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瑞士移民精神科住院时间的社会人口统计学和临床预测因素

Sociodemographic and Clinical Predictors of the Length of Psychiatric Inpatient Stay of Immigrants in Switzerland.

作者信息

Frizi Renée, Lay Barbara, Seifritz Erich, Kawohl Wolfram, Habermeyer Benedikt, Roser Patrik

机构信息

Department of Psychiatry and Psychotherapy, Psychiatric Services Aargau, Academic Teaching Hospital of the University of Zurich, Windisch, Switzerland.

Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital, University of Zurich, Zurich, Switzerland.

出版信息

Front Psychiatry. 2020 Dec 9;11:585798. doi: 10.3389/fpsyt.2020.585798. eCollection 2020.

Abstract

Immigrants with mental disorders have consistently been reported to spend shorter time in the psychiatric hospital compared to native patients. The aim of this study was to identify sociodemographic, clinical and migration-related predictors of a shorter length of psychiatric inpatient stay among immigrants in Switzerland. All patients of a foreign nationality admitted for inpatient treatment in the year 2016 ( = 279) were included in this study. The sample characteristics were drawn from the register of the psychiatric hospital. Within this sample, self-harm and substance use predicted a shorter inpatient treatment episode whereas disturbances of general psychosocial functioning were a predictor of a longer length of stay. As similar results were also reported for non-immigrant patients, the impact of these specific behavioral and social problems on the length of inpatient stay does not appear to be migrant-specific. Moreover, a country of origin outside Europe was a strong predictor of shorter length of stay pointing to inequalities of inpatient psychiatric treatment within the group of immigrants. Therefore, the cultural background and migrant history of immigrants in psychiatry need stronger consideration in order to eliminate disadvantages in mental health care.

摘要

一直有报告称,患有精神障碍的移民在精神病院的住院时间比本国患者短。本研究的目的是确定瑞士移民中导致精神病住院时间较短的社会人口学、临床和移民相关预测因素。2016年住院治疗的所有外国国籍患者(n = 279)纳入本研究。样本特征取自精神病院登记册。在该样本中,自我伤害和物质使用预示着住院治疗时间较短,而一般心理社会功能障碍则是住院时间较长的一个预测因素。由于非移民患者也报告了类似结果,这些特定行为和社会问题对住院时间的影响似乎并非移民所特有。此外,欧洲以外的原籍国是住院时间较短的一个有力预测因素,这表明移民群体中存在住院精神病治疗不平等现象。因此,为消除精神卫生保健方面的劣势,精神病学中移民的文化背景和移民历史需要得到更多重视。

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本文引用的文献

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Globalization, migration, and ethnicity.全球化、移民和种族。
Public Health. 2019 Jul;172:135-142. doi: 10.1016/j.puhe.2019.04.011. Epub 2019 Jun 20.

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