用长效注射抗精神病药物治疗的治疗结果在法医群体中的精神分裂症-频谱诊断
Brittany Finocchio1, Wanda Hilliard2
1Karuna Therapeutics, Boston, Massachusetts, USA.
概括
长效注射抗精神病药 (LAI) 对精神分裂症患者在惩戒机构中显示有好处,改善了执法和减少了刑事指控. 由于这些法医群体的数据有限,需要进一步的研究.
科学领域:
- 精神病学是一个精神病学.
- 法医心理学 法医心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 精神分裂症在法医群体中很普遍,在法医群体中,不服药是常见的.
- 被监禁的精神分裂症患者经常被排除在临床试验之外.
- 在这一群体中,抗精神病药物不服药与犯罪率的增加有关.
- 长效注射抗精神病药 (LAI) 在法医环境中为治疗精神分裂症提供了潜在的好处.
研究的目的:
- 审查现有的有关LAI在精神分裂症患者在惩戒机构中的治疗结果的数据.
- 评估 LAI 对执法,症状和刑事司法参与的影响.
主要方法:
- 在PubMed中进行了文献搜索,以寻找初级研究.
- 审查的重点是关于LAI在正人群中治疗结果的数据,这些人群被诊断患有精神分裂症.
主要成果:
- 实践表明,LAI对药物坚持和精神症状产生了有利影响.
- 患者满意度有所改善,医疗保健成本有所降低.
- 随着LAI的使用,犯罪指控的频率下降.
- 包括的研究在很大程度上是追溯的,样本大小小小,法医参与状态混合.
结论:
- 尽管数据有限,但现有证据表明,LAI的使用对精神分裂症的法医群体有利.
- 解决监狱环境中的研究障碍对于生成更强大的数据至关重要.
- 处方药可以改善结局,并减少精神分裂症囚犯的复发.
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