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Increased use of primary care during 6 years of prodromal schizophrenia

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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  • Hans Christian Brix Nørgaard
  • H Søndergaard Pedersen
  • M Fenger-Grøn
  • Ole Mors
  • M Nordentoft
  • M Vestergaard
  • Thomas Munk Laursen
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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.

OriginalsprogEngelsk
TidsskriftActa Psychiatrica Scandinavica
Vol/bind134
Udgave nummer3
Sider (fra-til)225-33
Antal sider9
ISSN0001-690X
DOI
StatusUdgivet - sep. 2016

ID: 49838384