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Correlates of Re-hospitalization and Dis-engagement During the First Three Years of Psychotic Illness, in a Psychiatric Facility in Abu Dhabi, UAE

Received: 17 January 2022     Accepted: 15 February 2022     Published: 3 March 2022
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Abstract

The purpose of this study is to describe potential precipitants of re-hospitalization and dis-engagement during the first three years of diagnosing a psychotic episode, in Abu Dhabi, United Arab Emirates (UAE). A retrospective cohort study that included 56 patients, with the first episode of psychosis (FEP). 55.4% of the sample were men, 52% were single, 80% were of Arab ethnicity, and 50% were unemployed. The mean age was 29.51 years old. 42% had non-affective psychosis. During the first three years of psychosis, more than three-quarters of FEP patients were re-hospitalized. The rate of service disengagement was 64.8%. Bipolar affective disorder and schizophrenia patients had a higher re-hospitalization rate compared to patients with other diagnoses (p<0.001). Re-hospitalization was significantly higher for males and single patients (p=0.047). There was no significant correlation between re-hospitalization and the length of hospital stay, with the period of untreated psychosis, or with age at onset. Being single was the only significant correlate with service dis-engagement (p<0.001). Single status (p=0.038) and Non-smoking (p=0.008) were the only significant correlate with re-engagement. We concluded that re-hospitalization and dis-engagement rates were high in Abu Dhabi, and the predictors were unmodifiable factors such as gender, marital status, and psychiatric diagnoses. The findings of this study could be used to develop future services, such as establishing dedicated assertive intervention programs for patients after their first episode of psychosis to improve treatment outcomes.

Published in American Journal of Psychiatry and Neuroscience (Volume 10, Issue 1)
DOI 10.11648/j.ajpn.20221001.16
Page(s) 39-43
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

First Episode Psychosis, Psychotropic Medications, Re-hospitalization, Length of Stay, Disengagement, Abu Dhabi

References
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[3] Arnold E., et al, Rates and predictors of rehospitalization among formerly hospitalized adolescents. (2003) Psychiatric Services, vol. 54, no. 7, pp. 994–998, 2003.
[4] Prince J., et al., Psychiatric rehospitalization among elderly persons in the United States, (2008). Psychiatric Services, vol. 59, no. 9, pp. 1038–1045, 2008.
[5] Barekatain M., et al, Factors Associated with Readmission of Patients at a University Hospital Psychiatric Ward in Iran. (2013). Psychiatry journal. Volume 2013 | Article ID 685625.
[6] Lizzette, et al. Predictors of outcome in the early course of first-episode psychosis. (2010). Eur. J. Psychiat. Vol. 24, N.° 2, (87-97) 2010.
[7] Häfner H., Gender differences in schizophrenia. (2003) Psychoneuroendocrinology 2003; 28: 17-54.
[8] White C., et al. Predictors of 10-year outcome of first-episode psychosis. (2009) Psychol Med. 2009 Sep; 39 (9): 1447-56.
[9] Timothy Schmutte et al, Predicting Time to Readmission in Patients With Recent Histories of Recurrent Psychiatric Hospitalization. (2010) The Journal of Nervous and Mental Disease • Volume 198, Number 12, December 2010.
[10] Roisin Doyle, et al, First-episode psychosis and disengagement from treatment: a systematic review. (2014) Psychiatr Serv 2014 May 1; 65 (5): 603-11. DOI: 10.1176/appi.ps.201200570.
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[19] Philippe Conus et al, Rate and predictors of service disengagement in an epidemiological first-episode psychosis cohort. (2010) Schizophr Res 2010 May; 118 (1-3): 256-63. DOI: 10.1016/j.schres.2010.01.032. Epub 2010 Mar 4.
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    Aisha Al Dhufairi, Hadir Abdel Rahman, Mohamed Al Khaaldi, Reem Aldullqader, Eman Al Houti. (2022). Correlates of Re-hospitalization and Dis-engagement During the First Three Years of Psychotic Illness, in a Psychiatric Facility in Abu Dhabi, UAE. American Journal of Psychiatry and Neuroscience, 10(1), 39-43. https://doi.org/10.11648/j.ajpn.20221001.16

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    ACS Style

    Aisha Al Dhufairi; Hadir Abdel Rahman; Mohamed Al Khaaldi; Reem Aldullqader; Eman Al Houti. Correlates of Re-hospitalization and Dis-engagement During the First Three Years of Psychotic Illness, in a Psychiatric Facility in Abu Dhabi, UAE. Am. J. Psychiatry Neurosci. 2022, 10(1), 39-43. doi: 10.11648/j.ajpn.20221001.16

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    AMA Style

    Aisha Al Dhufairi, Hadir Abdel Rahman, Mohamed Al Khaaldi, Reem Aldullqader, Eman Al Houti. Correlates of Re-hospitalization and Dis-engagement During the First Three Years of Psychotic Illness, in a Psychiatric Facility in Abu Dhabi, UAE. Am J Psychiatry Neurosci. 2022;10(1):39-43. doi: 10.11648/j.ajpn.20221001.16

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  • @article{10.11648/j.ajpn.20221001.16,
      author = {Aisha Al Dhufairi and Hadir Abdel Rahman and Mohamed Al Khaaldi and Reem Aldullqader and Eman Al Houti},
      title = {Correlates of Re-hospitalization and Dis-engagement During the First Three Years of Psychotic Illness, in a Psychiatric Facility in Abu Dhabi, UAE},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {10},
      number = {1},
      pages = {39-43},
      doi = {10.11648/j.ajpn.20221001.16},
      url = {https://doi.org/10.11648/j.ajpn.20221001.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20221001.16},
      abstract = {The purpose of this study is to describe potential precipitants of re-hospitalization and dis-engagement during the first three years of diagnosing a psychotic episode, in Abu Dhabi, United Arab Emirates (UAE). A retrospective cohort study that included 56 patients, with the first episode of psychosis (FEP). 55.4% of the sample were men, 52% were single, 80% were of Arab ethnicity, and 50% were unemployed. The mean age was 29.51 years old. 42% had non-affective psychosis. During the first three years of psychosis, more than three-quarters of FEP patients were re-hospitalized. The rate of service disengagement was 64.8%. Bipolar affective disorder and schizophrenia patients had a higher re-hospitalization rate compared to patients with other diagnoses (pp=0.047). There was no significant correlation between re-hospitalization and the length of hospital stay, with the period of untreated psychosis, or with age at onset. Being single was the only significant correlate with service dis-engagement (pp=0.038) and Non-smoking (p=0.008) were the only significant correlate with re-engagement. We concluded that re-hospitalization and dis-engagement rates were high in Abu Dhabi, and the predictors were unmodifiable factors such as gender, marital status, and psychiatric diagnoses. The findings of this study could be used to develop future services, such as establishing dedicated assertive intervention programs for patients after their first episode of psychosis to improve treatment outcomes.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Correlates of Re-hospitalization and Dis-engagement During the First Three Years of Psychotic Illness, in a Psychiatric Facility in Abu Dhabi, UAE
    AU  - Aisha Al Dhufairi
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    AU  - Mohamed Al Khaaldi
    AU  - Reem Aldullqader
    AU  - Eman Al Houti
    Y1  - 2022/03/03
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    T2  - American Journal of Psychiatry and Neuroscience
    JF  - American Journal of Psychiatry and Neuroscience
    JO  - American Journal of Psychiatry and Neuroscience
    SP  - 39
    EP  - 43
    PB  - Science Publishing Group
    SN  - 2330-426X
    UR  - https://doi.org/10.11648/j.ajpn.20221001.16
    AB  - The purpose of this study is to describe potential precipitants of re-hospitalization and dis-engagement during the first three years of diagnosing a psychotic episode, in Abu Dhabi, United Arab Emirates (UAE). A retrospective cohort study that included 56 patients, with the first episode of psychosis (FEP). 55.4% of the sample were men, 52% were single, 80% were of Arab ethnicity, and 50% were unemployed. The mean age was 29.51 years old. 42% had non-affective psychosis. During the first three years of psychosis, more than three-quarters of FEP patients were re-hospitalized. The rate of service disengagement was 64.8%. Bipolar affective disorder and schizophrenia patients had a higher re-hospitalization rate compared to patients with other diagnoses (pp=0.047). There was no significant correlation between re-hospitalization and the length of hospital stay, with the period of untreated psychosis, or with age at onset. Being single was the only significant correlate with service dis-engagement (pp=0.038) and Non-smoking (p=0.008) were the only significant correlate with re-engagement. We concluded that re-hospitalization and dis-engagement rates were high in Abu Dhabi, and the predictors were unmodifiable factors such as gender, marital status, and psychiatric diagnoses. The findings of this study could be used to develop future services, such as establishing dedicated assertive intervention programs for patients after their first episode of psychosis to improve treatment outcomes.
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • Behavioural Science Pavilion, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates

  • Behavioural Science Pavilion, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates

  • Behavioural Science Pavilion, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates

  • Behavioural Science Pavilion, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates

  • Behavioural Science Pavilion, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates

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