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处于精神病临床高危风险人群的治疗途径。

Pathways to care for those at clinical high risk of developing psychosis.

机构信息

Hotchkiss Brain Institute, Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada.

出版信息

Early Interv Psychiatry. 2013 Feb;7(1):80-3. doi: 10.1111/j.1751-7893.2012.00368.x. Epub 2012 Jun 28.

Abstract

AIM

Understanding the pathways to care is a prerequisite for early detection in first-episode patients with psychosis. Less in known about the pathways to care for individuals at clinical high risk for psychosis.

METHODS

A sample of 35 clinical high risks for psychosis individuals were administered a semistructured questionnaire inquiring about pathways to care.

RESULTS

The majority of contacts were made to general practitioners (32.8%). Various symptoms of concern were reported among the sample, the most common being depression (15.9%) followed by anxiety (11.0%). Delusions/paranoia were the most frequent symptoms associated with successful referral to contacts (14.3%).

CONCLUSION

Education on the pathway to successful access to care and treatment in a putatively prodromal for psychosis group of individuals is valuable information that can potentially aid in a faster discovery of these individuals and their access to treatment and care.

摘要

目的

了解就诊途径是早期发现首发精神病患者的前提条件。对于处于精神病高危状态的个体,其就诊途径知之甚少。

方法

对 35 名处于精神病高危状态的个体进行了半结构式问卷调查,以了解就诊途径。

结果

大多数接触是与全科医生进行的(32.8%)。该样本报告了各种令人担忧的症状,最常见的是抑郁(15.9%),其次是焦虑(11.0%)。妄想/偏执是与成功转介到接触者相关的最常见症状(14.3%)。

结论

对于处于精神病前驱期的个体,提供有关成功获得治疗和护理途径的教育是有价值的信息,这可能有助于更快地发现这些个体,并为他们提供治疗和护理。

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