在精神分裂症中自然死亡的危险因素
Faith Dickerson1, Sabahat Khan1, Andrea Origoni1
1Stanley Research Program, Sheppard Pratt, Baltimore, Maryland.
JAMA network open
|September 10, 2024
概括
较低的认知功能显著增加了精神分裂症患者因自然原因过早死亡的风险. 解决认知缺陷对于改善这一群体的寿命至关重要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 精神分裂症与过早死亡有关,主要是由于自然原因.
- 认知缺陷是已知的一般人口死亡率决定因素.
- 对精神分裂症认知功能和死亡率的前性研究是有限的.
研究的目的:
- 研究被诊断患有精神分裂症或精神分裂情绪障碍的个体的认知功能和自然死亡率之间的关联.
主要方法:
- 进行了一项前性队列研究,其中844名参与者被诊断为精神分裂症或精神分裂情绪障碍.
- 认知功能使用可重复电池评估神经心理状态 (RBANS) 进行评估.
- 考克斯的比例危险回归模型分析了认知功能,生活方式因素,疾病和死亡率之间的关联.
主要成果:
- 通过RBANS测量较低的认知功能是自然死亡率的最重要的预测因素 (调整后P<.001).
- 其他独立的危险因素包括自身免疫性疾病,吸烟,慢性肺炎,高BMI,心律障碍和婚姻状况.
- 低于第50百分位的RBANS得分表明吸烟,肥胖和特定疾病的风险组合.
结论:
- 减少认知功能是精神分裂症患者过早死亡的重要危险因素.
- 建议采取旨在改善认知功能的干预措施,特别是对于那些具有并发风险因素的人来说.
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