Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal)
Vol. 10 No. 1 (2021): May

Impact of Duration of Untreated Psychosis on Cognitive Function in Schizophrenia

Rina Krismiati Gani (Dr. Slamet Martodirdjo General Hospital, Pamekasan, Indonesia
Department of Psychiatry, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia)

Erikavitri Yulianti (Department of Psychiatry, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Dr. Soetomo General Hospital, Surabaya, Indonesia)

Ifa Tunisya (Department of Psychiatry, Faculty of Medicine, Universitas Hasanuddin, Makassar, Indonesia)



Article Info

Publish Date
31 May 2021

Abstract

Background: Schizophrenia is a chronic and serious clinical syndrome with very aggravating psychopathology involving perception, cognition, emotion, and behaviour. Currently, cognitive dysfunction is seen as a core disorder of schizophrenia. Duration of Untreated Psychosis (DUP) refers to the period from the onset of psychotic symptoms to the first adequate administration of antipsychotics.Aims: This review aims to analyse the impact of DUP on cognitive function in schizophrenia.Methods: PubMed and Google Scholar were searched using the following keyword: (cognitive function) and (neurodevelopmental OR neurotoxicity hypothesis) and (duration of untreated psychosis or DUP) and (schizophrenia or psychosis or psychotic) using the journal publication filter for the 2014-2020 issue. We also used textbooks published in the last 10 years and were related to writing themes.Review: There are two different opinions about the impact of DUP on the cognitive function of schizophrenic patients: (1) the neurodevelopmental hypothesis says there is no impact of the length of DUP on the cognitive function of schizophrenic patients; (2) the neurotoxicity hypothesis says the length of the DUP will impact the patient's cognitive function. Despite differences of opinion about the impact of DUP on cognitive function in schizophrenia, early intervention in schizophrenic patients is important because DUP is associated with worse general disease symptoms, lower likelihood of remission, more severe positive and negative symptoms, and worse social functioning and overall outcomes.Summary: There are differences of opinion about the impact of DUP on cognitive function in schizophrenic patients.

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Journal Info

Abbrev

JPS

Publisher

Subject

Health Professions Medicine & Pharmacology

Description

Jurnal Psikiatri Surabaya (JPS) is a scientific publication every 6 months (semester). JPS accepts submissions in the form of original manuscripts, literature review, case reports, and editorials in Indonesian in the format of Enhanced Spelling or English in accordance with the scope of Psychology, ...