在治疗精神病,物质使用和并发性疾病的住院服务中表征临床异质性
Marie N S Gendy1,2,3,4, Shannon Remers2,3,5, Jean Costello3
1Peter Boris Centre for Addictions Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada.
PLOS mental health
|February 9, 2026
概括
同时性疾病 (CD) 影响患者的治疗结果. 这项研究确定了住院患者中物质使用和精神病症状的四个不同的概况,有助于为复杂的心理健康状况制定个性化治疗策略.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 成 药物 药物 药物 药物
背景情况:
- 同时性疾病 (CD),定义为与其他精神疾病并发性物质使用障碍,与较差的临床结果有关.
- 对于CD的最佳护理途径仍未得到充分探索,这凸显了需要更好的患者分层.
研究的目的:
- 在住院临床样本中描述物质使用和精神病症状的个体差异.
- 应用以人为中心的方法来识别并发性疾病中不同患者的个人资料.
主要方法:
- 使用177名住院患者的入院评估数据,进行了隐形形象分析 (LPA).
- 根据精神病症状和多种物质使用模式,患者被分为不同类型.
主要成果:
- 出现了四个不同的概况:低SUD/低精神病 (20%),低SUD/高精神病 (65%),高SUD/中度精神病 (8%) 和高SUD/高精神病 (7%).
- 具有高物质使用障碍 (SUD) 的个人资料表现出明显更高的冲动性和更大的兴奋剂/可卡因使用.
结论:
- 通过不同的配置文件对临床异质性的分类对于开发有针对性的干预措施至关重要.
- 这种以人为中心的方法为具有并发性疾病的复杂住院患者群体提供了个性化治疗的基本步骤.
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