Table 2 Rationale provided in primary studies for the selection of patients with disease duration under a particular threshold

From: Diverse definitions of the early course of schizophrenia—a targeted literature review

Rationale based on prior experience and evidence

Rationale linked to study methodology

Prior evidence for the time at which schizophrenia reaches a plateau during the first 5 years92

Duration period reduced to minimise confounding due to variation in disease duration and time on antipsychotic therapy42,45,52,63,154

The majority of the deterioration in psychosocial functioning occurs within the first 3 years93

Duration period extended to increase the number of eligible participants169

Most functional disability occurs within the first 5 years of the disease164

Duration period chosen to maintain consistency with another trial32

Minimum duration of follow-up for first-episode studies should be 2 years150

 

Patients with adolescent onset of schizophrenia and duration less than 3 years are believed to be in a ‘critical period’152

 

Progression of the disease might occur predominantly in the first 5 years34