[泰罗尔的青少年的过渡精神病需要和身份发展]
Kerstin Kunczicky1, Ann-Christin Jahnke-Majorkovits2,3, Kathrin Sevecke2,3
1Medizinische Universität Innsbruck, Anichstr. 35, 6020, Innsbruck, Österreich. kerstin.kunczicky@student.i-med.ac.at.
概括
大多数年轻的精神病患者在从青少年到成人服务的过渡期间需要持续的护理. 认同发展显著影响他们的过渡需求和愿意在护理系统之间移动.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 成人精神病学是一门专业.
- 心理健康服务研究研究 心理健康服务研究
背景情况:
- 在18岁时将患者从儿童精神病治疗转移到成人精神病治疗是结构性的必要性.
- 在这个敏感的阶段,有组织的过渡对于患者的福祉至关重要.
- 了解患者的需求和身份发展是改善过渡结构的关键.
研究的目的:
- 为了调查年龄在17-24岁的患者的过渡特定需求.
- 检查身份发展和过渡需求之间的关系.
- 为改善精神病治疗结构的转型年轻成年人提供信息.
主要方法:
- 在42名患者中使用过渡准备和适当性测量 (TRAM).
- 使用青少年身份发展评估 (AIDA) 来研究身份.
- 在蒂罗尔的霍尔儿童和青少年精神病诊所调查的患者.
主要成果:
- 近80%的患者需要持续的护理.
- 患者相关因素和家庭支持作为过渡障碍.
- 认同发展与过渡的需要之间存在着强烈的相关性 (r=0.821,p<0.01).
- 压力,自我伤害 (45%),自杀想法/行为 (48%),焦虑和抑郁的高患病率.
- 人际关系是功能障碍最严重的领域.
结论:
- 这项研究提供了对过渡年龄患者需求的初步见解.
- 整合标准化措施可以在过渡期间促进基于需求的治疗.
- 跨学科合作和持续的治疗关系对于成功的过渡至关重要.
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