精神分裂症频谱和其他精神障碍在博问题中的流行:系统性审查和元分析
Olivier Corbeil1,2,3, Laurent Béchard1,2,3, Élizabeth Anderson3,4
1Faculty of Pharmacy, Université Laval, Quebec, QC, Canada.
概括
博问题经常与精神问题有关. 这项审查发现问题徒中精神障碍的患病率为4.9%,这强调了对查和综合心理健康护理的需要.
科学领域:
- 精神病学是一个精神病学.
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 问题博 (PBG) 与高水平的精神伴随性疾病有关,包括物质使用,焦虑和情绪障碍.
- 精神病障碍在PBG中研究较少,但预计会对疾病的发展,后果和治疗产生重大影响.
- 了解PBG中精神疾病的流行程度对于全面的患者护理至关重要.
研究的目的:
- 为了估计精神分裂症频谱和其他精神障碍在有博问题的个体中的患病率.
- 综合现有关于精神病障碍和博问题的共患性研究.
主要方法:
- 在多个数据库 (Medline,EMBASE,PsycINFO,CINAHL,CENTRAL,Web of Science,ProQuest) 进行了系统的文献搜索,截至2023年11月1日.
- 包括的研究报告了博问题患者中精神障碍的普遍性.
- 用一个随机效应通用线性混合模型来计算聚合流行率,并使用Joanna Briggs研究所的检查清单评估偏差风险.
主要成果:
- 这项审查包括了22项涉及19131名参与者的研究.
- 博问题患者中精神障碍的总体综合流行率为4.9% (95% CI,3.6-6.5%).
- 患病率因研究类型而异,与寻求治疗的个人和基于登记的研究相比,在被调查人群中患病率较低. 根据治疗设置,特定精神病障碍诊断或评估时间框架,没有发现显著差异.
结论:
- 这些发现强调了问题徒中精神障碍的严重流行.
- 建议对有问题的徒进行精神分裂症谱系和其他精神病障碍的查.
- 解决伴随性精神健康状况,包括精神疾病,对于改善博问题的康复结果至关重要.
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