随着时间的推移,从急性精神病治疗中患者的全球功能变化中预测破坏性行为的预测
Tamar de Boer1, Marijn Pietersma2, Bea Tiemens3,4
1Pro Persona Pompestichting, Nijmegen, The Netherlands.
Administration and policy in mental health
|March 24, 2024
概括
患者的整体功能变化预测了急性精神病治疗中的破坏性行为. 早期识别不良或下降的功能可以信号增加的风险,使及时干预,以防止干扰.
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
- 行为科学 行为科学
背景情况:
- 在急性精神病治疗中,破坏性行为对患者和工作人员构成风险.
- 早期识别行为变化对于防止干扰至关重要.
- 全球功能提供了对患者状态的多维视角,可能作为早期信号.
研究的目的:
- 调查全球功能对急性精神病学环境中破坏性行为的预测价值.
- 确定全球功能变化和随后的破坏性行为之间的时间间隔,以便进行早期干预.
- 分析全球功能与破坏性行为的风险之间的关系.
主要方法:
- 纵向回顾研究设计. 纵向回顾研究设计.
- 利用了布雷塞特暴力清单 (BVC) 和肯尼迪轴V (K-As) 的每日测量.
- 在6年内对931名患者的数据进行生存分析和考克斯回归分析.
主要成果:
- 干扰行为经常发生在入院的最初几天内.
- 从入院之日起,全球运作是破坏性行为的重要预测因素.
- 入院时K-As得分≤48表示更高的风险;持续不良或恶化的功能在三天内进一步增加风险.
- 全球功能改善与破坏性行为的风险降低相关.
结论:
- 全球功能是急性精神病治疗中破坏性行为的有价值的预测指标.
- 针对全球运作的早期干预对于防止破坏性事件至关重要.
- 监测全球运作,特别是初始得分和随时间变化的情况,可以为风险评估和管理策略提供信息.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.1K
05:52Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
Published on: November 21, 2013
14.9K
相关概念视频
Introduction to Psychological Disorders
382
Abnormal behavior, often referred to as mental illness, results from changes in brain function that influence thought patterns, behaviors, and social interactions. Psychologists and psychiatrists typically assess abnormal behavior using three primary criteria: deviance, maladaptation, and personal distress, particularly when these traits persist over long periods.
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
382
Psychological and Sociocultural Causes of Schizophrenia
84
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
84
Conduct Disorder
34
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
34
Oppositional Defiant Disorder
25
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
25
Diagnostic and Statistical Manual of Mental Disorders (DSM)
55
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
55
Community Based Intervention
41
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
41
