Child and Adolescent Department, Hospital de Mataro, Barcelona, Spain.
Early Interv Psychiatry. 2010 Feb;4(1):93-6. doi: 10.1111/j.1751-7893.2009.00153.x.
To evaluate the experience of care coordinators encountering clients with co-morbid diagnoses or features of pervasive development disorder (PDD) in an Early Intervention in Psychosis (EIP) service.
A cross-sectional survey was conducted using a semi-structured face-to-face interview schedule.
Thirty-three care coordinators were interviewed. One-third of the care coordinators had previously encountered at least one client with a co-morbid diagnosis of PDD, with the majority feeling confident that they could recognize the features of the syndrome. The estimated reported prevalence of diagnosed PDD in this group was around 4-5%, although social and communication impairments were regularly encountered in clients by at least a quarter of the clinicians interviewed.
Social and communication problems are commonly observed by clinicians in this population and some may represent the presence of a co-morbid PDD. Further efforts should be made to better identify and support this sub-population of EIP clients.
评估在精神病早期干预（EIP）服务中遇到伴有共病诊断或广泛发育障碍（PDD）特征的患者的护理协调员的经验。
采用半结构式面对面访谈表进行横断面调查。
共访谈了 33 名护理协调员。三分之一的护理协调员之前至少遇到过一名伴有 PDD 共病诊断的患者，大多数人有信心能够识别该综合征的特征。据估计，该组报告的 PDD 诊断患病率约为 4-5%，尽管至少四分之一接受访谈的临床医生经常在患者中遇到社交和沟通障碍。
在该人群中，临床医生经常观察到社交和沟通问题，其中一些可能代表共患 PDD 的存在。应进一步努力更好地识别和支持 EIP 患者的这一亚人群。
