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与精神分裂症,精神分裂情绪障碍或双相情感障碍患者的心理社会功能相关的强迫症症状
Nina Grootendorst-van Mil1,2, Chin-Kuo Chang3,4,5,6, David Chandran6
1Department of Psychiatry, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Acta neuropsychiatrica
|October 10, 2024
概括
强迫症症状 (OCS) 和强迫症综合症 (OCD) 对精神分裂症,精神分裂情绪障碍或双相情感障碍患者的心理社会功能产生负面影响. 早期识别和治疗OCS对于这个患者群体至关重要.
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
- 心理健康研究 心理健康研究
背景情况:
- 强迫症症状 (OCS) 和强迫症障碍 (OCD) 的并发症在严重精神疾病中很常见.
- 了解OCS/OCD对精神分裂症,精神分裂情绪障碍和双相情感障碍的社会心理功能的影响,对于有效治疗至关重要.
研究的目的:
- 评估精神分裂症,精神分裂情绪障碍或双相情感障碍患者的OCS/OCD并发症和心理社会功能之间的关联.
- 评估对日常生活,人际关系和生活条件的影响.
主要方法:
- 从2007年1月到2016年12月,利用了一个大型的非识别电子健康记录数据库 (南伦敦和莫德斯利NHS基金会信托生物医学研究中心).
- 使用自然语言处理 (NLP) 和人工智能 (AI) 来识别诊断和OCS/OCD状态.
- 后勤回归分析用于估计与心理社会功能指标 (国家健康结果尺度 - HoNOS) 的关联.
主要成果:
- 在15412名受试者中,15.3%的受试者有没有强迫症的强迫症,16.8%的受试者有强迫症记录.
- 并发性OCS/OCD与人际关系问题 (adj.OR = 1.34),日常生活活动 (adj.OR = 1.31) 和生活条件 (adj.OR = 1.31) 的增加显著相关.
结论:
- 共病性OCS/OCD与精神分裂症,精神分裂情绪障碍或双相情感障碍患者的心理社会功能较差有关.
- 强调需要在这些弱势群体中进行系统查和管理OCS.
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