与双相情感障碍中自我感知治疗阻力相关的因素
Toshimasa Fujimura1, Daiki Taira, Yoshihiro Uchida
1Department of Psychiatry, Juntendo University School of Medicine, Tokyo, Japan.
Medicine
|January 5, 2024
概括
大多数患有自我感知治疗耐药双相情感障碍 (BPD) 的患者没有真正的耐药性. 重新评估和遵守指南对于有效的BPD治疗至关重要.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 患有双相情感障碍的患者经常报告自我感知治疗耐药性.
- 在双相情感障碍中,真正的治疗耐药性的实际程度尚不清楚.
研究的目的:
- 调查患有自我感知治疗耐药双相情感障碍的患者中真正具有治疗耐药性的比例.
- 识别导致双相情感障碍患者感知治疗耐药性的因素.
主要方法:
- 一个为期2周的住院计划,用于自我报告的抗治疗双相情感障碍患者.
- 对43名初始患者进行了详细的检查和评估.
- 重新评估诊断,评估并发病症,并审查治疗坚持和医生准则的坚持.
主要成果:
- 在43名患者中,只有1人符合真正耐治疗双相情感障碍的标准.
- 十名患者没有被诊断患有双相情感障碍;三名患者有有机脑疾病.
- 12人患有并发性精神障碍,18人由于不坚持或缺乏洞察力而接受了不充分的治疗.
结论:
- 在双相情感障碍中,自我感知治疗阻力往往不是由于真正的阻力.
- 不充分的诊断,并发性疾病,不良的坚持和缺乏洞察力是重要的因素.
- 强调需要改善双相情绪障碍的公共教育,诊断服务和社区治疗依从性支持.
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