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系统评价旨在改善被诊断为人格障碍的人群心血管健康的干预措施。

A systematic review of interventions aimed at improving the cardiovascular health of people diagnosed with personality disorders.

机构信息

Population Health Sciences, University of Bristol, Bristol, UK.

Imperial College London, London, UK.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2019 Aug;54(8):897-904. doi: 10.1007/s00127-019-01705-x. Epub 2019 Mar 30.

Abstract

PURPOSE

People with personality disorders have significantly reduced life expectancy and increased rates of cardiovascular disease compared to members of the general population. Given that more people die annually of cardiovascular disease across the globe than from any other cause, it is important to identify the evidence for interventions aimed at improving cardiovascular health among people with personality disorders.

METHODS

Systematic literature review. PsycINFO, MEDLINE and EMBASE were searched using NICE Healthcare Databases, as well as CENTRAL and trial registries. We sought to identify randomised controlled trials of interventions pertaining to adults with a primary diagnosis of personality disorder, where the primary outcome measure was cardiovascular health before and after the intervention.

RESULTS

A total of 1740 records were identified and screened by two independent reviewers. No papers meeting the inclusion criteria were identified.

CONCLUSIONS

This systematic review did not identify any randomised controlled trials testing interventions aimed at improving the cardiovascular health of people with personality disorders. Research in this area could have important public health implications, spanning the fields of psychiatry and general medicine.

摘要

目的

与普通人群相比,人格障碍患者的预期寿命明显缩短,心血管疾病发病率更高。鉴于全球每年因心血管疾病而死亡的人数超过其他任何原因,因此确定针对人格障碍患者改善心血管健康的干预措施的证据非常重要。

方法

系统文献回顾。使用 NICE 医疗保健数据库以及 CENTRAL 和试验登记处,在 PsycINFO、MEDLINE 和 EMBASE 中进行了检索。我们旨在确定针对主要诊断为人格障碍的成年人的干预措施的随机对照试验,主要结局指标是干预前后的心血管健康状况。

结果

共确定了 1740 条记录,并由两名独立审查员进行了筛选。没有符合纳入标准的论文。

结论

本系统评价未发现任何旨在改善人格障碍患者心血管健康的干预措施的随机对照试验。该领域的研究可能具有重要的公共卫生意义,涵盖精神病学和一般医学领域。

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