PMID- 14674955 OWN - NLM STAT- MEDLINE DCOM- 20040511 LR - 20191210 IS - 0001-690X (Print) IS - 0001-690X (Linking) VI - 109 IP - 1 DP - 2004 Jan TI - Psychiatric comorbidity in first episode psychosis: the Early Psychosis Intervention Program (EPIP) experience. PG - 23-9 AB - OBJECTIVE: To determine the prevalence rates of psychiatric comorbidity in a hospitalized Asian patient group with first episode psychosis and examine its clinical correlates. METHOD: Seventy-nine consecutively admitted patients with first episode psychosis were assessed using the Structured Clinical Interview for DSM-IV-axis I disorders (patient edition), Positive and Negative Symptom Scale (PANSS), Scale to assess Unawareness of Mental Disorders (SUMD) and Global Assessment of Functioning (GAF) scales. RESULTS: Psychiatric comorbidity was present in 36.7% (n = 29) of the patients. Patients with psychiatric comorbidity were younger (P < 0.05), had an earlier onset of illness (P < 0.05) and better insight on social consequences and flat affect items (P < 0.05) on the SUMD. No significant differences were found between the two groups with and without psychiatric comorbidity in gender, ethnicity, marital status, length of education, employment status, living arrangements, duration of hospitalization and untreated psychosis as well as total PANSS and GAF scores. CONCLUSION: Psychiatric comorbidity is common thus calling for a greater awareness in clinicians of these conditions, which are often under-recognized, under-diagnosed and untreated. FAU - Sim, K AU - Sim K AD - Department of Early Psychosis Intervention, Woodbridge Hospital and Institute of Mental Health, Singapore. kang_sim@imh.com.sg FAU - Swapna, V AU - Swapna V FAU - Mythily, S AU - Mythily S FAU - Mahendran, R AU - Mahendran R FAU - Kua, E H AU - Kua EH FAU - McGorry, P AU - McGorry P FAU - Chong, S A AU - Chong SA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Acta Psychiatr Scand JT - Acta psychiatrica Scandinavica JID - 0370364 SB - IM MH - Adult MH - Comorbidity MH - Diagnostic and Statistical Manual of Mental Disorders MH - Female MH - Humans MH - Male MH - Mental Disorders/diagnosis/epidemiology/therapy MH - Outcome Assessment, Health Care/*methods MH - Psychotic Disorders/diagnosis/*epidemiology/*therapy MH - *Surveys and Questionnaires EDAT- 2003/12/17 05:00 MHDA- 2004/05/12 05:00 CRDT- 2003/12/17 05:00 PHST- 2003/12/17 05:00 [pubmed] PHST- 2004/05/12 05:00 [medline] PHST- 2003/12/17 05:00 [entrez] AID - 196 [pii] AID - 10.1111/j.0001-690x.2004.00196.x [doi] PST - ppublish SO - Acta Psychiatr Scand. 2004 Jan;109(1):23-9. doi: 10.1111/j.0001-690x.2004.00196.x.