关于非洲精神病临床高风险的观点
Sewanu Awhangansi1, Adeniran Okewole2,3, Philip John Archard1,4,5
1Leicestershire Partnership NHS Trust, Leicester, United Kingdom.
Frontiers in psychiatry
|September 25, 2023
概括
了解非洲的精神病临床高风险 (CHR-P) 对早期干预至关重要. 本次审查突出了知识差距,并提出了改善护理和减少非洲环境中耻辱的策略.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 全球健康 全球健康
- 流行病学 流行病学
背景情况:
- 临床精神病高风险期 (CHR-P) 是预防性干预的关键时期,将重点从已确定的精神病转移.
- 现有的CHR-P研究主要来自资源丰富的国家,非洲和多数世界国家的数据有限.
- 非洲精神卫生保健的系统性挑战需要对目前关于CHR-P的知识状况进行评估.
研究的目的:
- 审查当前关于非洲临床高风险精神病的知识.
- 发现有关流行病学,风险因素和转化预测因素的研究缺口.
- 探索非洲背景下的社会文化因素,服务障碍和潜在干预措施.
主要方法:
- 一篇概述非洲CHR-P现有文献的文章.
- 审查涵盖流行病学,风险因素,精神病转化预测因素.
- 讨论包括社会文化因素,耻辱感,服务障碍,评估工具和干预措施.
主要成果:
- 关于非洲的CHR-P流行病学和预测因素的文献有限.
- 社会文化因素,包括耻辱和服务获取障碍,显著影响了非洲的CHR-P护理.
- 需要具有文化价值的评估工具和综合跨学科的研究.
结论:
- 迫切需要在非洲开展更多关于CHR-P的临床,纵向和协作研究.
- 开发和实施文化适当的评估工具是必不可少的.
- 加强心理健康服务获取和减少耻辱的策略对于非洲环境中CHR-P有效干预至关重要.
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