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Factors responsible for delay in treatment seeking in patients with psychosis: A qualitative study
Open accessAbstract
INTRODUCTION: Patients with psychosis often seek treatment at a later date after the onset of illness. There are a multitude of factors behind the treatment delay in these patients, reduction of this delay will help in better prognosis of these patients. MATERIALS AND METHODS: A cross sectional study was conducted to understand the various reasons responsible for treatment delay in patients with psychosis. 25 subjects were selected by purposive sampling and their family members were interviewed. Qualitative analysis was carried out to identify various factors. RESULTS: Reasons for treatment delay were at several levels like illness related, patient related, treatment related, family related factors. However the most common themes among these were unawareness of illness, explanatory models of illness, stigma, financial constraints. Other themes like relation of symptoms with premorbid personality, life events, absence of paternal support were also unfolded in the current study. CONCLUSIONS: There is significant delay between onset of psychosis and treatment seeking. Several factors are responsible for treatment delay in patients with psychotic illness. However they vary depending upon the socio-cultural background of the patient and their family members. Hence the interventions devised towards reducing the delay should be individualised.
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“A relatively understudied phenomenon in Indian settings is the exploration of initial experiences and understandings of illness and treatment from the perspective of both patients and caregivers, though there are rare exceptions from Central and South India (Dutta et al., 2019, Vaitheswaran et al., 2021).”
From Qualitative study to explore the perspectives and mental health experiences of first episode psychosis patients and their caregivers in North India (2024) · cites this paper as Dutta et al., 2019
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Metadata
- Authors
- Dutta, M., Spoorthy, M. S., Patel, S., & Agarwala, N.
- Affiliations
- All India Institute of Medical Sciences Raipur (IN)
- Corresponding author
- Spoorthy, Mamidipalli Sai
- Venue
- Indian Journal of Psychiatry
- Published
- 2019-01
- Volume
- 61
- Issue
- 1
- Pages
- 53-59
- ISSN
- 0019-5545 (ISSN-L)
- PMC
- PMC6341933
- OpenAlex
- W2960906042
- Cited by
- 36
- References
- 18
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 6 · 2023: 10 · 2022: 3 · 2021: 7 · 2019: 2
- FWCI
- 3.77
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Indian Journal of Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- PubMed
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- treatment delay, psychosis, treatment seeking, disease awareness, explanatory models of illness, stigma, financial constraints, family support, premorbid personality, life events, paternal support, sociocultural factors
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