在患有精神疾病的个体中,与晚期癌症诊断相关的死亡风险增加?
S Burato1, A D'Aietti1, A Paci1
1Department of Medicine (DAME), University of Udine, Udine, Italy.
Journal of psychiatric research
|December 19, 2024
概括
患有精神疾病的患者在癌症查参与率较低. 心理健康服务部门应该加强查,以改善身体健康并降低这一脆弱人群的癌症死亡率.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 在瘤学瘤学.
背景情况:
- 在患有精神疾病的个体中观察到癌症死亡率升高.
- 晚期诊断是导致癌症死亡率增加的潜在因素.
- 在接受社区心理健康中心 (CMHC) 护理的患者中,研究了癌症查参与率.
研究的目的:
- 评估精神疾病患者癌症查参与率.
- 确定与查参与相关的人口和临床因素.
- 为旨在改善心理健康人群癌症查遵守率的干预措施提供信息.
主要方法:
- 对1252名患有精神疾病的个人进行了回顾性队列研究.
- 分析了电子健康记录,直到2019年12月.
- 评估了参与乳腺癌,宫癌和结直肠癌查计划的情况.
主要成果:
- 与普通人群相比,患有精神疾病的患者的查率明显较低 (乳腺/宫:~1/3低;结直肠:减半).
- 精神病诊断,年龄,国籍,婚姻状况,就业和生活状况影响了查参与.
- 焦虑症与更高的乳腺癌查参与有关;精神分裂症和人格障碍与较低的参与有关.
结论:
- 心理健康服务必须优先考虑增加癌症查参与,以提高身体健康并降低死亡率.
- 干预措施可以促进平等获得预防性护理,弥合精神和一般医疗保健.
- 提高查率对于减少患有精神疾病的人群癌症差异至关重要.
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