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The Influence of Mental Health Literacy, Migration, and Education on the Duration of Untreated Psychosis

Background: Duration of untreated psychosis (DUP) is associated with outcome in psychotic disorders and influenced by contextual factors such as immigration. Here we aimed to investigate the effect of mental health literacy (MHL) on duration of untreated psychosis considering the influence of migrat...

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Autores principales: Takizawa, Naomi, Melle, Ingrid, Barrett, Elizabeth Ann, Nerhus, Mari, Ottesen, Akiah A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8342803/
https://www.ncbi.nlm.nih.gov/pubmed/34368068
http://dx.doi.org/10.3389/fpubh.2021.705397
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author Takizawa, Naomi
Melle, Ingrid
Barrett, Elizabeth Ann
Nerhus, Mari
Ottesen, Akiah A.
author_facet Takizawa, Naomi
Melle, Ingrid
Barrett, Elizabeth Ann
Nerhus, Mari
Ottesen, Akiah A.
author_sort Takizawa, Naomi
collection PubMed
description Background: Duration of untreated psychosis (DUP) is associated with outcome in psychotic disorders and influenced by contextual factors such as immigration. Here we aimed to investigate the effect of mental health literacy (MHL) on duration of untreated psychosis considering the influence of migration and education. Methods: A total of 269 participants who received their first adequate medical treatment for a psychotic disorder within the current or past year were included to the Thematically Organized Psychosis study in Oslo, Norway. Sociodemographic and clinical information was collected through systematic interviews. MHL was measured as “recognition of psychotic symptoms” and assessed by “The Attitudes and Beliefs about Mental Health Problems” schizophrenia version. Influence of education, migration and MHL on DUP was analyzed with hierarchical block-wise multiple regression analysis. Results: Recognition of psychotic symptoms explained a small but unique variance (2.3%) in DUP after the effects of other important predictors were controlled for. Longer DUP was also associated with less education, lower premorbid social, and academic functioning, a diagnosis within schizophrenia spectrum disorder, and earlier age of onset. The model explained 26% of variance in DUP. Migration after the age of six and length of education were associated with MHL but did not have a significant interaction with MHL in predicting DUP. Conclusions: MHL, measured as recognition of psychotic symptoms, has a small but significant independent effect on DUP. The effect of MHL was larger than years of education and migration history, and did not interact with either, in predicting DUP. This suggests that MHL is an independent factor in prevention strategies for early psychosis.
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spelling pubmed-83428032021-08-07 The Influence of Mental Health Literacy, Migration, and Education on the Duration of Untreated Psychosis Takizawa, Naomi Melle, Ingrid Barrett, Elizabeth Ann Nerhus, Mari Ottesen, Akiah A. Front Public Health Public Health Background: Duration of untreated psychosis (DUP) is associated with outcome in psychotic disorders and influenced by contextual factors such as immigration. Here we aimed to investigate the effect of mental health literacy (MHL) on duration of untreated psychosis considering the influence of migration and education. Methods: A total of 269 participants who received their first adequate medical treatment for a psychotic disorder within the current or past year were included to the Thematically Organized Psychosis study in Oslo, Norway. Sociodemographic and clinical information was collected through systematic interviews. MHL was measured as “recognition of psychotic symptoms” and assessed by “The Attitudes and Beliefs about Mental Health Problems” schizophrenia version. Influence of education, migration and MHL on DUP was analyzed with hierarchical block-wise multiple regression analysis. Results: Recognition of psychotic symptoms explained a small but unique variance (2.3%) in DUP after the effects of other important predictors were controlled for. Longer DUP was also associated with less education, lower premorbid social, and academic functioning, a diagnosis within schizophrenia spectrum disorder, and earlier age of onset. The model explained 26% of variance in DUP. Migration after the age of six and length of education were associated with MHL but did not have a significant interaction with MHL in predicting DUP. Conclusions: MHL, measured as recognition of psychotic symptoms, has a small but significant independent effect on DUP. The effect of MHL was larger than years of education and migration history, and did not interact with either, in predicting DUP. This suggests that MHL is an independent factor in prevention strategies for early psychosis. Frontiers Media S.A. 2021-07-23 /pmc/articles/PMC8342803/ /pubmed/34368068 http://dx.doi.org/10.3389/fpubh.2021.705397 Text en Copyright © 2021 Takizawa, Melle, Barrett, Nerhus and Ottesen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Takizawa, Naomi
Melle, Ingrid
Barrett, Elizabeth Ann
Nerhus, Mari
Ottesen, Akiah A.
The Influence of Mental Health Literacy, Migration, and Education on the Duration of Untreated Psychosis
title The Influence of Mental Health Literacy, Migration, and Education on the Duration of Untreated Psychosis
title_full The Influence of Mental Health Literacy, Migration, and Education on the Duration of Untreated Psychosis
title_fullStr The Influence of Mental Health Literacy, Migration, and Education on the Duration of Untreated Psychosis
title_full_unstemmed The Influence of Mental Health Literacy, Migration, and Education on the Duration of Untreated Psychosis
title_short The Influence of Mental Health Literacy, Migration, and Education on the Duration of Untreated Psychosis
title_sort influence of mental health literacy, migration, and education on the duration of untreated psychosis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8342803/
https://www.ncbi.nlm.nih.gov/pubmed/34368068
http://dx.doi.org/10.3389/fpubh.2021.705397
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