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研究精神病的背景,以改善埃塞俄比亚的结果 (SCOPE):协议文件
Charlotte Hanlon1,2,3, Tessa Roberts1,4, Eleni Misganaw5
1Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, Centre for Global Mental Health, King's College London, London, United Kingdom.
这项研究调查了埃塞俄比亚的精神病,重点关注经验,流行病学和影响. 它旨在开发可扩展的干预措施,以更早地识别和改善护理,特别是对于难以接触的人群.
科学领域:
- 全球心理健康全球心理健康
- 精神病学流行病学 精神病学流行病学
- 干预科学 干预科学
背景情况:
- 精神病研究在很大程度上集中在西方高收入国家.
- 关于精神病经验,流行病学和埃塞俄比亚等低收入和中等收入国家影响的数据有限.
- 为了改善埃塞俄比亚的结果,心理学背景研究 (SCOPE) 解决了这一证据缺口.
研究的目的:
- 产生关于埃塞俄比亚精神病的严格证据,以告知病因学理解.
- 引导可扩展干预措施的开发和测试,以早期识别和改善第一接触护理.
- 确保干预措施包括难以到达的人群,并优化恢复.
主要方法:
- 一种混合方法的方法,包括培训工作,基于人口的发病率,病例控制和队列研究.
- 涉及埃塞俄比亚的农村,城市和无家可归人口 (110万人).
- 包括440名精神病患者,390名亲属和390名对照,随访时间为12个月.
主要成果:
- 在不同人口和性别之间调查的发病率.
- 研究了卡特在精神病病因学中的使用和创伤的潜在作用.
- 确定了第一次接触时的需求和结果的预测因素.
结论:
- 这些发现将为共同开发针对近期发病精神病的干预措施提供信息.
- 将开发一个可行性集群随机对照试验的协议.
- 试点研究将评估在不同人群中共同开发的干预措施的可接受性和可行性.
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