Department of Psychiatry, University of Toronto, Toronto, Ontario M5P3L6, Canada.
Psychiatr Clin North Am. 2023 Sep;46(3):475-486. doi: 10.1016/j.psc.2023.04.005. Epub 2023 May 27.
Men and women, for biologic and sociocultural reasons, differ in the nature of their risks for schizophrenia and also in their care needs. Women with schizophrenia have several reproduction-associated risks and care needs that require special clinical consideration. They also have several specific risks related to antipsychotics and gender-associated needs not necessarily related to biology. These require clinicians' diagnostic acumen, treatment skills, cultural sensitivity, and advocacy know-how. Although this does not pertain to everyone, awareness on the part of clinicians is essential. This article addresses the current evidence for difference.
由于生物学和社会文化因素的影响,男性和女性在精神分裂症的发病风险和护理需求方面存在差异。患有精神分裂症的女性存在多种与生育相关的风险和护理需求,这需要特别的临床关注。此外,她们还存在与抗精神病药物相关的特定风险以及与生物学无关的特定性别相关需求,这需要临床医生具备敏锐的诊断能力、治疗技能、文化敏感性和倡导专业知识。尽管并非每个人都存在这些问题,但临床医生对此有所认识是至关重要的。本文将探讨目前存在差异的证据。