埃塞俄比亚巴希尔达尔综合医院的精神分裂症患者的不良童年经历:一项比较研究
Birhanu Assefa Fentahun1, Tilahun Belete Mossie2, Rekik Damtew Hailu2
1Department of Psychiatry, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Frontiers in psychiatry
|June 5, 2024
概括
在精神分裂症患者中,不良童年经历 (ACE) 非常普遍,与较低的教育水平,不良应对能力和社会支持减少有关. 早期对ACE进行查和干预对于这一群体至关重要.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 儿童不良经历 (ACE) 与精神分裂症的发展,症状严重程度和复发风险有关.
- 了解ACE的患病率对于针对性干预在精神分裂症护理中至关重要.
- 埃塞俄比亚为研究精神分裂症中的ACE提供了一个关键的背景,因为潜在的独特决定因素.
研究的目的:
- 在埃塞俄比亚巴希尔达尔的精神分裂症患者中确定ACE的患病率.
- 在精神分裂症患者及其护理人员中识别与ACE相关的因素.
- 为了告知公共卫生战略和临床干预在这个人群中ACEs.
主要方法:
- 在埃塞俄比亚的巴希尔达尔进行了一项比较的横截面研究.
- 291名精神分裂症患者和293名患者护理人员使用系统随机抽样进行了招募.
- 使用比例赔率模型顺序逻辑回归来分析与ACE相关的因素.
主要成果:
- 与患者护理人员 (46.8%) 相比,精神分裂症患者 (69.4%) 的至少一个ACE的患病率显著更高.
- 对于精神分裂症患者来说,四个或更多的ACE与较低的教育程度,较低的恢复力和较差的社会支持有关.
- 农村居住,文盲和依恋焦虑等因素与患者护理人员的ACE有关.
结论:
- 精神分裂症中ACE的高患病率强调了需要进行常规查的必要性.
- 基于证据的干预措施对于减轻ACE对精神分裂症患者的影响至关重要.
- 解决ACE可以改善患者的治疗结果,并减少精神分裂症的整体负担.
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