{"corpus_id":42648160,"paper_sha":"6488c76831593c18f0c3792d1028ad6187ac8f77","doi":"10.2340/00015555-2888","arxiv_id":null,"pmid":29362814,"pmcid":null,"mag_id":2790359152,"dblp_id":null,"acl_id":null,"title":"Longer Duration of Untreated Psychosis is Associated with Poorer Outcomes for Patients with Delusional Infestation.","year":2018,"publication_date":"2018-10-10","venue":"Acta Dermato-Venereologica","journal":{"name":"Acta dermato-venereologica","pages":"\n          848-854\n        ","volume":"98 9"},"journal_issn":null,"journal_title":null,"publication_types":["Study","JournalArticle"],"pubmed_pub_types":["Journal Article","Multicenter Study"],"s2_fields_of_study":["Medicine","Psychology"],"reference_count":60,"citation_count":14,"influential_citation_count":0,"is_open_access":true,"arxiv_categories":null,"arxiv_license":null,"arxiv_journal_ref":null,"mesh_headings":[{"d":"Adult","mj":false,"ui":"D000328"},{"d":"Aged","mj":false,"ui":"D000368"},{"d":"Delusional Parasitosis","mj":false,"qs":[{"q":"diagnosis","mj":false,"ui":"Q000175"},{"q":"psychology","mj":false,"ui":"Q000523"},{"q":"therapy","mj":true,"ui":"Q000628"}],"ui":"D063726"},{"d":"Europe","mj":false,"ui":"D005060"},{"d":"Female","mj":false,"ui":"D005260"},{"d":"Humans","mj":false,"ui":"D006801"},{"d":"Male","mj":false,"ui":"D008297"},{"d":"Middle Aged","mj":false,"ui":"D008875"},{"d":"Psychotic Disorders","mj":false,"qs":[{"q":"diagnosis","mj":false,"ui":"Q000175"},{"q":"psychology","mj":false,"ui":"Q000523"},{"q":"therapy","mj":true,"ui":"Q000628"}],"ui":"D011618"},{"d":"Risk Factors","mj":false,"ui":"D012307"},{"d":"Severity of Illness Index","mj":false,"ui":"D012720"},{"d":"Time Factors","mj":false,"ui":"D013997"},{"d":"Time-to-Treatment","mj":true,"ui":"D061665"},{"d":"Treatment Outcome","mj":false,"ui":"D016896"}],"chemicals":null,"comments_corrections":null,"source_flags":5,"s2_open_access_pdf_url":"https://www.medicaljournals.se/acta/download/10.2340/00015555-2888/","s2_open_access_landing_url":"https://www.semanticscholar.org/paper/6488c76831593c18f0c3792d1028ad6187ac8f77","s2_open_access_license":"CCBYNC","s2_open_access_status":"GOLD","pmc_open_access_pdf_url":null,"pmc_open_access_landing_url":null,"pmc_open_access_license":null,"pmc_open_access_status":null,"unpaywall_open_access_pdf_url":null,"unpaywall_open_access_landing_url":null,"unpaywall_open_access_license":null,"unpaywall_open_access_status":null,"abstract":"We examined the association between the duration of untreated psychosis and outcome for patients with delusional infestation. This multi-centre international study included 211 consecutive patients. Illness severity was evaluated at first presentation and outcome was measured with the Clinical Global Impression scale (CGI) at baseline and follow-up. A regression analysis showed a clear clinical and statistically significant association between shorter duration of untreated psychosis and better outcome at follow-up. Patients with a duration of untreated psychosis of less than one year showed a CGI-S change from 5.37 to 2.07; those with a duration of untreated psychosis of 1-5 years a change from 5.48 to 2.59, and those with a duration of untreated psychosis of >5 years a change from 5.59 to 3.37. This difference of 1.1 CGI points between the groups resembles a clinically relevant difference in patient outcome. Our results suggest that longer duration of untreated psychosis in patients with delusional infestation is associated with significantly less favour-able clinical outcomes.","claims":[{"public_id":"cl_fe7ffe934856c62e6ae1fc894ba099eb","status":"active","text":"A difference of 1.1 Clinical Global Impression points between duration groups corresponds to a clinically relevant difference in patient outcome.","confidence":0.89,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_fe7ffe934856c62e6ae1fc894ba099eb"},{"public_id":"cl_015789180dcb5daa98658cb5ab8dbd87","status":"active","text":"Patients with duration of untreated psychosis under one year had the largest improvement in Clinical Global Impression severity scores, while those with more than five years had the smallest 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