精神病患者的神经检查:系统性审查
Jonathan Phillips1, Emily Bowman2, Chiara Colli3
1Department of Psychiatry, University of Oxford, Warneford hospital, Warneford Lane, Headington, Oxford OX37JX, UK; Oxford Health NHS Foundation Trust, Warneford hospital, Warneford Lane, Headington, Oxford OX37JX, UK; NIHR Oxford Health Biomedical Research Centre, UK.
Schizophrenia research
|July 31, 2025
概括
精神病患者的神经检查需要修改,但缺乏共识. 一项审查发现了20项拟议的考试,但证据很弱,强调需要进行简短的,基于证据的精神病神经学检查.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床神经科学 临床神经科学
背景情况:
- 神经学检查对于精神病患者的诊断至关重要.
- 现有的精神病诊所的神经学检查缺乏关于修改的共识.
- 当前的方法往往无法满足精神病学评估的具体需求.
研究的目的:
- 系统地审查和分析为精神病患者提出的神经学检查.
- 确定现有的精神病神经学检查的共同组成部分,目标人群和局限性.
- 确定支持当前精神病神经学检查协议的证据基础.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 搜索了针对成人精神病患者量身定制的发表的神经学检查.
- 提取了关于检查项目,持续时间和预期患者群体的数据.
主要成果:
- 确定了20个建议的神经检查 (9个一般成人,4个老年成人,7个组合).
- 所有包括核心神经元件,常见的补充,如非自愿运动检查和原始反射评估.
- 对老年人的检查时间较长,包括嗅觉/功能能力测试.
- 支持拟议的检查的证据通常很少,依赖于专家意见.
结论:
- 现有的精神病诊所神经学检查存在显著的缺点,在日常护理中有用度有限.
- 需要一种简洁,基于证据的神经学检查,适合精神病环境.
- 需要进一步的研究来开发和验证这种检查.
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