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法国社会退缩型青年的特征:一项回顾性研究。

Characteristics of socially withdrawn youth in France: A retrospective study.

机构信息

1 Psymobile, Service Hospitalo-Universitaire du pôle Ouest, Centre Hospitalier Le Vinatier, Bron Cedex, France.

2 Health Services and Performance Research Lab (EA 7425 HESPER), Université Claude Bernard Lyon 1, Lyon, France.

出版信息

Int J Soc Psychiatry. 2017 Jun;63(4):339-344. doi: 10.1177/0020764017704474. Epub 2017 Apr 26.

Abstract

BACKGROUND

Poor social interactions have been recognized as a symptom since the beginnings of psychiatry. As far as socially withdrawn youth (SWY) are concerned, studies were mostly conducted on patients seeking care. Our psychiatric outreach team called Psymobile was able to reach SWY patients who were not seeking mental health care.

AIMS

To identify the clinical and socio-demographic characteristics of SWY patients referred to our Psymobile unit.

METHOD

We carried out a retrospective study on the records of patients aged 18-34 years, who were referred to Psymobile for 'withdrawal', between April 2012 and December 2015.

RESULTS

In total, 66 patients were included in the study. SWY are predominantly male (80%) from large families or single-parent ones. About 42% had no prior contact with a mental health professional before being referred to Psymobile. The mean duration of withdrawal is 29 months. In all, 42% of SWY use cannabis and 73% present disorders of the sleep-wake schedule. About 71% maintain relations with their families and 73% go out occasionally. They are mostly diagnosed with schizophrenia (37%) or mood disorders (23%).

CONCLUSION

Over one-third of Psymobile patients aged 18-34 years were referred on grounds of social withdrawal. Our data may illustrate more accurately the situation of youth social withdrawal amid the general population than data from help-seeking patients or online questionnaires.

摘要

背景

自精神病学诞生以来,不良的社交互动就被认为是一种症状。就社交退缩的年轻人(SWY)而言,大多数研究都是针对寻求治疗的患者进行的。我们的精神科外展团队 Psymobile 能够接触到那些没有寻求心理健康护理的 SWY 患者。

目的

确定转诊至我们 Psymobile 单位的 SWY 患者的临床和社会人口学特征。

方法

我们对 2012 年 4 月至 2015 年 12 月期间因“退缩”而转诊至 Psymobile 的年龄在 18-34 岁的患者记录进行了回顾性研究。

结果

共有 66 名患者纳入本研究。SWY 主要为男性(80%),来自大家庭或单亲家庭。大约 42%的人在被转诊至 Psymobile 之前没有与心理健康专业人员有过任何接触。退缩的平均持续时间为 29 个月。所有患者中有 42%使用大麻,73%存在睡眠-觉醒时间表紊乱。大约 71%与家人保持关系,73%偶尔外出。他们主要被诊断为精神分裂症(37%)或情绪障碍(23%)。

结论

在年龄在 18-34 岁的 Psymobile 患者中,有超过三分之一的患者因社交退缩而被转诊。我们的数据可能比求助患者或在线问卷调查的数据更准确地反映一般人群中年轻人社交退缩的情况。

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