Increased use of primary care during 6 years of prodromal schizophrenia.
Acta Psychiatr Scand
; 134(3): 225-33, 2016 09.
Article
em En
| MEDLINE
| ID: mdl-27295520
ABSTRACT
BACKGROUND:
Early diagnosis is important for the course of schizophrenia.AIM:
To investigate whether prodromal symptoms of schizophrenia lead to increased use of primary care.METHOD:
A register-based cohort study of 21 894 cases with incident schizophrenia and 437 880 matched controls.RESULTS:
Cases used daytime primary care 43% more than controls during the 6 years before diagnosis (IRR = 1.43; 95% CI 1.39; 1.48) and 132% more during the last 2 months (IRR = 2.32; 95% CI 2.27; 2.37), and 34% (IRR = 1.34; 95% CI 1.23; 1.48) vs. 374% more for out-of-hours services (IRR = 3.74; 95% CI 3.52; 3.98). Six years before index diagnosis, 30% of cases had at least one psychiatric contact without being diagnosed with schizophrenia, increasing to 75% 1 month before diagnosis.CONCLUSION:
Increased help-seeking behaviour was seen at least 6 years before index diagnosis, suggesting a 'window' for earlier diagnosis of prodromal schizophrenia.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Esquizofrenia
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article