医疗和精神科护理,在第一个精神病障碍诊断之前
Nicole M Benson1,2,3, Zhiyou Yang2, Vicki Fung2,4
1Psychotic Disorders Division, McLean Hospital, Belmont, MA, USA.
Schizophrenia bulletin
|August 22, 2023
概括
在被诊断出患有新精神病的年轻人中,近一半在诊断前接受过抗精神病药物治疗. 伤害或创伤的医疗保健访问是常见的,这表明了潜在的早期干预机会.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 患有精神病症状的个人面临着重大的健康挑战和缩短寿命.
- 早期干预对于缓解精神疾病严重后果至关重要.
- 了解诊断前的护理模式对于早期发现和及时治疗至关重要.
研究的目的:
- 为了调查在首次精神疾病诊断前48个月的医疗保健利用和药物治疗模式.
- 在正式诊断之前识别与抗精神病药物使用相关的特征.
主要方法:
- 使用马萨诸塞州全付款人索赔数据库 (2012-2016) 进行的观察性队列研究.
- 2016年首次被诊断患有精神病的个人,不包括之前的诊断.
- 通过逻辑回归分析了门诊访问,住院和填写处方.
主要成果:
- 2016年,有2505名年龄在15岁至35岁之间的个人接受了新的精神疾病诊断.
- 97%的患者先前进行了门诊;89%的患者有与此无关的心理健康诊断 (如焦虑,抑郁).
- 46%的人在诊断前填写了抗精神病药物处方;68%的人因受伤/创伤而进行了访问. 男性性别和医疗补助保险与诊断前使用抗精神病药物有关.
结论:
- 大多数被诊断患有新精神病的人,都曾经接受过医疗保健.
- 伤害或创伤的访问是频繁的,可能表明疾病前的信号.
- 近一半在诊断前接受过抗精神病药物,突出显示复杂的护理模式和早期干预的潜力.
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