从Ribeirão Preto精神病早期干预计划中脱离:一个回顾性队列研究
Luis Felipe Scarabelot1, Jéssica Morais Araújo1, Livio Rodrigues Leal1
1Department of Neuroscience and Behavior, Ribeirão Preto Medical School, University of São Paulo, Ribeirao Preto, São Paulo, Brazil.
Asian journal of psychiatry
|June 26, 2024
概括
巴西的早期精神病治疗脱离率与高收入国家相似. 非白色皮肤颜色是早期退出早期干预服务的重要预测因素.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 全球心理健康全球心理健康
背景情况:
- 在精神病早期干预服务 (EIS) 中停止治疗会阻碍患者的治疗结果.
- 在低收入和中等收入国家 (LMICs) 了解早期脱离EIS至关重要,但研究不足.
研究的目的:
- 调查巴西里贝朗普雷托精神病早期干预计划 (Ribeirão Preto-EIP) 的早期脱离率和预测因素.
主要方法:
- 对234名患者进行的回顾性队列研究,这些患者被引用到Ribeirão Preto-EIP (2015-2018).
- 排除标准包括一次性咨询,非精神病诊断和死亡.
- 随访时间中位数为14.2个月.
主要成果:
- 26.5%的患者在早期解,解的中位时间为5.25个月.
- 统一分析确定了非白色皮肤颜色,THC查阳性和物质诱导精神病作为预测因素.
- 多变量分析证实非白色皮肤颜色作为一个显著的预测因素 (HR=1.87).
结论:
- 这个巴西样本中的早期退出率与高收入国家的早期退出率相似,超过之前的LMIC报告.
- 非白色皮肤颜色成为一个关键预测因素,可能与社会劣势有关.
- 需要进一步的研究,以了解在LMIC环境中的EIS特点.
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