ca
Scott
Anita
A
Denney
Jennifer
J
Simon
Gregory
G
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D011320:Primary Health Care; D011379:Prognosis; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D013997:Time Factors; D016896:Treatment Outcome