精神病发病率在紧急创伤设置的老年患者中的流行:一项探索性研究
Kanika Sethi1, Sandeep Grover1, Deepak Negi2
1Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian journal of orthopaedics
|May 5, 2025
概括
在紧急创伤诊所的老年患者中,有一半以上患有精神疾病,包括妄想和抑郁症. 这些患者往往具有较高的并发症和疼痛评分,突出显示了综合精神病治疗的必要性.
科学领域:
- 老年医学 老年医学
- 精神病学是一个精神病学.
- 紧急医疗 紧急医疗
背景情况:
- 关于急诊室中老年人的精神病状况的研究有限.
- 没有先前的数据专门针对紧急创伤设置中的精神病发病率.
研究的目的:
- 确定在访问紧急创伤诊所的老年人中精神疾病的患病率.
主要方法:
- 一项涉及紧急创伤诊所206名老年患者的横截面研究.
- 精神病诊断是使用诊断和统计手册第五版 (DSM-5) 标准进行的.
- 患者还被评估是否有并发症,虚弱和疼痛.
主要成果:
- Delirium (24.3%),主要抑郁症 (8.7%) 和痴呆症 (8.5%) 是最常见的精神病诊断.
- 烟草 (11.2%) 和酒精 (9.25%) 使用障碍是普遍存在的物质使用障碍.
- 患有精神病的患者表现出更高的并发症,虚弱和疼痛得分.
结论:
- 超过一半的急救创伤机构的老年患者至少有一种精神疾病.
- 应急创伤诊所应将精神病学评估纳入其服务.
更多相关视频
09:55Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
12.3K
04:00Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
Published on: July 26, 2024
388
相关概念视频
Post-traumatic Stress Disorder
13
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
13
Traumatic Memory
46
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
46
Generalized Anxiety Disorder
29
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
29
Panic Disorder
15
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
15
Psychological and Sociocultural Causes of Schizophrenia
23
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...
23
Diagnostic and Statistical Manual of Mental Disorders (DSM)
22
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...
22
