title: The association between duration of untreated psychosis in first psychotic episode patients and help seeking behaviors in Jogjakarta, Indonesia.
abstract: Help seeking is predictor of prognosis in the first episode of psychotic disorders. Caregivers play a key role in deciding from whom to seek help. In Indonesia, caregivers often seek help from alternative healers first and health professionals later, which is believed to result in delayed psychiatric treatment and risk for poor prognosis. This study measured the duration of untreated psychosis (DUP) in a sample of 100 persons being treated for a first episode of psychosis in Yogyakarta, Indonesia. We attempted to measure and determine associations among caregivers' explanatory models, help seeking behaviors and DUP in this sample. The data were then statistically analyzed. The DUP for this population was very short. Most caregivers were parents or spouses (72 and 12%, respectively) and at the time of being interviewed described medical explanatory models for the psychotic symptoms (60%). A majority described having visited traditional/alternative healers prior to their visit to health professionals (67%). Despite this, the DUP was not significantly different for these two groups. Thus, first resort to traditional/alternative healers did not predict prolonged DUP. Further study with a larger sample is needed to better understand the relationship between care seeking, use of alternative healers and DUP in Indonesia.
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Gadjah Mada University , Yogyakarta , Indonesia.
authors.forename: Carla R
authors.initials: CR
authors.lastname: Marchira
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Gadjah Mada University , Yogyakarta , Indonesia.
authors.forename: Irwan
authors.initials: I
authors.lastname: Supriyanto
authors.affiliation: Faculty of Psychology, Gadjah Mada University , Yogyakarta , Indonesia.
authors.lastname: Subandi
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Gadjah Mada University , Yogyakarta , Indonesia.
authors.lastname: Soewadi
authors.affiliation: Department of Global Health and Social Medicine, Harvard Medical School , Boston , USA.
authors.forename: Byron J
authors.initials: BJ
authors.lastname: Good
keywords: First-episode psychosis; caregivers; duration of untreated psychosis; explanatory models; help seeking behavior