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Psychosis is a psychiatric disorder that can occur in different forms does not have a typical beginning. Psychotic disorders are amongst the mental illnesses which cause disability mostly. The main destructive effect of psychosis is seen especially in the first years of illness. Although this period was the most critical period for intervention, found that most of the patients have been without treatment for a long time. Many studies have indicated that the duration of untreated psychosis impacts significantly the severity of the disease, response to antipsychotic treatment, prognosis and social functioning. The another important aspect of duration of untreated psychosis, which is quite determinant on the disease, is the malleable and preventable factor with an effective intervention. The identification of the factors that cause delay in treatment which extends the duration of untreated psychosis and the development of interventional methods for these factors are promising as an scope that can positively change the course of psychotic disorders. Studies indicated that, duration of untreated psychosis has many psychosocial determiners such as the knowledge and attitude with respect to disease, the education level and the socioeconomical status of patient and family, stigmatization, access to healthcare service and family history of psychosis. In this study, it was aimed to assess the studies on the importance and determinants of duration of untreated psychosis.

In this study, predictors of drop-out of treatment were searched in a group of patients with alcohol substance abuse who had frequent relapse. Materials and Methods: In Erenköy Mental and Neurological Diseases Training and Research Hospital AMATEM (Alcohol Substance Treatment Center), 60 patients who completed the inpatient treatment program for alcohol and substance use disorders diagnosed and 28 patients who had left their treatment were included in the study. The Sociodemographic and Clinical Variables that accepted the participation were applied to the data form prepared for this study, Addiction Profile Index (BAPI), Temperament and Character Inventory (MKE) and Barratt Impulsivity Scale (BIS-11) scale. Results: In the group completing the treatment, total harm avoidance, reward dependence, persistence, cooperation scores, BAPI diagnosis subscale and BAPI total score was significantly higher. In the multivariate reduced model, the dropped-out group showed a significant difference on the novelty-seeking, persistence, cooperation and total score of BAPI. Conclusion: The novelty-seeking and reward dependence, which are claimed to lead to addiction as personality traits, was found to be significantly different in patients who completed therapy. Inadequacies in persistence and cooperation in patients with dropping out the treatment, was determined to be an important-independent determinant of leaving the treatment half. Amaç: Bu çalışmada alkol madde kullanım bozukluğu gibi depreşmenin/yinelemenin sık olduğu hasta grubunda tedaviyi yarım bırakma öngörücüleri araştırılmıştır. Gereç ve Yöntem: Erenköy Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi AMATEM (Alkol Madde Tedavi Merkezi) Kliniğine alkol ve madde kullanım bozuklukları tanıları yatarak tedavi programını tamamlamış 60 hasta ve tedavisini 1 tamamlamadan çıkmış 28 hasta çalışmaya alınmıştır. Katılmayı kabul eden hastalara klinik değişkenleri bu çalışma için hazırlanmış olan sosyodemografik veri formu ile Bağımlılık Profil İndeksi (BAPİ), Mizaç ve Karakter Envanteri (MKE) ve Barratt Dürtüsellik Ölçeği (BIS-11) ölçeği uygulanmıştır. Bulgular: Yatışını tamamlayan grupta zarardan kaçınma, ödül bağımlılığı, sebat etme, işbirliği yapma, BAPİ toplam puanı, BAPİ tanı alt ölçeği anlamlı olarak daha yüksekti. Çok değişkenli indirgenmiş modelde yatış tamamlanan ve yatış tamamlanmayan grubun ayırmada yenilik arayışı, sebat etme, işbirliği yapma, BAPİ toplam puanının anlamlıbağımsız etkinliği gözlenmiştir. Sonuç: Bağımlılığa yol açtığı ileri sürülen yenilik arayışı ve ödül bağımlılığı kişilik özelliği olarak tedaviyi tamamlayan hastalarda anlamlı farklı bulunmuştur. Tedaviyi yarım bırakan hastaların sebat etme ve işbirliği yapma konusundaki yetersizlikleri tedaviyi yarım bırakmanın önemli-bağımsız belirleyicisi olarak saptandı.

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