Duration of Untreated Psychosis (DUP) and Pathways to Care in Nordland

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01196858
Recruitment Status : Completed
First Posted : September 9, 2010
Last Update Posted : January 7, 2014
The Royal Norwegian Ministry of Health
Information provided by (Responsible Party):
University Hospital of North Norway

Brief Summary:
During the 1990s, evidence began to emerge of the long duration of untreated illness prior to receiving treatment for patients with psychotic disorders. Studies across the world on first episode psychosis have consistently found an average of 1 - 2 years between the onset of psychotic symptoms and the start of treatment. Lengthy treatment delay has immediate implications such as unnecessary distress for patients and families, and may also compromise potential recovery when treatment is initiated.By understanding how and why substantial delays occur the investigators may be able to better design interventions to facilitate better earlier treatment. The components of DUP can be conceptualised as comprising 3 distinct intervals: help-seeking delay, referral delay and delay in mental health services. In this study the primary aim is to establish the level of DUP in nordland, and explore the components of this variable. Help-seeking delay will be investigated by interviewing patients presenting at the central mental health hospital in Nordland about their psychosis onset and pathways to care. Referral delay will be investigated by a questionnaire about the referral pratices among GPs in Nordland. Delays in mental health services will be investigated by focus group interviews with leaders and professionals at the 7 community mental health centers in Nordland. This knowledge is believed to be crucial for developing services that can reduce DUP and give this patient population earlier access to adequate treatment.

Condition or disease
Schizophrenia and Disorders With Psychotic Features Affective Psychosis, Bipolar Psychoses

Study Type : Observational
Actual Enrollment : 62 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Duration of Untreated Psychosis (DUP) and Pathways to Care in Patients With First- and Multiple Episodes of Psychosis in Nordland - a Study of the Components of DUP in a Rural Mental Health System
Study Start Date : September 2010
Actual Primary Completion Date : September 2013
Actual Study Completion Date : September 2013

Resource links provided by the National Library of Medicine

Primary Outcome Measures :
  1. Duration of untreated psychosis [ Time Frame: retrospective, lifetime ]
    Nottingham Onset Schedule

Information from the National Library of Medicine

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Ages Eligible for Study:   16 Years to 35 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

This study is a naturalistic cohort study. All patients registrered in a 3 year period with the acute and/or rehabilitation units will be invited to participate.

The eight units (acute and rehabilitation) will be able to provide a potential sample size of 150 participants over the 3-year period of the study. We are confident of minimal attrition and assume that we will achieve at least 85% follow up. This means that we can expect to have collected data on approximately 120 people.


Inclusion Criteria:

  • Any patient presenting with a possible psychotic illness (including schizophrenia, affective psychosis and drug-related psychosis, but excluding organic psychosis).
  • Understands and speaks norwegian

Exclusion Criteria:

  • Severe learning disability

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01196858

Nordland Hospital Trust
Bodoe, Norway, 8009
Sponsors and Collaborators
University Hospital of North Norway
The Royal Norwegian Ministry of Health
Principal Investigator: Knut W. Soergaard, PhD Nordlandssykehuset HF

Responsible Party: University Hospital of North Norway Identifier: NCT01196858     History of Changes
Other Study ID Numbers: 2009/1426(REK)
First Posted: September 9, 2010    Key Record Dates
Last Update Posted: January 7, 2014
Last Verified: January 2014

Additional relevant MeSH terms:
Psychotic Disorders
Mental Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Affective Disorders, Psychotic
Bipolar Disorder
Bipolar and Related Disorders