检查焦虑,抑郁和自杀念头查在确定精神病风险的预测价值
Tara M D Mullen1, Ashley M Shaw2, Eb Bernier3
1Bowdoin College, 255 Maine St, Brunswick, ME, 04011, United States; Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, United States.
Journal of psychiatric research
|October 30, 2025
概括
年轻患者的抑郁和自杀念头可能表明精神病风险. 在这些人的初级保健机构中优先进行精神病查,可以改善早期干预和结果.
科学领域:
- 精神病学是一个精神病学.
- 心理健康查 心理健康查
- 青少年健康 青少年健康
背景情况:
- 精神病包括感知障碍,妄想和无组织的行为.
- 对精神病的早期干预可以改善临床和功能结果.
- 焦虑和抑郁是常见的并发症,是精神病障碍的潜在前体.
研究的目的:
- 检查青少年和年轻人的三个心理健康查之间的关系.
- 为了确定抑郁和焦虑查器是否预测精神病风险.
- 在初级保健中为精神病查策略提供信息.
主要方法:
- 一个由180名青少年和年轻成年患者组成的样本完成了Prodromal问卷-16 (PQ-16),通用焦虑障碍-7 (GAD-7) 和患者健康问卷-9 (PHQ-9).
- 患者被行为健康临床医生分为"没有精神病关注"或"精神病关注"组.
- 统计分析检查了查器和精神病关注之间的预测关系.
主要成果:
- 抑郁症状和自杀念头是最一致预测的精神病风险.
- 患者健康问卷-9 (PHQ-9) 和其对自杀念头的测量显示出显著的预测价值.
- 这些发现对于自我报告措施和临床分类来说都是正确的.
结论:
- 在初级保健中对抑郁和自杀念头的查可以帮助识别患有精神病风险的年轻患者.
- 建议优先对那些对抑郁症或自杀念头呈阳性查的人进行精神病风险查.
- 这些发现支持将心理健康查纳入儿科初级保健机构.
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