第一次发作和复发精神分裂症患者中复发风险的感知:一种描述性的现象学研究
Hong Yu1, Yu-Jing Sun1, Meng-Nan Qin1
1Department of Nursing, Harbin Medical University Daqing Campus, Heilongjiang, 163319, Daqing, China.
BMC psychiatry
|August 10, 2023
概括
随着疾病的进展,精神分裂症复发风险的感知会有动态的变化. 加强患者教育和沟通对于在精神病治疗中有效预防和管理复发至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理健康研究 心理健康研究
- 质量健康研究 质量健康研究
背景情况:
- 精神分裂症患者面临复发的风险增加,这是他们康复的关键因素.
- 了解患者对复发风险的看法对于有效的复发预防策略至关重要.
- 对精神分裂症复发风险感知的研究一直是精神病学中研究不足的领域.
研究的目的:
- 探索和理解精神分裂症患者中精神分裂症复发风险的经历和看法.
- 确定风险感知和药物行为如何在精神分裂症的不同阶段 (第一次发作,第一次复发,多次复发) 演变.
- 为临床实践提供有关精神分裂症复发患者教育和风险管理的信息.
主要方法:
- 在中国的两个精神病医院进行了一项定性描述性现象学研究.
- 有目的的抽样招募了22名被诊断为精神分裂症的患者.
- 数据通过半结构化,深度访谈收集,转录,并使用Colaizzi的框架进行分析.
主要成果:
- 第一次发病的患者往往缺乏疾病知识,并高估了他们的复发风险.
- 首次复发的患者最初意识到警告信号,但缺乏系统的信息评估,并将药物戒断与复发联系起来.
- 患有多次复发的患者经历了混乱,无能,自杀念头和复杂的药物感知.
结论:
- 精神分裂症复发风险感知和药物治疗行为在整个疾病轨迹中呈现出动态变化.
- 医疗保健提供者必须加强风险意识教育,并提供准确,及时的沟通.
- 根据个体患者的个体阶段量身定制的复发风险的动态评估和管理至关重要.
更多相关视频
10:46A Method of Trigonometric Modelling of Seasonal Variation Demonstrated with Multiple Sclerosis Relapse Data
Published on: December 9, 2015
10.7K
05:52Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
Published on: November 21, 2013
15.0K
相关概念视频
01:29Psychological and Sociocultural Causes of Schizophrenia
139
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
139
01:28Psychosis and Antipsychotic Drugs: Overview
328
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
328
01:17Schizophrenia
139
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
139
01:26Psychosis: Goals of Pharmacotherapy
166
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
166
01:27Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
746
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
746
01:26Positive Symptoms Schizophrenia: Hallucinations and Delusions
102
Schizophrenia is a complex psychiatric disorder characterized by a range of symptoms that significantly impact cognition, behavior, and emotional regulation. Among these, the positive symptoms stand out as they involve the addition or exaggeration of normal mental functions, deviating markedly from typical behavior and perception. Hallucinations and delusions are prominent positive symptoms, each profoundly affecting the individual's experience of reality.
Hallucinations
Hallucinations in...
Hallucinations
Hallucinations in...
102