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首发精神分裂症患者的抑郁心境:意大利真实世界医疗环境下 1 年随访的研究结果。

Depressed Mood in First Episode Schizophrenia: Findings From a 1-Year Follow-Up in an Italian Real-World Care Setting.

出版信息

Psychiatry. 2023 Summer;86(2):164-166. doi: 10.1080/00332747.2022.2120308. Epub 2022 Sep 23.

Abstract

: Depression in schizophrenia is associated with poor outcomes and suicide risk. However, it is overlooked in both research and clinical practice, especially in First Episode Schizophrenia (FES). : In this letter to the editor, we reported relevant findings on relevant comorbid depressed mood in an Italian sample of FES patients during a 1-year follow-up period within an "Early Intervention in Psychosis" (EIP) program. The Positive And Negative Syndrome Scale (PANSS) was completed by 159 participant. : At baseline, 53 (33.3%) participants showed a relevant depressed mood (as measured with a PANSS "Depression" G6 item subscore of ≥ 5). At entry, a relevant depressed mood was associated with a greater percentage of females and a higher PANSS "Positive Symptoms" score. Across the follow-up, FES individuals improved their depression severity levels. This reduction was significantly related to improvments in positive symptoms levels. : Depression is relatively common in FES, already at the recruitment in EIP services. However, its severity decreases overtime within specialized EIP programs.

摘要

精神分裂症中的抑郁与不良结局和自杀风险有关。然而,无论是在研究还是临床实践中,它都被忽视了,尤其是在首发精神分裂症(FES)中。在这封给编辑的信中,我们报告了在一个“早期精神病干预”(EIP)项目中,意大利 FES 患者在 1 年随访期间相关共病性抑郁情绪的相关发现。159 名参与者完成了阳性和阴性症状量表(PANSS)。在基线时,53 名(33.3%)参与者表现出明显的抑郁情绪(用 PANSS“抑郁”G6 项目子量表≥5 分测量)。在入组时,明显的抑郁情绪与女性比例较高和 PANSS“阳性症状”评分较高有关。在整个随访过程中,FES 个体的抑郁严重程度有所改善。这种减少与阳性症状水平的改善显著相关。在 EIP 服务招募时,抑郁在 FES 中已经比较常见。然而,在专门的 EIP 项目中,其严重程度会随着时间的推移而降低。

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