在瑞典的非难民移民,难民,第二代移民和东道主群体中发生双相情绪障碍的治疗模式
Alexander Kautzky1,2, Emma Pettersson1, Ridwanul Amin1
1Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Bipolar disorders
|March 7, 2025
概括
患有双相情感障碍 (BD) 的移民,特别是难民,接受的治疗不那么充分. 抗抑郁药单一疗法被过度使用,而情绪稳定剂和被过少使用,这凸显了需要提高文化能力的护理.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 医疗保健服务研究 医疗服务研究
- 社会学 社会学 社会学
背景情况:
- 移民人口中已知精神障碍的治疗差异,但双相情感障碍 (BD) 的数据缺乏.
- 这项研究调查了被诊断患有BD的个体的年龄分层药物使用模式,比较瑞典出生的人与第一和第二代非难民移民和难民.
研究的目的:
- 分析和比较抗抑郁药,情绪稳定剂和抗精神病药物在不同移民群体和双相情感障碍 (BD) 诊断后的本地出生人口中的使用情况.
- 通过不同的人口和移民身份来识别治疗坚持和模式的潜在差异.
主要方法:
- 在2006年至2018年期间,利用瑞典国家登记处识别发生双相情感障碍 (BD) 患者.
- 分析了诊断后长达五年的药物使用情况,并使用通用估计方程对共变量进行调整.
- 计算的边际平均值具有置信区间,并测试了人口群体,年龄和时间的显著影响.
主要成果:
- 与其他群体相比,难民缺乏疾病特异性治疗 (26.8%) 和抗抑郁药单一治疗 (20.3%) 的比例最高.
- 在瑞典出生的人群中,使用情绪稳定剂的比例最高 (51.3%),在难民中最低 (35.4%).
- 在36-65岁的难民中,的使用率较低,而在16-35岁的难民中, olanzapine的使用率较高,这表明特定的与年龄相关的治疗变化.
结论:
- 移民,特别是难民,面临着较高的风险不充分的双相情感障碍 (BD) 治疗由于潜在的障碍,如缺乏跨文化能力和经济因素.
- 建议包括减少抗抑郁药单一治疗,并增加推治疗的使用,如情绪稳定剂和.
- 解决这些差异对于向不同人群提供公平的心理健康服务至关重要.
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