被诊断患有调整或严重压力障碍的人的纵向性状
Daniel Poremski1, Jayaraman Hariram2, Wei Kang Wong2
1Institute of Mental Health, 10 Buangkok View, Singapore, 539747, Singapore. Daniel.poremski@mail.mcgill.ca.
BMC psychiatry
|June 18, 2024
概括
大多数被诊断患有调整或压力障碍的精神病学服务用户不会接受新的诊断,并在最初的高强度护理后脱离. 一个子组表现出长期的,低强度的参与,表明需要预防性干预来控制压力.
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
- 公共卫生 公共卫生
背景情况:
- 适应和与压力相关的障碍在精神病医疗服务用户中很常见.
- 这些疾病的预后尚不清楚.
- 本研究研究了新加坡的服务使用和诊断结果.
研究的目的:
- 记录与调整或与压力有关的疾病患者的长期服务使用和诊断轨迹.
- 确定医疗保健参与和诊断转换的模式.
- 为潜在的预防性干预提供信息.
主要方法:
- 从2014-2021年获取683名服务用户的管理数据,最初诊断出适应/压力障碍.
- 根据随后的诊断 (在7天内,9个月后,9个月后或从来没有) 进行分组.
- 分析了诊断转换和医疗服务利用的生存曲线 (住院,预约,急救诊所,处方).
主要成果:
- 61% (n=417) 的人从未接受过另一种诊断,显示出高的初始紧急服务和药物治疗使用率.
- 在那些新诊断的人中,抑郁症,人格和精神障碍是最常见的.
- 在9个月后被诊断出患有长期参与但服务强度低的个体,这表明未来的脆弱性.
结论:
- 许多患有适应/压力障碍的人在初始重症监护后没有进一步的诊断就会脱离.
- 一个诊断迟到的子组显示长期使用低强度服务,突出了预防性压力管理干预措施的潜在目标.
- 了解这些不同的轨迹对于优化精神病治疗和支持至关重要.
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