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社区部分住院计划中严重精神症状的成年人:临床反应的特征和预测因素。

Adults with Severe Psychiatric Symptoms in a Community Partial Hospitalization Program: Characteristics and Predictors of Clinical Response.

机构信息

Balanced Wellbeing LLC, Oxford, 34484, USA.

Adult, Child and Adolescent Psychiatrist Diplomat ABPM, Addiction Psychiatrist, Compass Health, Clinical Assistant Professor, University of Missouri, Columbia, MO, USA.

出版信息

Community Ment Health J. 2021 May;57(4):667-674. doi: 10.1007/s10597-020-00725-1. Epub 2020 Oct 13.

Abstract

Mental health wellbeing is a critical element in the overall wellbeing of an individual. Severe mental health issues are directly connected with the individual's functioning and negatively impacts the quality of life. Inpatient psychiatric hospitalization does help significantly in stabilizing the acute serious mental health problems; however, the utility of community partial hospitalization program (PHP) has not been studied extensively. We undertook this study to assess the usefulness of community partial hospitalization program (PHP) in reducing severity of psychosomatic symptoms of patients; to study the epidemiology of the referred patients; and to elucidate the characteristics and predictors of psychosomatic symptom response. 164 patients were assessed by a baseline Behavioral and Symptom Identification Scale-32 (BASIS-32) at a tertiary healthcare center, out of which 82 patients subsequently followed up and were assessed using the same scale and the data was then stratified and compiled. Out of the initial 164 patients, at a 50% adherence rate, 13 patients showed an improvement greater than 30% with a significant co-relation to the race of the patients. Partial Hospitalization Program proved to be moderately effective in improving psychosomatic symptoms, with better results noticed in the White/Caucasian race. We need to consider several variables before generalizing this finding and more studies are needed in this area. However, we are able to highlight this valuable tool in addressing the severe mental health issues in a community-based populations.

摘要

心理健康是个体整体健康的重要组成部分。严重的心理健康问题与个体的功能直接相关,并对生活质量产生负面影响。住院精神病治疗确实有助于显著稳定急性严重心理健康问题;然而,社区部分住院治疗计划(PHP)的效用尚未得到广泛研究。我们进行这项研究是为了评估社区部分住院治疗计划(PHP)在减轻患者身心症状严重程度方面的有用性;研究转诊患者的流行病学;并阐明身心症状反应的特征和预测因素。在一家三级保健中心,164 名患者通过基线行为和症状识别量表-32(BASIS-32)进行了评估,其中 82 名患者随后进行了随访,并使用相同的量表进行了评估,然后对数据进行分层和编译。在最初的 164 名患者中,以 50%的依从率,13 名患者的改善程度超过 30%,与患者的种族有显著相关性。部分住院治疗计划在改善身心症状方面被证明是中等有效的,在白种/高加索人种中效果更好。在推广这一发现之前,我们需要考虑几个变量,并且需要在这一领域进行更多的研究。然而,我们能够强调这个有价值的工具在解决社区人群中的严重心理健康问题方面的作用。

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