Regional and Remote Mental Health Service, Queensland Health, Cairns, QLD.
Med J Aust. 2012 Feb 6;196:133-5. doi: 10.5694/mja11.10118.
To describe and characterise treated psychotic disorders in the Indigenous populations of Cape York and the Torres Strait.
Cross-sectional analysis of patients with a psychotic disorder identified by treating psychiatrists.
Indigenous patients aged≥15 years in Cape York and Torres Strait communities receiving treatment for a psychotic disorder over 3 months in 2010.
Prevalence of psychosis diagnoses, intellectual disability, and substance use comorbidities.
171 patients were included. The prevalence rate in this population was 1.68%, higher for males (2.60%) than females (0.89%), and twice as high in the Aboriginal (2.05%) than in the Torres Strait Islander (0.95%) population. High rates of alcohol and cannabis use were found. Comorbid intellectual disability was common and more frequent among Aboriginal patients.
The burden of psychosis in the Indigenous population of Cape York and the Torres Strait is high. Further research is needed to understand the social determinants of these disorders and to design effective social and clinical measures to alleviate this burden.
描述和分析约克角半岛和托雷斯海峡地区土著人群中经治疗的精神病性障碍。
对 2010 年在约克角半岛和托雷斯海峡地区社区接受治疗的、经精神科医生诊断为精神病性障碍的患者进行横断面分析。
15 岁及以上的土著患者，他们在约克角半岛和托雷斯海峡社区居住，在 3 个月内接受了精神病性障碍的治疗。
精神病性障碍诊断、智力障碍和物质使用合并症的患病率。
共纳入 171 名患者。该人群的患病率为 1.68%，男性（2.60%）高于女性（0.89%），且土著居民（2.05%）是托雷斯海峡岛民（0.95%）的两倍。发现高比率的酒精和大麻使用。合并智力障碍很常见，在土著患者中更为常见。
约克角半岛和托雷斯海峡地区土著人群的精神病性障碍负担很高。需要进一步研究以了解这些障碍的社会决定因素，并设计有效的社会和临床措施来减轻这一负担。
