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精神分裂症住院患者在司法机构中存在治疗抵抗和住院时间延长的情况。

Treatment resistance and prolonged length of stay among schizophrenia inpatients in forensic institutions.

机构信息

Department of Forensic Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland.

Department of Forensic Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland; Chair of Psychiatry, Medical College, Jagiellonian University, Krakow, Poland.

出版信息

Psychiatry Res. 2021 Apr;298:113771. doi: 10.1016/j.psychres.2021.113771. Epub 2021 Jan 29.

DOI:10.1016/j.psychres.2021.113771
PMID:33647704
Abstract

Patients suffering from schizophrenia spectrum disorders are the largest group of forensic inpatients worldwide, therefore the identification of factors that influence how long service users experiencing schizophrenia spend in forensic hospitals is one of the most important research areas in forensic psychiatry. Methods: Analysis of data of 87 schizophrenia inpatients, hospitalized in a medium secure forensic unit. Results: Mental disorders among family members, alcohol or substance dependence diagnosis, the severity of the criminal behavior demonstrated by homicide/homicide attempts and features of treatment resistance as persistent psychotic symptoms and current treatment with >1 antipsychotics was proven to influence the length of stay (LoS).

摘要

患有精神分裂症谱系障碍的患者是全球范围内最大的法医住院患者群体,因此,确定影响精神分裂症患者在法医精神病院住院时间长短的因素是法医精神病学最重要的研究领域之一。方法:分析了在一个中等安全的法医单位住院的 87 名精神分裂症患者的数据。结果:家庭成员的精神障碍、酒精或物质依赖诊断、凶杀/凶杀未遂行为的严重程度以及治疗抵抗的特征,如持续的精神病症状和目前使用>1 种抗精神病药物的治疗,均证明会影响住院时间(LoS)。

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