Cited by 64Schizophrenia research and treatmentMental Health Treatment and AccessPsychiatric care and mental health services

Pathways to psychosis: Help-seeking behavior in the prodromal phase

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Rietdijk, Judith, Hogerzeil, Simon J., van Hemert, Albert M., Cuijpers, Pim, Linszen, Don H., van der Gaag, Mark·2011·Schizophrenia Research

Abstract

Background Knowledge of pathways to care by help-seeking patients prior to the onset of psychosis may help to improve the identification of at-risk patients. This study explored the history of help-seeking behavior in secondary mental health care services prior to the onset of the first episode of psychosis. Method The psychiatric case register in The Hague was used to identify a cohort of 1753 people in the age range of 18-35 at first contact who developed a psychotic disorder in the period from 1 January 2005 to 31 December 2009. We retrospectively examined the diagnoses made at first contact with psychiatric services. Results 985 patients (56.2%) had been treated in secondary mental health services prior to the onset of psychosis. The most common disorders were mood and anxiety disorders (N=385 (39.1%)) and substance use disorders (N=211 (21.4%)). Affective psychoses were more often preceded by mood/anxiety disorders, while psychotic disorder NOS was more often preceded by personality disorder or substance abuse. The interval between first contact and first diagnosis of psychosis was approximately 69 months in cases presenting with mood and anxiety disorders and 127 months in cases presenting with personality disorders. Discussion This study confirms the hypothesis that the majority of patients with psychotic disorders had been help-seeking for other mental disorders in the secondary mental health care prior to the onset of psychosis.

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Crossref · 10.1016/j.schres.2011.08.009

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  • The findings related to those with anxiety disorders are relatively unique, given the limited literature on the presentation of paranoia and prodromal symptoms in anxiety disorder populations.

    “However, the findings related to those with anxiety disorders are relatively unique, given the limited literature on the presentation of paranoia (Reich & Braginsky, 1994; Taylor & Stopa, 2013) and prodromal symptoms (Rietdijk et al., 2011; Shioiri et al., 2007) in anxiety disorder populations.”

    From Intolerance of uncertainty, paranoia, and prodromal symptoms: Comparisons between a schizophrenia spectrum disorder, anxiety disorder and non‐clinical sample. (2025) · cites this paper as Rietdijk et al., 2011

    Section 4.1 reports that anxiety and mood disorders were the most common prior diagnoses among patients who later developed psychosis, making this paper relevant to the cited topic. But the study starts with a psychosis cohort and examines its earlier diagnoses; it does not study prodromal-symptom presentation in a population selected for anxiety disorders. The sentence’s characterization of the literature as limited is the citing authors’ framing, not a finding established by this source. (LLM, conf=0.81)

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Authors
Rietdijk, J., Hogerzeil, S. J., van Hemert, A. M., Cuijpers, P., Linszen, D. H., & van der Gaag, M.
Affiliations
  • Parnassia Groep (NL)
  • Amsterdam Public Health (NL)
  • Amsterdam UMC Location University of Amsterdam (NL)
Corresponding author
Rietdijk, Judith
Venue
Schizophrenia Research
Publisher
Elsevier BV
Published
2011-11
Volume
132
Issue
2-3
Pages
213-219
ISSN
0920-9964 (ISSN-L)
OpenAlex
W2136048719
Cited by
64
References
42
Citations by year
2026: 3 · 2025: 6 · 2024: 3 · 2023: 5 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 7 · 2015: 7 · 2014: 5 · 2013: 4 · 2012: 6
FWCI
3.30
Type
journal article
Language
en
Open access
Locations
  • Schizophrenia Research (publishedVersion)
  • PubMed (publishedVersion)
  • VU Research Portal (publishedVersion)
  • Leiden Repository (Leiden University) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
  • Pure Amsterdam UMC (submittedVersion)
Funders
The Netherlands Health Research Council (120510001, NTR1085)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
help-seeking, prodromal symptoms
MeSH terms
Delivery of Health Care, Female, Humans, Male, Psychiatric Status Rating Scales, Psychotic Disorders

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