Examining evidence for neighbourhood variation in the duration of untreated psychosis.

Hdl Handle:
http://hdl.handle.net/10147/128752
Title:
Examining evidence for neighbourhood variation in the duration of untreated psychosis.
Authors:
Kirkbride, J B; Lunn, D J; Morgan, C; Lappin, J M; Dazzan, P; Morgan, K; Fearon, P; Murray, R M; Jones, P B
Affiliation:
Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge CB2 0QQ, UK. jbk25@cam.ac.uk;St. Patrick's University Hospital Dublin
Citation:
Examining evidence for neighbourhood variation in the duration of untreated psychosis. 2010, 16 (2):219-25 Health Place
Journal:
Health & place
Issue Date:
Mar-2010
URI:
http://hdl.handle.net/10147/128752
DOI:
10.1016/j.healthplace.2009.09.013
PubMed ID:
19875323
Abstract:
Family involvement in help-seeking is associated with a shorter duration of untreated psychoses [DUP], but it is unknown whether neighbourhood-level factors are also important.; DUP was estimated for all cases of first-episode psychoses identified over 2 years in 33 Southeast London neighbourhoods (n = 329). DUP was positively skewed and transformed to the natural logarithm scale. We fitted various hierarchical models, adopting different assumptions with regard to spatial variability of DUP, to assess whether there was evidence of neighbourhood heterogeneity in DUP, having accounted for a priori individual-level confounders.; Neighbourhood-level variation in DUP was negligible compared to overall variability. A non-hierarchical model with age, sex and ethnicity covariates, but without area-level random effects, provided the best fit to the data.; Neighbourhood factors do not appear to be associated with DUP, suggesting its predictors lie at individual and family levels. Our results inform mental healthcare planning, suggesting that in one urbanised area of Southeast London, where you live does not affect duration of untreated psychosis.
Item Type:
Article
Language:
en
MeSH:
Female; Humans; London; Male; Mental Health Services; Psychotic Disorders; Residence Characteristics; Socioeconomic Factors
ISSN:
1873-2054
Sponsors:
Elsevier

Full metadata record

DC FieldValue Language
dc.contributor.authorKirkbride, J Ben
dc.contributor.authorLunn, D Jen
dc.contributor.authorMorgan, Cen
dc.contributor.authorLappin, J Men
dc.contributor.authorDazzan, Pen
dc.contributor.authorMorgan, Ken
dc.contributor.authorFearon, Pen
dc.contributor.authorMurray, R Men
dc.contributor.authorJones, P Ben
dc.date.accessioned2011-04-27T10:57:15Z-
dc.date.available2011-04-27T10:57:15Z-
dc.date.issued2010-03-
dc.identifier.citationExamining evidence for neighbourhood variation in the duration of untreated psychosis. 2010, 16 (2):219-25 Health Placeen
dc.identifier.issn1873-2054-
dc.identifier.pmid19875323-
dc.identifier.doi10.1016/j.healthplace.2009.09.013-
dc.identifier.urihttp://hdl.handle.net/10147/128752-
dc.description.abstractFamily involvement in help-seeking is associated with a shorter duration of untreated psychoses [DUP], but it is unknown whether neighbourhood-level factors are also important.-
dc.description.abstractDUP was estimated for all cases of first-episode psychoses identified over 2 years in 33 Southeast London neighbourhoods (n = 329). DUP was positively skewed and transformed to the natural logarithm scale. We fitted various hierarchical models, adopting different assumptions with regard to spatial variability of DUP, to assess whether there was evidence of neighbourhood heterogeneity in DUP, having accounted for a priori individual-level confounders.-
dc.description.abstractNeighbourhood-level variation in DUP was negligible compared to overall variability. A non-hierarchical model with age, sex and ethnicity covariates, but without area-level random effects, provided the best fit to the data.-
dc.description.abstractNeighbourhood factors do not appear to be associated with DUP, suggesting its predictors lie at individual and family levels. Our results inform mental healthcare planning, suggesting that in one urbanised area of Southeast London, where you live does not affect duration of untreated psychosis.-
dc.description.sponsorshipElsevieren
dc.language.isoenen
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshLondon-
dc.subject.meshMale-
dc.subject.meshMental Health Services-
dc.subject.meshPsychotic Disorders-
dc.subject.meshResidence Characteristics-
dc.subject.meshSocioeconomic Factors-
dc.titleExamining evidence for neighbourhood variation in the duration of untreated psychosis.en
dc.typeArticleen
dc.contributor.departmentDepartment of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge CB2 0QQ, UK. jbk25@cam.ac.uk;St. Patrick's University Hospital Dublinen
dc.identifier.journalHealth & placeen
dc.description.provinceLeinster-

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