社区居住的严重和持久的精神疾病患者的心理困扰。
Psychological distress in community-dwelling individuals living with severe and persistent mental illness.
机构信息
The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, NSW, Australia.
Centre for Mental Health, Griffith University, Brisbane, QLD, Australia.
出版信息
Int J Soc Psychiatry. 2023 Sep;69(6):1327-1334. doi: 10.1177/00207640231160102. Epub 2023 Mar 20.
OBJECTIVES
To explore psychological distress levels, using the validated Kessler 6 (K6), as well as the relationship between demographics and K6 scores, and incidence of mental health crises in a cohort of community-dwelling people living with severe and persistent mental illness (SPMI).
METHODS
People living with SPMI taking antipsychotic or mood stabiliser medications were recruited from Australian community pharmacies between September 2020 and Februrary 2021 and completed an electronic survey, including the K6 scale. Pharmacists were interviewed and supplied written reports with details of the consultation when participants obtained 'very high' (⩾19/30) K6 scores. Records were reviewed and coded by an independent coder. Multivariate linear regression was used to determine predictors of K6 scores.
RESULTS
The median K6 score was 16/30 (IQR = 11,21; range = 6-30). Younger age, unemployment and multimorbid mental health diagnoses were significant predictors of higher K6 scores ( < .01; = .24). Fifty-nine (39.3%) consumers scored ⩾19, of which 25/59 (42.4%) were reported to be exhibiting signs of psychological distress and none were experiencing mental health crises.
CONCLUSION
People living with SPMI have high levels of psychological distress as measured by the K6. Further work is needed to understand the prevalence, extent, precipitating factors and impact of psychological distress in people living with SPMI.
目的
使用经过验证的 Kessler 6 量表（K6），探索严重和持久精神疾病（SPMI）患者群体中的心理困扰水平，以及人口统计学因素与 K6 评分之间的关系，以及心理健康危机的发生率。
方法
从 2020 年 9 月至 2021 年 2 月，从澳大利亚社区药店招募正在服用抗精神病药或情绪稳定剂药物的 SPMI 患者，并完成电子调查，包括 K6 量表。当参与者获得“非常高”（⩾19/30）K6 评分时，药剂师会进行访谈并提供详细咨询的书面报告。记录由独立编码员进行审查和编码。使用多元线性回归来确定 K6 评分的预测因素。
结果
K6 评分中位数为 16/30（IQR ⁇ 11,21；范围 ⁇ 6-30）。年龄较小、失业和多重精神健康诊断是 K6 评分较高的显著预测因素（ ⁇.01； ⁇.24）。59 名（39.3%）消费者得分为 ⁇ 19，其中 25/59（42.4%）表现出心理困扰的迹象，无一例出现心理健康危机。
结论
使用 K6 测量，患有 SPMI 的人心理困扰水平较高。需要进一步研究了解患有 SPMI 的人心理困扰的流行率、程度、促成因素和影响。
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