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澳大利亚 headspace 服务机构中,前来寻求初级精神卫生保健的年轻人亚组的临床和功能特征。

Clinical and functional characteristics of a subsample of young people presenting for primary mental healthcare at headspace services across Australia.

机构信息

Orygen, Locked Bag 10, 35 Poplar Road, Parkville, VIC, 3052, Australia.

Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2021 Jul;56(7):1311-1323. doi: 10.1007/s00127-020-02020-6. Epub 2021 Jan 16.

Abstract

PURPOSE

Headspace services provide treatment options to young people seeking mental healthcare. To obtain a better understanding of needs and characteristics of this population, and effectively evaluate services, we require novel youth-specific outcome measures. As part of our broad research program to establish such measures, a sample of young people were recruited and assessed. The study describes (i) methodology used to obtain clinical, functioning, and substance use characteristics of young people presenting to headspace services; and (ii) an overview of these characteristics.

METHODS

Young people presenting to headspace centres were recruited. Multidimensional information was obtained relating to clinical and functional outcomes, demographic information, and lifestyle factors.

RESULTS

1107 young help-seeking individuals were recruited. Participants were most likely young adults aged M = 18.1 years, SD = 3.3, with diagnoses of depression and/or anxiety (76.6%, n = 801), engaged in work and study (84.9%, n = 890), and living with parent(s) (68.9%, n = 736). Impairments in functioning were moderate as indicated by the Social and Occupational Functioning Assessment Scale (M = 65.2, SD = 9.5), substance use was common (alcohol 62.7%, n = 665; illicit substances 30.5%, n = 324), and current suicidal ideation was reported by a third (33.6%, n = 358).

CONCLUSIONS

A broad dataset was obtained providing an insight into key clinical, functional and quality of life characteristics of these individuals. We observed that young people present with complex problems, comorbid diagnoses, moderate levels of symptomatology, impairments in functioning, substance use, and suicidal ideation. This work provides the foundation for our broader research program aiming to develop novel, relevant and youth-specific, change and outcome measures.

摘要

目的

头部空间服务为寻求心理健康保健的年轻人提供治疗选择。为了更好地了解这一人群的需求和特点,并有效地评估服务,我们需要新的专门针对年轻人的结果衡量标准。作为建立此类衡量标准的广泛研究计划的一部分,招募了一批年轻人进行评估。本研究描述了:(i)用于获取头部空间服务中出现的年轻人的临床、功能和物质使用特征的方法;(ii)这些特征的概述。

方法

招募了前往头部空间中心的年轻人。收集了与临床和功能结果、人口统计信息和生活方式因素相关的多维信息。

结果

招募了 1107 名寻求帮助的年轻人。参与者主要是年龄为 M=18.1 岁,标准差=3.3 岁的年轻成年人,患有抑郁和/或焦虑症(76.6%,n=801),从事工作和学习(84.9%,n=890),并与父母同住(68.9%,n=736)。社会和职业功能评估量表(M=65.2,标准差=9.5)显示,功能障碍处于中度水平,物质使用较为普遍(酒精 62.7%,n=665;非法物质 30.5%,n=324),三分之一的人(33.6%,n=358)报告存在当前自杀意念。

结论

获得了广泛的数据集,深入了解了这些年轻人的关键临床、功能和生活质量特征。我们观察到,年轻人存在复杂的问题、共病诊断、中度症状、功能障碍、物质使用和自杀意念。这项工作为我们更广泛的研究计划奠定了基础,该计划旨在开发新的、相关的、专门针对年轻人的、变化和结果衡量标准。

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