Yale Bulletin and Calendar

March 5, 2004|Volume 32, Number 21|Two-Week Issue

Study: Time can be factor in
treatment of schizophrenia

Detecting and treating schizophrenia rapidly, following the onset of a first psychotic episode, improves the patients' response to treatment, according to a study by a Yale researcher.

Dr. Thomas McGlashan, professor of psychiatry at the School of Medicine, says the length of time between the onset of psychosis and detection and treatment can stretch from several weeks to several years. This time span is a concern, he notes, because the patient is sick and untreated and because there is some indication that the untreated psychotic state itself may increase the risk of a poor outcome.

"It looks like the longer the period of time before treatment, the worse off the patients are not only when they come into treatment, but how they respond to treatment," McGlashan says.

In a study published this month in the Archives of General Psychiatry, McGlashan looked at 281 patients in four Scandinavian health sectors with equivalent treatment programs. Two of the four sectors had early detection programs, and two did not. Those that did have such programs educated residents, school counselors and health care workers about psychotic symptoms such as increasing isolation, responding to voices no one else hears, delusional thinking, irritability, difficulty sleeping and overall marked reduction in the ability to cope with life's daily stresses.

Participants were followed up after three months, one year and two years. This study compares the patients' clinical state at admission and at the three-month follow up. The researchers found that the duration of untreated patient psychosis in the two health sectors with early detection programs was significantly shorter -- one month as compared to four months.

"All factors being equal, early detection efforts will bring people into treatment at lower symptom levels," McGlashan says. "Patients who began treatment earlier tended to be younger, less symptomatic, and more responsive to treatment."

He said there will be a follow up after one, two, five and ten years to see if the early detection and intervention has a lasting effect.

Co-authors included Dr. Ingrid Melle, Dr. Svein Friis, Dr. Stein Opjordsmoen, Dr. Bjorn Roshovd Rund, Dr. Per Vaglum, Dr. Tor Larsen, Dr. Jan Olav Johannessen, Dr. Ulrik Haahr and Dr. Erik Simonsen.

-- By Jacqueline Weaver

T H I SW E E K ' SS T O R I E S

Project capturing residents' memories of life in Elm City

Initiatives whet city students' interest in science, drama

Update on Budget Planning and Business Service Enhancements

Miller reappointed as Saybrook College master

Ambassador Liu applauds Yale's programs in China

Center promotes educational cooperation between Yale and Fudan

Study: Time can be factor in treatment of schizophrenia

Yale affiliates abroad can get aid . . .

Levin announces appointments of department chairs

Zedillo honored

Campus Notes