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转型期的精神障碍:早期发现与早期干预

[Psychotic disorders in the transition phase: early detection and early intervention].

作者信息

Karow Anne, Holtmann Martin, Koutsouleris Nikolaus, Pfennig Andrea, Resch Franz

机构信息

Psychiatrie und Psychotherapie, Universitätskrankenhaus Hamburg-Eppendorf.

Klinik für Kinder- und Jugendpsychiatrie, Psychotherapie und Psychosomatik, LWL-PsychiatrieVerbund Westfalen.

出版信息

Fortschr Neurol Psychiatr. 2019 Nov;87(11):629-633. doi: 10.1055/a-1025-1994. Epub 2019 Nov 22.

Abstract

Adolescence is a particularly vulnerable age for the first manifestation of psychoses due to the brain maturation process and especially with additional stress factors and these have negative psychosocial consequences for the affected persons and their relatives. The disadvantages of an early onset of the disease can be partially compensated for by high-quality early diagnosis and early treatment, taking into account transitional medical approaches. In order to promote a successful transition of adolescent patients with psychoses, there are practical recommendations for the establishment of community-based, flexible and follow-up early diagnosis and treatment networks in which employees work together across diagnosis, age, discipline, and setting, enabling a structured, comprehensive, patient-oriented and flexible successful transition.

摘要

由于大脑成熟过程,尤其是存在额外的压力因素,青少年时期是精神病首次发作的特别脆弱的年龄段,而这些对患者及其亲属会产生负面的社会心理后果。考虑到过渡性医疗方法,疾病的早发所带来的不利影响可通过高质量的早期诊断和早期治疗得到部分弥补。为促进患有精神病的青少年患者的成功过渡,有一些切实可行的建议,即建立基于社区的、灵活且后续跟进的早期诊断和治疗网络,其中工作人员跨越诊断、年龄、学科和环境共同协作,从而实现结构化、全面、以患者为导向且灵活的成功过渡。

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