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精神分裂症患者与普通人群之间的预期寿命差距不断扩大:文献综述及行动呼吁。

A widening longevity gap between people with schizophrenia and general population: A literature review and call for action.

机构信息

Department of Psychiatry, University of California San Diego, La Jolla, CA, United States; Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, United States.

Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, United States.

出版信息

Schizophr Res. 2018 Jun;196:9-13. doi: 10.1016/j.schres.2017.09.005. Epub 2017 Sep 28.

Abstract

Individuals with schizophrenia have higher mortality rates than the population at large. General mortality rates have declined in developed countries since the early 1970s, extending average lifespan by nearly a decade. This review of eight longitudinal studies of mortality in schizophrenia found that the mean standardized mortality ratio (SMR, a measure of mortality rate in schizophrenia compared to the general population) increased 37%, from 2.2 in the pre-1970s studies to 3.0 in the post-1970s reports. Major changes in societal stigma, healthcare, and economic policy are urgently warranted to ensure that this vulnerable segment of the population participates in the longevity revolution.

摘要

精神分裂症患者的死亡率高于一般人群。自 20 世纪 70 年代初以来,发达国家的总死亡率有所下降,平均寿命延长了近十年。对八项精神分裂症死亡率纵向研究的综述发现,标准化死亡率比(SMR,衡量精神分裂症死亡率与一般人群的比率)增加了 37%,从 20 世纪 70 年代前研究的 2.2 增加到 20 世纪 70 年代后报告的 3.0。迫切需要对社会耻辱感、医疗保健和经济政策进行重大改革,以确保这一弱势群体能够参与到长寿革命中来。

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