在部分住院治疗后出院之前,抑郁和焦虑症状的增加
Juliet L Bockhorst1, Chloe C Hudson1,2,3, Thröstur Bjorgvinsson1,2
1Behavioral Health Partial Hospital Program, McLean Hospital, Belmont, MA, USA.
Cognitive behaviour therapy
|September 5, 2024
概括
许多患者在精神病医院出院之前经历了恶化的抑郁和焦虑. 然而,这些症状增加并不能预测未来的结果,在这个脆弱的过渡期为个人提供安慰.
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
背景情况:
- 从精神病治疗出院是患者的关键时刻.
- 关于出院前症状波动及其预后价值的研究有限.
研究的目的:
- 在从部分住院计划 (PHP) 出院之前,确定增加抑郁和焦虑症状的患病率.
- 调查出院前症状升高是否预测出院后的结果.
主要方法:
- 对4211名PHP患者每日抑郁和焦虑症状严重性的分析.
- 在2周,1个月和3个月的子样本中评估出院后的结果 (症状严重程度,幸福感,功能障碍).
主要成果:
- 三分之二的患者在出院前显著增加了抑郁和焦虑症状.
- 在控制出院症状严重程度时,出院前症状升高并不能显著预测出院后的结果.
结论:
- 患者通常在精神病医院出院之前会出现症状严重程度的上升.
- 这些出院前症状的增加似乎不是出院后状态的额外预后指标.
相关概念视频
01:18Anxiety: Overview
255
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
255
01:31Discharge Summary Forms
749
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
749
01:30Bipolar Disorder
60
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
60
01:30Stress and Mental Health
88
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
88
01:27Depressive Disorders: MDD and Dysthymia
70
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
70
01:18Depression: Overview
228
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
228