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精神分裂症老年人的功能恢复:一项全国性的InterRAI研究
Yoram Barak1, S Fatemeh Sajjadi1, Linda Hobbs1
1Department of Psychological Medicine, Dunedin School of Medicine, University of Otago, New Zealand.
The International journal of social psychiatry
|February 17, 2024
概括
精神分裂症的老年人可以实现良好的社会福祉,但抑郁症显著预测了糟糕的结果. 解决抑郁症可能会改善这一群体的社会恢复.
科学领域:
- 精神病学和老年学 精神病学和老年学
- 健康的社会决定因素
- 心理健康恢复 精神健康恢复
背景情况:
- 对精神分裂症患者 (PwS) 的康复概念进行了辩论,特别是因为越来越多的PwS患者活到老年.
- 检查疾病轨迹和老化中的恢复PwS对于了解长期结果至关重要.
研究的目的:
- 为了比较老年PWS中的心理社会变量,与良好的社会福利相比较.
- 确定可以支持老化过程中的功能恢复的干预措施.
主要方法:
- 采用了国际居民评估工具 (interRAI) 对新西兰普华永道 (2012-2022) 的数据.
- 普华永道与"社会心理健康不佳" (n=1,378) 和"社会心理健康良好" (n=693) 的普华永道之间的人口和社会心理变量比较.
- 采用后勤回归来识别社会福祉不佳的预测因素.
主要成果:
- 在社会福祉和抑郁,破坏性行为,决策,自我表达,理解信息,活动,自我报告的健康和药物坚持之间发现了显著的关联.
- 抑郁症 (OR=2.31) 和轻度破坏性行为 (OR=0.53) 是社会福祉不佳的唯一显著预测因素.
- 患有抑郁症状的PwS有超过两倍的机会经历不良的社会福祉.
结论:
- 显著的一小部分 (33.5%) 的老年普华永道员工体验了积极的社会福祉.
- 解决抑郁症状的并发症是改善老年普华永道社会福祉的潜在途径.
- 针对抑郁症的干预措施可以提高精神分裂症老年人群的功能恢复和社会福祉.
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