对于患有双相情感障碍的青少年和年轻成年人使用认知选器的挑战和机遇
Rebekah S Huber1, Sally Weinstein1, Aimee E Sullivan1
1Department of Psychiatry, Center for Mental Health Innovation, Oregon Health & Science University, Portland (Huber); Department of Psychiatry, Huntsman Mental Health Institute, School of Medicine, University of Utah, Salt Lake City (Huber, Douka); Department of Psychiatry, Institute for Juvenile Research, University of Illinois at Chicago (Weinstein); Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora (Sullivan, Batt); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota (Vande Voort); Nationwide Children's Hospital and Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus (Westlund Schreiner); Faillace Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center, Houston (Are); Department of Psychiatry, College of Medicine, University of Cincinnati, Cincinnati, Ohio (DelBello); Department of Psychiatry and Behavioral Sciences, University of California Davis Health, Sacramento (Singh); Department of Psychiatry, Indiana University, Indianapolis (Hulvershorn); Department of Psychiatry, College of Medicine, Pennsylvania State University, Hershey (Boodoo); Department of Psychiatry, School of Medicine, Johns Hopkins University, Baltimore (Hammond, Brasic, Miller); Department of Psychiatry, University of Michigan, Ann Arbor (Ghaziuddin, Dopp).
临床医生认识到双相情感障碍青少年的认知缺陷,但缺乏对查工具的认识,并面临实施障碍. 教育和解决这些障碍对于更好的患者护理至关重要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 认知缺陷在患有双相情感障碍的青少年和年轻人中很常见,影响学术和社会功能.
- 认知查对于识别和监测这些缺陷至关重要,但它们在年轻人群中的使用是有限的.
- 早期识别认知障碍对于有效的临床管理和改善双相情感障碍的长期结果至关重要.
研究的目的:
- 评估临床医生对青少年和年轻成年人 (14-25岁) 患有双相情感障碍的认知查的态度和做法.
- 确定临床医生对可用的认知查工具的了解以及对其实施的感知障碍.
- 为改善这一人口群体使用认知选器的策略提供信息.
主要方法:
- 国家抑郁症中心网络 (NNDC) 儿童和青少年情绪障碍工作组开发了一项调查.
- 该调查对23个NNDC站点的163名临床医生进行,这些临床医生治疗患有双相情感障碍的青少年和年轻人.
- 收集的数据包括临床医生的意识,态度以及实施认知查工具的障碍.
主要成果:
- 高比例的临床医生 (87%) 承认认知缺陷对功能和 (76%) 对治疗反应的影响.
- 超过90%的临床医生认为认知评估对患者有益.
- 然而,78%的人不知道可用的选工具,64%的人报告了实施的重大障碍.
结论:
- 在认知查的公认需要和其在患有双相情感障碍的青少年和年轻成年人实际实施之间存在很大的差距.
- 调查结果强调了针对临床医生的教育对可用的认知查工具的必要性.
- 解决已识别的障碍对于促进将认知查纳入这一群体的常规临床实践至关重要.
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