Karim S, Overshott R, Burns A
University of Manchester, Manchester, UK.
Aging Ment Health. 2005 Jul;9(4):315-24. doi: 10.1080/13607860500114167.
Older people with chronic schizophrenia are a numerically small but important group with complex clinical and service needs. Along with a reduction in positive schizophrenic symptoms with increasing age, a majority suffer from negative symptoms, cognitive deficits, depression, side effects due to long-term use of antipsychotics and co-morbid medical problems. They may have social disabilities making them vulnerable to poverty, isolation and poor quality of life. Evidence suggests that judicious use of antipsychotics combined with psychotherapy and psychosocial interventions are effective. There are shortcomings in the standard of both hospital and community care, and the cost implications of providing adequate services are high.
患有慢性精神分裂症的老年人在数量上虽少，但却是一个重要群体，有着复杂的临床和服务需求。随着年龄增长，精神分裂症的阳性症状有所减轻，但大多数人存在阴性症状、认知缺陷、抑郁、长期使用抗精神病药物导致的副作用以及合并的医疗问题。他们可能存在社会残疾，这使他们容易陷入贫困、孤立和生活质量低下的状况。有证据表明，明智地使用抗精神病药物并结合心理治疗和社会心理干预是有效的。医院和社区护理的标准都存在缺陷，提供充分服务的成本也很高。
