高等保健中心急性和过渡性精神病障碍的诊断稳定性:一项基于记录的回顾性研究
Priya Kathfar1, Priyash Jain1, Deepti Rastogi2
1Psychiatry, Mahatma Gandhi Memorial (MGM) Medical College, Indore, IND.
Cureus
|February 10, 2025
概括
在印度,急性和过渡性精神病障碍 (ATPD) 的诊断显示出初始稳定性,但在一年内显著下降,经常转向精神分裂症或双相情感障碍. 长期跟踪对于准确的预后至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理健康诊断 心理健康诊断
- 全球健康 全球健康
背景情况:
- 急性和过渡性精神病障碍 (ATPD) 由于其短暂性质,存在诊断挑战.
- 在像ICD-10,ICD-11和DSM-5这样的诊断系统中,ATPD分类存在差异.
- 在印度等发展中国家对ATPD的有限研究阻碍了对患病率和诊断稳定的理解.
研究的目的:
- 在印度人口中调查一年时间内ATPD的诊断稳定性.
- 从最初的ATPD诊断中识别出常见的诊断转移.
主要方法:
- 一项回顾性研究分析了54名在第三级护理中心被诊断患有ATPD的患者.
- 患者数据包括人口统计,症状细节,压力因素和家族史.
- 诊断结果在最初诊断后的六个月和一年后进行评估.
主要成果:
- 六个月后,ATPD的初始诊断稳定性为59.25%,在一年后降至40.74% (p=0.031).
- 主要的诊断转移是向精神分裂症和双相情感障碍.
- 年轻女性构成了被诊断患有ATPD的大多数患者.
结论:
- 尽管与发达国家相比,最初的稳定性更高,但印度的ATPD诊断在一年内显示出显著的不稳定性.
- 对精神分裂症或双相情感障碍的诊断演变需要仔细的长期监测.
- 为了改善ATPD诊断实践,对更大的队列和精细的方法进行进一步的研究至关重要.
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