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以康复为重点的团队中患有精神障碍的年轻成年人的症状性和功能性缓解

Symptomatic and Functional Remission in Young Adults with a Psychotic Disorder in a Rehabilitation Focused Team.

作者信息

Kwakernaak Sascha, Swildens Wilma E, van Wel Tom F, Janssen Richard T J M

机构信息

Altrecht Mental Health Care, Lange Nieuwstraat 119, 3512 PG, Utrecht, The Netherlands.

Tranzo Scientific Center for Care and Welfare, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands.

出版信息

Community Ment Health J. 2020 Apr;56(3):549-558. doi: 10.1007/s10597-019-00512-7. Epub 2019 Dec 9.

Abstract

The aim of this study is to assess symptomatic remission (SR) and functional remission (FR) in a rehabilitation focused program for young adults with a psychotic disorder in the Netherlands, and to investigate which individual and mental health care factors are associated with SR and/or FR, by using Routine Outcome Monitoring data and data on met needs and unmet needs for care. Data of 287 young adults were collected. Almost 40% achieved or maintained SR, 34% FR, and 26% achieved or maintained both. In addition to sociodemographic factors, living independently, paid employment, higher levels of compliance with treatment, and better fulfillment of unmet needs for care in relation to psychological distress, company and daytime activities were associated with better outcomes on SR and/or FR. Our findings underscore that to successfully improve and sustain remission in young adults with a psychotic disorder, it is needed to conduct specific research into the relationship between SR and FR.

摘要

本研究的目的是评估荷兰一项针对患有精神障碍的年轻人的以康复为重点的项目中的症状缓解(SR)和功能缓解(FR)情况,并通过使用常规结果监测数据以及关于护理需求满足情况和未满足需求的数据,调查哪些个人因素和精神卫生保健因素与SR和/或FR相关。收集了287名年轻人的数据。近40%的人实现或维持了症状缓解,34%实现了功能缓解,26%的人实现或维持了两者。除社会人口学因素外,独立生活、有偿就业、更高的治疗依从性以及在心理困扰、陪伴和日间活动方面更好地满足未满足的护理需求与症状缓解和/或功能缓解的更好结果相关。我们的研究结果强调,为了成功改善和维持患有精神障碍的年轻人的缓解状态,需要对症状缓解和功能缓解之间的关系进行具体研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9381/7056708/713ff94ec0c8/10597_2019_512_Fig1_HTML.jpg

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