Hotchkiss Brain Institute, Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada.
Early Interv Psychiatry. 2013 Feb;7(1):80-3. doi: 10.1111/j.1751-7893.2012.00368.x. Epub 2012 Jun 28.
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.
A sample of 35 clinical high risks for psychosis individuals were administered a semistructured questionnaire inquiring about pathways to care.
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%).
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.
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。
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。
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%)。
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。