年轻求助者当前的共病模式：对服务规划与提供的启示
Patterns of current comorbidity in young help-seekers: implications for service planning and delivery.
作者信息
Godfrey Katherine, Yung Alison, Killackey Eóin, Cosgrave Elizabeth, Yuen Hok Pan, Stanford Carrie, Buckby Joe, McGorry Patrick
机构信息
ORYGEN Research Centre, Melbourne, Vic., Australia.
出版信息
Australas Psychiatry. 2005 Dec;13(4):379-83. doi: 10.1080/j.1440-1665.2005.02217.x.
OBJECTIVE
To identify the pattern of current comorbidity in young help-seekers referred to a specialist mental health service.
METHOD
One hundred and forty-nine participants were assessed for current psychiatric diagnoses following their referral to ORYGEN Youth Health.
RESULTS
Seventy-eight per cent of the sample rated for at least one diagnosis with almost half the sample presenting with two or more disorders. Next to comorbid depression and anxiety, comorbidity between substance use disorders and mood and anxiety disorders was the most prominent pattern of comorbidity in the sample.
CONCLUSIONS
The present findings suggest that integration between mental health and substance abuse services is well overdue and must be addressed at policy, service system and clinical levels.
目的
确定转介至专业心理健康服务机构的年轻求助者当前的共病模式。
方法
149名参与者在转介至奥瑞金青少年健康机构后接受了当前精神疾病诊断评估。
结果
78%的样本至少被诊断出一种疾病，近一半的样本患有两种或更多疾病。除了共病的抑郁症和焦虑症外，物质使用障碍与情绪和焦虑症之间的共病是样本中最突出的共病模式。
结论
目前的研究结果表明，心理健康服务与药物滥用服务之间的整合早就应该进行，必须在政策、服务系统和临床层面加以解决。
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