Mobile Mental Health Unit of the Prefectures of Ioannina and Thesprotia, Society for the Promotion of Mental Health in Epirus, Ioannina, Greece.
Västerås Central Hospital, Västerås, Sweden.
Int J Soc Psychiatry. 2020 Mar;66(2):111-117. doi: 10.1177/0020764019882709. Epub 2019 Nov 6.
There is a dearth of studies on functioning in patients with psychotic disorders in rural areas.
The objective of this study was to assess functioning in a population-based sample of patients with psychotic disorders who live in rural, remote and deprived areas in Greece, and to explore the differences in functioning across ages.
The sample consisted of 61 patients with psychotic disorders that were engaged to treatment with a community mental health service. The mean age of patients was 54.2 years, and the mean illness duration was 26.5 years.
A total of 23 patients (37.7%) had score in the Global Assessment of Functioning scale >60, and were rated as adequately functioning, and 18 patients (29.5%) had score in Clinical Global Impression scale-Schizophrenia ⩽3 and could be rated as mildly or minimally ill. Functioning was found to be inversely related to the patients' symptomatology. No correlation with age was found.
This study suggests that a large proportion of patients with psychotic disorders in rural Greece may achieve a satisfactory level of functioning in the long-term, across the whole age range despite the not completely remitted symptomatology. More research is needed to clarify the factors associated with rural residency that may account for patients' functioning.
农村地区精神障碍患者的功能研究较少。
本研究旨在评估居住在希腊农村、偏远和贫困地区的精神障碍患者的人群样本的功能，并探讨不同年龄组之间功能的差异。
该样本包括 61 名接受社区精神卫生服务治疗的精神障碍患者。患者的平均年龄为 54.2 岁，平均病程为 26.5 年。
共有 23 名患者（37.7%）的总体功能评估量表得分>60，被评为功能良好，18 名患者（29.5%）的临床总体印象量表-精神分裂症得分⩽3，可评为轻度或轻度患病。功能与患者的症状呈负相关。与年龄无相关性。
本研究表明，尽管症状并未完全缓解，但希腊农村地区的大多数精神障碍患者在长期内可能会达到令人满意的功能水平，跨越整个年龄范围。需要进一步的研究来阐明与农村居住相关的可能影响患者功能的因素。
