Effect of delaying treatment of first-episode psychosis on symptoms and social outcomes: a longitudinal analysis and modelling study
Lancet Psychiatry
Fecha de publicación: July 2020
DOI: https://doi.org/10.1016/S2215-0366(20)30147-4
Autores: Richard J Drake, PhD , Prof Nusrat Husain, MD, Prof Max Marshall, MD, Prof Shôn W Lewis, FMedSci, Barbara Tomenson, MSc, Prof Imran B Chaudhry, MD, et al.
Background: Delayed treatment for first episodes of psychosis predicts worse outcomes. We hypothesised that delaying treatment makes all symptoms more refractory, with harm worsening first quickly, then more slowly. We also hypothesised that although delay impairs treatment response, worse symptoms hasten treatment, which at presentation mitigates the detrimental effect of treatment delay on symptoms.