无家可归和第一次精神病:综合性审查
1Jessica Lewczyk, MSN, PMHNP, Boston Medical Center, Boston, MA, USA.
Journal of the American Psychiatric Nurses Association
|February 25, 2025
概括
经历了第一次精神病发作 (FEP) 的年轻人面临着更高的风险,同时也经历了无家可归. 本次审查强调了复合的负面影响,并呼吁进行综合研究和住房干预.
科学领域:
- 精神病学和公共卫生
- 心理健康服务研究 心理健康服务研究
背景情况:
- 每年,美国有115,000名年轻人经历了第一次精神病发作 (FEP).
- FEP与功能衰退和执行能力受损有关.
- 精神分裂症增加了无家可归的风险,影响了多达20%的被诊断的个人.
研究的目的:
- 审查现有的关于无家可归对FEP患者影响的文献.
- 识别知识缺口,并建议未来的研究方向.
- 为行动和政策提供建议.
主要方法:
- 在2023年4月进行了综合性文献审查.
- 搜索的数据库包括APAPsychInfo,APAPsychArticle,Medline和CINAHL. 这些数据库的搜索内容包括:
主要成果:
- 这是第一个专门研究无家可归和FEP的文献的综述.
- 当前的文献经常单独研究FEP和无家可归,而不是它们的综合效应.
- 虽然没有直接研究,但现有的文献表明,FEP对FEP结果产生了复杂的负面影响.
结论:
- FEP计划需要定义无家可归,并报告其流行情况.
- 进一步的研究对于了解无家可归,FEP和其他种族等因素的复合影响至关重要.
- 政策和研究应优先考虑住房干预措施,以改善这种脆弱人群的治疗参与和健康结果.
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