Evidence map›Paper›PMID 23746486›Full record

ArticleSchizophrenia research2013

Demographic, socio-environmental, and substance-related predictors of duration of untreated psychosis (DUP).

Beth Broussard, Mary E Kelley, Claire Ramsay Wan, Sarah L Cristofaro, Anthony Crisafio, Patrick J Haggard, Neely L Myers, Thomas Reed, Michael T Compton

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Schizophrenia research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 73 citations in OpenAlex.

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  15. Substance use and duration of untreated psychosis in KwaZulu-Natal, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Beth BroussardThe George Washington University School of Medicine and Health Sciences, Department of Psychiatry and Behavioral Sciences, Washington, DC, USA.
Mary E Kelley
Claire Ramsay Wan
Sarah L Cristofaro
Anthony Crisafio
Patrick J Haggard
Neely L Myers
Thomas Reed
Michael T Compton
George Washington University · USEmory University · US

Funding

First-Episode Psychosis and Pre-Onset Cannabis UseR01MH081011 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI MYERS, NEELY A · 2008 to 2012
$1.7M
NIMH NIH HHS R01 MH081011NIMH NIH HHS R01MH081011
6 · The paper itself

Abstract

objectiveLonger duration of untreated psychosis (DUP) is associated with poorer early-course and long-term outcomes, and is a target of early detection and intervention efforts. Given the paucity of research on childhood and adolescent stressors (e.g., maltreatment and neighborhood disorder) as potential predictors of DUP, limited research on premorbid substance use as a determinant of DUP, and inconclusive findings on the association between DUP and neurocognition, we conducted three sets of analyses to address these issues. Mode of onset of psychosis was also considered, given its established role as an illness-level correlate of DUP.

methodsWe rigorously assessed DUP and other pertinent variables in 180 predominantly African American, low-income, and socially disadvantaged first-episode psychosis patients hospitalized in five psychiatric units.

resultsMode of onset of psychosis, prior incarceration, and the level of childhood/adolescent maltreatment were all significant independent predictors of DUP. Regarding premorbid substance use, having ever used cannabis and the amount of premorbid alcohol use were significantly associated with DUP. None of the seven neurocognitive domains assessed were even modestly, or clinically meaningfully, associated with DUP.

conclusionsThese and other findings on DUP may be informative for early detection and intervention services. For example, such services might benefit from special outreach to criminal justice settings and disadvantaged neighborhoods, and to young people likely to have a history of childhood/adolescent maltreatment and gradually developing psychotic symptoms.

Indexed as

DemographyPsychotic DisordersAdolescentAdultAge of OnsetBlack or African AmericanChildChild AbuseEarly DiagnosisFemaleHumansMalePovertyPredictive Value of TestsPsychiatric Status Rating ScalesStatistics as TopicChildhood maltreatmentDuration of untreated psychosisFirst-episode psychosisPsychosisSchizophreniaTreatment delay

Identifiers

PMID23746486
PMCPMC3732564
OpenAlexW2157395033

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.