Collins Ann, Muñoz-Solomando Antonio
Tonteg Child and Family Clinic,Cwm Taf University Health Board,Pontypridd,Wales.
BJPsych Bull. 2018 Oct;42(5):188-192. doi: 10.1192/bjb.2018.39. Epub 2018 Jun 21.
Aims and methodThis article examines mental health disorders as individuals transition from adolescence to adulthood. Data were collected from clinical records of patients who had transitioned from child and adolescent mental health services to adult mental health services in a region in South Wales. Demographics and clinical diagnoses under both services were recorded. Patterns between adolescent and adult disorders as well as comorbidities were investigated using Pearson's χ2-test and Fisher's exact test.
Of the 98 patients that transitioned from one service to the other, 74 had changes to their diagnoses. There were 164 total changes to diagnoses, with patients no longer meeting diagnostic criteria for 64 disorders and 100 new disorders being diagnosed. Comorbidity increased in adulthood.Clinical implicationsDiagnoses can evolve, particularly during adolescence and early adulthood. Therefore regular reassessment is paramount for successful treatment.Declaration of interestNone.
目的与方法
本文研究了个体从青春期向成年期过渡过程中的心理健康障碍。数据收集自南威尔士某地区从儿童及青少年心理健康服务机构转诊至成人心理健康服务机构的患者的临床记录。记录了两个服务机构下的人口统计学信息和临床诊断情况。使用Pearson卡方检验和Fisher精确检验研究青少年和成人疾病之间的模式以及共病情况。
在从一种服务转诊至另一种服务的98名患者中，74名患者的诊断发生了变化。诊断总共发生了164次变化，其中患者不再符合64种疾病的诊断标准，同时有100种新疾病被诊断出来。成年期共病情况增加。
临床意义
诊断可能会演变，尤其是在青春期和成年早期。因此，定期重新评估对于成功治疗至关重要。
利益声明
无。
