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

Aisha Al Dhufairi; Hadir Abdel Rahman; Mohamed Al Khaaldi; Reem Aldullqader; Eman Al Houti

doi:doi:10.11648/j.ajpn.20221001.16

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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

Aisha Al Dhufairi, Hadir Abdel Rahman, Mohamed Al Khaaldi, Reem Aldullqader, Eman Al Houti

Published in American Journal of Psychiatry and Neuroscience (Volume 10, Issue 1)

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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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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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
AU - Hadir Abdel Rahman
AU - Mohamed Al Khaaldi
AU - Reem Aldullqader
AU - Eman Al Houti
Y1 - 2022/03/03
PY - 2022
N1 - https://doi.org/10.11648/j.ajpn.20221001.16
DO - 10.11648/j.ajpn.20221001.16
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

Aisha Al Dhufairi

Behavioural Science Pavilion, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
Hadir Abdel Rahman

Behavioural Science Pavilion, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
Mohamed Al Khaaldi

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

Behavioural Science Pavilion, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
Eman Al Houti

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

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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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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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