Do fewer males present to clinical high‐risk services for psychosis relative to first‐episode services?
Aim A decline in the rate of transition to psychosis in patients presenting with clinical high‐risk has been reported in the literature. Several hypotheses have been put forward to explain this decline. In this brief report, we aimed to explore whether the demographic group presenting to clinical hi...
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| Veröffentlicht in: | Early intervention in psychiatry 2017-10, Vol.11 (5), p.429-435 |
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| container_title | Early intervention in psychiatry |
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| creator | Wilson, Robin P. Patel, Rashmi Bhattacharyya, Sagnik |
| description | Aim
A decline in the rate of transition to psychosis in patients presenting with clinical high‐risk has been reported in the literature. Several hypotheses have been put forward to explain this decline. In this brief report, we aimed to explore whether the demographic group presenting to clinical high‐risk services differs from the ‘end‐point’ population who present with first‐episode psychosis (FEP), by focusing on gender.
Method
Gender distribution was compared between clinical high‐risk (CHR) and FEP using data extracted from published study samples and clinical data from corresponding cohorts within the same catchment area in South London.
Results
The proportion of males was significantly higher in FEP compared to CHR services in the literature describing Europe, Australia and North America and in the clinical cohort from South London.
Conclusion
Males are under‐represented in existing CHR services in Europe, Australia and North America. This could reflect less willingness in males to seek help if experiencing low‐level psychological distress and may be related to the declining transition. |
| doi_str_mv | 10.1111/eip.12311 |
| format | Article |
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A decline in the rate of transition to psychosis in patients presenting with clinical high‐risk has been reported in the literature. Several hypotheses have been put forward to explain this decline. In this brief report, we aimed to explore whether the demographic group presenting to clinical high‐risk services differs from the ‘end‐point’ population who present with first‐episode psychosis (FEP), by focusing on gender.
Method
Gender distribution was compared between clinical high‐risk (CHR) and FEP using data extracted from published study samples and clinical data from corresponding cohorts within the same catchment area in South London.
Results
The proportion of males was significantly higher in FEP compared to CHR services in the literature describing Europe, Australia and North America and in the clinical cohort from South London.
Conclusion
Males are under‐represented in existing CHR services in Europe, Australia and North America. This could reflect less willingness in males to seek help if experiencing low‐level psychological distress and may be related to the declining transition.</description><identifier>ISSN: 1751-7885</identifier><identifier>EISSN: 1751-7893</identifier><identifier>DOI: 10.1111/eip.12311</identifier><identifier>PMID: 26818493</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Adult ; Australia - epidemiology ; Demographics ; demography ; Europe - epidemiology ; Female ; Humans ; London - epidemiology ; Male ; Males ; mental disorder ; Mental Health Services - statistics & numerical data ; prodromal symptoms ; Psychosis ; psychotic disorder ; Psychotic Disorders - epidemiology ; Psychotic Disorders - prevention & control ; Psychotic Disorders - psychology ; Risk ; Risk Factors ; Sex Factors ; Stress, Psychological - epidemiology ; Stress, Psychological - psychology ; Stress, Psychological - therapy ; Young Adult</subject><ispartof>Early intervention in psychiatry, 2017-10, Vol.11 (5), p.429-435</ispartof><rights>2016 John Wiley & Sons Australia, Ltd</rights><rights>2016 John Wiley & Sons Australia, Ltd.</rights><rights>2017 John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3531-a0b26f39f7a698f53384dd6735f04cb165f073732bb775c063d884fe9dcba95e3</citedby><cites>FETCH-LOGICAL-c3531-a0b26f39f7a698f53384dd6735f04cb165f073732bb775c063d884fe9dcba95e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Feip.12311$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Feip.12311$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27915,27916,45565,45566</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26818493$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilson, Robin P.</creatorcontrib><creatorcontrib>Patel, Rashmi</creatorcontrib><creatorcontrib>Bhattacharyya, Sagnik</creatorcontrib><title>Do fewer males present to clinical high‐risk services for psychosis relative to first‐episode services?</title><title>Early intervention in psychiatry</title><addtitle>Early Interv Psychiatry</addtitle><description>Aim
A decline in the rate of transition to psychosis in patients presenting with clinical high‐risk has been reported in the literature. Several hypotheses have been put forward to explain this decline. In this brief report, we aimed to explore whether the demographic group presenting to clinical high‐risk services differs from the ‘end‐point’ population who present with first‐episode psychosis (FEP), by focusing on gender.
Method
Gender distribution was compared between clinical high‐risk (CHR) and FEP using data extracted from published study samples and clinical data from corresponding cohorts within the same catchment area in South London.
Results
The proportion of males was significantly higher in FEP compared to CHR services in the literature describing Europe, Australia and North America and in the clinical cohort from South London.
Conclusion
Males are under‐represented in existing CHR services in Europe, Australia and North America. This could reflect less willingness in males to seek help if experiencing low‐level psychological distress and may be related to the declining transition.</description><subject>Adult</subject><subject>Australia - epidemiology</subject><subject>Demographics</subject><subject>demography</subject><subject>Europe - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>London - epidemiology</subject><subject>Male</subject><subject>Males</subject><subject>mental disorder</subject><subject>Mental Health Services - statistics & numerical data</subject><subject>prodromal symptoms</subject><subject>Psychosis</subject><subject>psychotic disorder</subject><subject>Psychotic Disorders - epidemiology</subject><subject>Psychotic Disorders - prevention & control</subject><subject>Psychotic Disorders - psychology</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - psychology</subject><subject>Stress, Psychological - therapy</subject><subject>Young Adult</subject><issn>1751-7885</issn><issn>1751-7893</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10ctOGzEUBmCrKiq3LvoClaVuyiIwHo8vs6qqcJUi0UVZWx7PcWMyiac-E6LseASekSfBEMgCCW-OF9_5Zfkn5Bsrjlk-JxD6Y1Zyxj6RPaYEGyld88_buxa7ZB_xtiiEkiX7QnZLqZmuar5HZqeRelhBonPbAdI-AcJioEOkrguL4GxHp-Hf9PH-IQWcUYR0F1yGPiba49pNIwakCTo7hDt43vMh4ZA99AFjC9uVX4dkx9sO4evrPCA352d_x5ejyfXF1fj3ZOS44Gxki6aUntdeWVlrLzjXVdtKxYUvKtcwmafiipdNo5RwheSt1pWHunWNrQXwA_Jzk9un-H8JOJh5QAddZxcQl2iYLqWsVCV0pj_e0du4TIv8OsNqrnRRc1lmdbRRLkXEBN70KcxtWhtWmOcGTG7AvDSQ7ffXxGUzh3Yr3748g5MNWIUO1h8nmbOrP5vIJxtIkfo</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>Wilson, Robin P.</creator><creator>Patel, Rashmi</creator><creator>Bhattacharyya, Sagnik</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201710</creationdate><title>Do fewer males present to clinical high‐risk services for psychosis relative to first‐episode services?</title><author>Wilson, Robin P. ; Patel, Rashmi ; Bhattacharyya, Sagnik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3531-a0b26f39f7a698f53384dd6735f04cb165f073732bb775c063d884fe9dcba95e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Australia - epidemiology</topic><topic>Demographics</topic><topic>demography</topic><topic>Europe - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>London - epidemiology</topic><topic>Male</topic><topic>Males</topic><topic>mental disorder</topic><topic>Mental Health Services - statistics & numerical data</topic><topic>prodromal symptoms</topic><topic>Psychosis</topic><topic>psychotic disorder</topic><topic>Psychotic Disorders - epidemiology</topic><topic>Psychotic Disorders - prevention & control</topic><topic>Psychotic Disorders - psychology</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - psychology</topic><topic>Stress, Psychological - therapy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilson, Robin P.</creatorcontrib><creatorcontrib>Patel, Rashmi</creatorcontrib><creatorcontrib>Bhattacharyya, Sagnik</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Early intervention in psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilson, Robin P.</au><au>Patel, Rashmi</au><au>Bhattacharyya, Sagnik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do fewer males present to clinical high‐risk services for psychosis relative to first‐episode services?</atitle><jtitle>Early intervention in psychiatry</jtitle><addtitle>Early Interv Psychiatry</addtitle><date>2017-10</date><risdate>2017</risdate><volume>11</volume><issue>5</issue><spage>429</spage><epage>435</epage><pages>429-435</pages><issn>1751-7885</issn><eissn>1751-7893</eissn><abstract>Aim
A decline in the rate of transition to psychosis in patients presenting with clinical high‐risk has been reported in the literature. Several hypotheses have been put forward to explain this decline. In this brief report, we aimed to explore whether the demographic group presenting to clinical high‐risk services differs from the ‘end‐point’ population who present with first‐episode psychosis (FEP), by focusing on gender.
Method
Gender distribution was compared between clinical high‐risk (CHR) and FEP using data extracted from published study samples and clinical data from corresponding cohorts within the same catchment area in South London.
Results
The proportion of males was significantly higher in FEP compared to CHR services in the literature describing Europe, Australia and North America and in the clinical cohort from South London.
Conclusion
Males are under‐represented in existing CHR services in Europe, Australia and North America. This could reflect less willingness in males to seek help if experiencing low‐level psychological distress and may be related to the declining transition.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>26818493</pmid><doi>10.1111/eip.12311</doi><tpages>7</tpages></addata></record> |
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| source | Wiley-Blackwell Journals; MEDLINE |
| subjects | Adult Australia - epidemiology Demographics demography Europe - epidemiology Female Humans London - epidemiology Male Males mental disorder Mental Health Services - statistics & numerical data prodromal symptoms Psychosis psychotic disorder Psychotic Disorders - epidemiology Psychotic Disorders - prevention & control Psychotic Disorders - psychology Risk Risk Factors Sex Factors Stress, Psychological - epidemiology Stress, Psychological - psychology Stress, Psychological - therapy Young Adult |
| title | Do fewer males present to clinical high‐risk services for psychosis relative to first‐episode services? |
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