Treated incidence of first episode psychosis in Sinop, Turkey: results of a 4-year admission-based study - SINOPsy
The incidence of psychotic disorders varies in different geographic areas. As there has been no report from Turkey, this study aimed to provide the treated incidence rate of first-episode psychosis (FEP) in a defined area. All individuals, aged 15-64 years, presenting with FEP (ICD-10 F20-29, F30-33...
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| Veröffentlicht in: | Psychological medicine 2024-02, Vol.54 (3), p.558-568 |
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| creator | Binbay, Tolga Mollaahmetoğlu, Özden Merve Kırlı, Umut Arık, Deniz Alptekin, Köksal |
| description | The incidence of psychotic disorders varies in different geographic areas. As there has been no report from Turkey, this study aimed to provide the treated incidence rate of first-episode psychosis (FEP) in a defined area.
All individuals, aged 15-64 years, presenting with FEP (ICD-10 F20-29, F30-33) to mental health services in a defined catchment-area in Sinop which is located in the Black Sea region of the northern Turkey were recorded over a 4-year period (2009 to 2012). Incidence rates of psychotic disorders and their 95% confidence intervals (CIs) were estimated. Poisson regression was applied to estimate the differences in incidence rate ratio (IRR) by age, sex, and urbanicity.
One hundred and fifteen FEP participants were identified during the 4 years. Crude incidence rates of all psychoses, schizophrenia, other psychotic disorders, and affective psychotic disorders were respectively 38.5 (95% CI 27.1-49.9), 10.7 (95% CI 6.6-14.8), 10.0 (95% CI 5.7-14.3) and 17.7 (95% CI 11.3-24.2) per 100 000 person-years. After age-sex standardisation the rates increased slightly. There were no gender differences in the incidence rates. IRR of any psychotic disorder was highest in the youngest age group (15-24 years) compared to the oldest age group (55-64 years), 7.9 (95% CI 2.8-30.5). In contrast with previous studies, the incidence rate of any psychotic disorder was not significantly increased in urban areas compared with rural areas.
The current study, the first of its kind from Turkey, indicates that the risk of schizophrenia and other psychotic disorders in a lowly urbanised area of Turkey is comparable to those reported in Western European cities. |
| doi_str_mv | 10.1017/S0033291723002192 |
| format | Article |
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All individuals, aged 15-64 years, presenting with FEP (ICD-10 F20-29, F30-33) to mental health services in a defined catchment-area in Sinop which is located in the Black Sea region of the northern Turkey were recorded over a 4-year period (2009 to 2012). Incidence rates of psychotic disorders and their 95% confidence intervals (CIs) were estimated. Poisson regression was applied to estimate the differences in incidence rate ratio (IRR) by age, sex, and urbanicity.
One hundred and fifteen FEP participants were identified during the 4 years. Crude incidence rates of all psychoses, schizophrenia, other psychotic disorders, and affective psychotic disorders were respectively 38.5 (95% CI 27.1-49.9), 10.7 (95% CI 6.6-14.8), 10.0 (95% CI 5.7-14.3) and 17.7 (95% CI 11.3-24.2) per 100 000 person-years. After age-sex standardisation the rates increased slightly. There were no gender differences in the incidence rates. IRR of any psychotic disorder was highest in the youngest age group (15-24 years) compared to the oldest age group (55-64 years), 7.9 (95% CI 2.8-30.5). In contrast with previous studies, the incidence rate of any psychotic disorder was not significantly increased in urban areas compared with rural areas.
The current study, the first of its kind from Turkey, indicates that the risk of schizophrenia and other psychotic disorders in a lowly urbanised area of Turkey is comparable to those reported in Western European cities.</description><identifier>ISSN: 0033-2917</identifier><identifier>EISSN: 1469-8978</identifier><identifier>DOI: 10.1017/S0033291723002192</identifier><identifier>PMID: 37609898</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Age ; Age groups ; Data collection ; Disorders ; Gender differences ; Health services ; Hospitals ; Mental disorders ; Mental health ; Mental health services ; Migration ; Psychosis ; Rural areas ; Rural communities ; Rural urban differences ; Schizophrenia ; Sex differences ; Sex ratio ; Urban areas</subject><ispartof>Psychological medicine, 2024-02, Vol.54 (3), p.558-568</ispartof><rights>Copyright © The Author(s), 2023. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c324t-bc3d424c107dc1a56aa4db26c834e9a7d6ed9af454eb4bb5075b92913b6da3043</cites><orcidid>0000-0001-6030-6798 ; 0000-0001-9924-2672 ; 0000-0002-3386-197X ; 0000-0002-7601-9002</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,12825,27321,27901,27902,30976,33751</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37609898$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Binbay, Tolga</creatorcontrib><creatorcontrib>Mollaahmetoğlu, Özden Merve</creatorcontrib><creatorcontrib>Kırlı, Umut</creatorcontrib><creatorcontrib>Arık, Deniz</creatorcontrib><creatorcontrib>Alptekin, Köksal</creatorcontrib><title>Treated incidence of first episode psychosis in Sinop, Turkey: results of a 4-year admission-based study - SINOPsy</title><title>Psychological medicine</title><addtitle>Psychol Med</addtitle><description>The incidence of psychotic disorders varies in different geographic areas. As there has been no report from Turkey, this study aimed to provide the treated incidence rate of first-episode psychosis (FEP) in a defined area.
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One hundred and fifteen FEP participants were identified during the 4 years. Crude incidence rates of all psychoses, schizophrenia, other psychotic disorders, and affective psychotic disorders were respectively 38.5 (95% CI 27.1-49.9), 10.7 (95% CI 6.6-14.8), 10.0 (95% CI 5.7-14.3) and 17.7 (95% CI 11.3-24.2) per 100 000 person-years. After age-sex standardisation the rates increased slightly. There were no gender differences in the incidence rates. IRR of any psychotic disorder was highest in the youngest age group (15-24 years) compared to the oldest age group (55-64 years), 7.9 (95% CI 2.8-30.5). In contrast with previous studies, the incidence rate of any psychotic disorder was not significantly increased in urban areas compared with rural areas.
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Academic</collection><jtitle>Psychological medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Binbay, Tolga</au><au>Mollaahmetoğlu, Özden Merve</au><au>Kırlı, Umut</au><au>Arık, Deniz</au><au>Alptekin, Köksal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treated incidence of first episode psychosis in Sinop, Turkey: results of a 4-year admission-based study - SINOPsy</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol Med</addtitle><date>2024-02-01</date><risdate>2024</risdate><volume>54</volume><issue>3</issue><spage>558</spage><epage>568</epage><pages>558-568</pages><issn>0033-2917</issn><eissn>1469-8978</eissn><abstract>The incidence of psychotic disorders varies in different geographic areas. As there has been no report from Turkey, this study aimed to provide the treated incidence rate of first-episode psychosis (FEP) in a defined area.
All individuals, aged 15-64 years, presenting with FEP (ICD-10 F20-29, F30-33) to mental health services in a defined catchment-area in Sinop which is located in the Black Sea region of the northern Turkey were recorded over a 4-year period (2009 to 2012). Incidence rates of psychotic disorders and their 95% confidence intervals (CIs) were estimated. Poisson regression was applied to estimate the differences in incidence rate ratio (IRR) by age, sex, and urbanicity.
One hundred and fifteen FEP participants were identified during the 4 years. Crude incidence rates of all psychoses, schizophrenia, other psychotic disorders, and affective psychotic disorders were respectively 38.5 (95% CI 27.1-49.9), 10.7 (95% CI 6.6-14.8), 10.0 (95% CI 5.7-14.3) and 17.7 (95% CI 11.3-24.2) per 100 000 person-years. After age-sex standardisation the rates increased slightly. There were no gender differences in the incidence rates. IRR of any psychotic disorder was highest in the youngest age group (15-24 years) compared to the oldest age group (55-64 years), 7.9 (95% CI 2.8-30.5). In contrast with previous studies, the incidence rate of any psychotic disorder was not significantly increased in urban areas compared with rural areas.
The current study, the first of its kind from Turkey, indicates that the risk of schizophrenia and other psychotic disorders in a lowly urbanised area of Turkey is comparable to those reported in Western European cities.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>37609898</pmid><doi>10.1017/S0033291723002192</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-6030-6798</orcidid><orcidid>https://orcid.org/0000-0001-9924-2672</orcidid><orcidid>https://orcid.org/0000-0002-3386-197X</orcidid><orcidid>https://orcid.org/0000-0002-7601-9002</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Cambridge Journals; Sociological Abstracts |
| subjects | Age Age groups Data collection Disorders Gender differences Health services Hospitals Mental disorders Mental health Mental health services Migration Psychosis Rural areas Rural communities Rural urban differences Schizophrenia Sex differences Sex ratio Urban areas |
| title | Treated incidence of first episode psychosis in Sinop, Turkey: results of a 4-year admission-based study - SINOPsy |
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