与没有的人相比,患者的精神病并发症:系统性审查和元分析
Churl-Su Kwon1,2,3,4,5, Ali Rafati6, Ruth Ottman1,2,4,7
1Department of Epidemiology, Columbia University Irving Medical Center, New York, New York.
患有的人 (PWE) 患上大多数精神疾病的患病率明显更高,包括焦虑,抑郁和自闭症谱系障碍. 这些并发症的早期发现和治疗对于改善患者护理和生活质量至关重要.
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.
- 流行病学 流行病学
背景情况:
- 经常与精神病的并发症有关.
- 了解这些同时出现的疾病的患病率对于全面的患者管理至关重要.
研究的目的:
- 系统地审查和对20种精神疾病的流行率进行元分析,与没有的人相比,患者 (PWE) 患有精神疾病.
- 量化PWE中精神疾病的增加几率.
主要方法:
- 对已发表的流行病学研究进行了系统审查.
- 来自27项研究的数据,包括超过565,000个PWE和1300万个对照,进行了元分析.
- 在Ovid,MEDLINE,Embase和PsycINFO中进行了搜索,截至2024年2月.
主要成果:
- 大多数精神疾病在PWE中明显更为普遍.
- 在焦虑症 (2.11),抑郁症 (2.45),双相情感障碍 (3.12),精神病障碍 (3.98) 和自闭症谱系障碍 (10.67) 等方面观察到较高的概率比率.
- 虽然自杀念头增加 (2.25),但自杀企图并没有显著不同 (3.17).
结论:
- 这项研究证实了PWE中精神伴随性疾病的高负担.
- 这些发现强调了在治疗中对精神病的常规查和综合治疗的迫切需要.
- 解决这些并发症可以显著改善患者的治疗结果和生活质量.
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