双重障碍:专家的临床经验是否支持使用卡里普拉辛的理由?
J Martinez-Raga1, M Bajouco, D Kenzin
1Department of Psychiatry, University Hospital Doctor Peset, Valencia, Spain. heinz.grunze@icloud.com.
European review for medical and pharmacological sciences
|March 18, 2024
概括
精神分裂症患者的并发性物质使用障碍 (SUD),称为双重障碍 (DD),恶化了结果. 建议综合治疗和具有抗渴望作用的非镇静性抗精神病药物用于管理这些复杂的病例.
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
- 神经科学是一个神经科学.
背景情况:
- 伴随性物质使用障碍 (SUD) 在精神分裂症患者中很常见,称为双重障碍 (DD).
- DD与较差的临床结果和诊断和管理方面的挑战有关.
- 现有的临床指导方针往往不足以解决SUD和严重精神疾病同时发生的复杂性.
研究的目的:
- 讨论管理精神分裂症和DD患者的共同挑战.
- 在各种治疗环境中确定和提出DD的最佳临床实践倡议.
- 建议改善精神分裂症谱系障碍中DD的临床方法.
主要方法:
- 专家小组会议于2023年2月举行.
- 讨论临床经验和共同的挑战.
- 确定最佳实践和改善DD管理的领域.
主要成果:
- 鉴定了当前对DD的临床方法中的重大问题.
- 根据专家的共识,提出了适当的管理策略.
- 强调需要综合护理模式.
结论:
- 患有DD的个体应在一个单一的综合治疗中心内接受护理.
- 药物治疗应优先考虑具有抗渴望性质的非镇静性抗精神病药物,以控制双重症状.
- 综合护理对于改善精神分裂症患者和同时出现的SUD患者的治疗结果至关重要.
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