[迟发精神分裂症和精神分裂症类精神病,发病时间很晚]
I V Kolykhalov1, V V Pochueva1
1Mental Health Research Center, Moscow, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|August 8, 2024
概括
晚发性精神分裂症和非常晚发性精神分裂症类精神病 (VLOSLP) 的研究不足. 需要更多的研究来理解VLOSLP.
科学领域:
- 老年精神病学是一门精神病学专业.
- 神经科学是一个神经科学.
- 心理病理学 心理病理学
背景情况:
- 对精神分裂症的研究主要集中在早期发病的病例上.
- 老年人的心理健康研究往往优先考虑痴呆症和抑郁症,忽视晚发性精神分裂症和VLOSLP.
- 包括VLOSLP在内的晚发性功能性精神病的鼻科和诊断框架仍然不太了解.
研究的目的:
- 审查精神病理学,神经心理学和神经生物学方面的晚发性精神分裂症和VLOSLP.
- 突出需要提高对VLOSLP的理解和诊断清晰度.
- 为患有精神病的老年患者制定有效的管理和治疗策略提供信息.
主要方法:
- 进行了全面的文献审查.
- 搜索的数据库包括PubMed,Scopus和谷歌学者.
- 出版物被审查到2023年12月.
主要成果:
- 与早期形式相比,研究关于晚发性精神分裂症和VLOSLP的研究存在重大差距.
- 目前对VLOSLP的诊断框架缺乏共识.
- 老年人更容易受到心理药物的不良影响,需要仔细考虑治疗.
结论:
- 解决VLOSLP的研究和诊断缺陷对于了解其病因,病程和预后至关重要.
- 整体治疗方法,包括药物治疗,心理治疗和护理人员支持,对于管理精神分裂症老年患者至关重要.
- 谨慎的药物治疗与彻底的风险和益处评估对这一群体至关重要.
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