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严重精神疾病与身体多病症之间的关系:一个元分析和呼吁采取行动
Damiano Pizzol1, Mike Trott2, Laurie Butler3
1ENI, San Donato Milanese, Italy.
患有严重精神疾病 (SMI) 的人面临着患上多种慢性身体健康状况的风险明显更高. 这项研究证实了强烈的关联,强调迫切需要综合护理模型来改善患者的治疗结果.
科学领域:
- 精神病学和公共卫生
- 慢性病的流行病学 慢性病的流行病学
背景情况:
- 严重的精神疾病 (SMI) 与慢性身体健康状况的患病率增加有关.
- 身体多病症是一个越来越令人担忧的问题,特别是在SMI患者中.
研究的目的:
- 评估严重精神疾病 (SMI) 与身体多病症之间的关联的强度.
- 综合现有关于SMI和多种身体健康状况同时发生的证据.
主要方法:
- 在主要数据库 (PubMed,Scopus,Embase,Web of Science,PsycINFO) 进行系统的文献搜索,直到2023年1月.
- 包括研究研究SMI (精神分裂症,双相情感障碍,精神病性抑郁症) 和人体多病症之间的关联.
- 使用聚合几率比率 (ORs) 提取的数据的元分析和对非可进行元分析的研究的系统审查.
主要成果:
- 包括194123名SMI患者的19项研究.
- 聚合OR为1.84 (95%CI为1.33至2.54) 表明SMI患者身体多病症的可能性显著更高.
- 观察到高异质性 (98.38%);15项额外的研究支持了强烈的关联.
结论:
- 证据证实,严重的精神疾病与身体多病症之间存在重要联系.
- 迫切需要多学科方法和量身定制的服务模式,以帮助SMI和身体相关疾病的患者.
- 改善身体,精神和社会结果是综合护理策略的目标.
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