诊断变化在一个专门的心理门诊诊所为移民:一个观察性研究
Maja Bruhn1,2, Signe Skammeritz1, Laura Glahder Lindberg1
1Competence Centre for Transcultural Psychiatry, Mental Health Centre Ballerup, Copenhagen University Hospital - Mental Health Services CPH, Copenhagen, Denmark.
Transcultural psychiatry
|January 31, 2025
概括
在接受精神病治疗的移民患者中,诊断变化很常见,时间对于准确的评估至关重要. 文化因素对这种人群的症状表现和治疗计划产生重大影响.
科学领域:
- 精神病学是一个精神病学.
- 文化精神病学是一种精神病学.
- 心理健康服务研究 心理健康服务研究
背景情况:
- 文化对心理障碍的理解,诊断和治疗产生深远的影响,特别是在移民人口中.
- 由于文化差异,移民患者在精神病学环境中经常存在独特的挑战.
研究的目的:
- 调查移民患者诊断变化的频率和时间.
- 探索文化因素对诊断过程和症状表现的影响.
主要方法:
- 在一家专门的精神病诊所对119名移民患者进行了观察性研究.
- 包括一个定性子研究,以获得对诊断过程和文化影响的见解.
- 在初始评估,中期和治疗结束时分析诊断变化.
主要成果:
- 27.7%的移民患者在治疗期间经历了诊断变化.
- 诊断转变发生在不同阶段:初步评估后9.1%,中期13.4%,治疗结束时15.7%.
- 文化压力和文化认同影响了症状表现,尽管在诊断变化和社会人口或治疗因素之间没有发现显著的关联.
结论:
- 诊断变化是移民患者精神病治疗的一个显著方面.
- 对文化敏感的评估和足够的时间对于准确的诊断和治疗规划至关重要.
- 通过培训提高临床医生的文化能力对于有效的临床实践至关重要.
相关概念视频
Diagnostic and Statistical Manual of Mental Disorders (DSM)
37
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
37
Psychological and Sociocultural Causes of Schizophrenia
47
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
47
Treatment Strategies for Psychological Disorders
83
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
83
Specialized Care Centers and Settings-I
912
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
912
Community Based Intervention
29
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
29
Positive Symptoms Schizophrenia: Hallucinations and Delusions
45
Schizophrenia is a complex psychiatric disorder characterized by a range of symptoms that significantly impact cognition, behavior, and emotional regulation. Among these, the positive symptoms stand out as they involve the addition or exaggeration of normal mental functions, deviating markedly from typical behavior and perception. Hallucinations and delusions are prominent positive symptoms, each profoundly affecting the individual's experience of reality.
Hallucinations
Hallucinations in...
Hallucinations
Hallucinations in...
45


