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The weaponization of medicine: Early psychosis in the Black community and the need for racially informed mental healthcare.医学的武器化:黑人社区的早期精神病以及对具有种族意识的精神卫生保健的需求。
Front Psychiatry. 2023 Feb 9;14:1098292. doi: 10.3389/fpsyt.2023.1098292. eCollection 2023.
2
Utility and validity of the Brief Psychiatric Rating Scale (BPRS) as a transdiagnostic scale.简明精神病评定量表(BPRS)作为一种跨诊断量表的实用性和有效性。
Psychiatry Res. 2022 Aug;314:114659. doi: 10.1016/j.psychres.2022.114659. Epub 2022 May 31.
3
Institutional injustice: Implications for system transformation emerging from the mental health recovery narratives of people experiencing marginalisation.体制性不公正:边缘化人群心理健康康复叙事所揭示的对系统变革的影响。
PLoS One. 2021 Apr 16;16(4):e0250367. doi: 10.1371/journal.pone.0250367. eCollection 2021.
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Effects of prenatal exposure to antipsychotic risperidone on developmental neurotoxicity, apoptotic neurodegeneration and neurobehavioral sequelae in rat offspring.产前暴露于抗精神病药物利培酮对大鼠子代发育神经毒性、凋亡性神经退行性变和神经行为后遗症的影响。
Int J Dev Neurosci. 2016 Aug;52:13-23. doi: 10.1016/j.ijdevneu.2016.05.006. Epub 2016 May 13.
5
The Brief Psychiatric Rating Scale (version 4.0) factorial structure and its sensitivity in the treatment of outpatients with unipolar depression.简明精神病评定量表(第4.0版)的因子结构及其在单相抑郁症门诊患者治疗中的敏感性。
Psychiatry Res. 2013 Dec 15;210(2):626-33. doi: 10.1016/j.psychres.2013.07.001. Epub 2013 Jul 26.
6
Psychiatric and psychological predictors of self-reported health of African Americans with severe mental illness.非裔美国人严重精神疾病患者自我报告健康的精神和心理预测因素。
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7
Clinical implications of Brief Psychiatric Rating Scale scores.简明精神病评定量表得分的临床意义。
Br J Psychiatry. 2005 Oct;187:366-71. doi: 10.1192/bjp.187.4.366.

人文主义与精神病:与患有精神疾病且可能存在医学合并症的患者合作。

Humanism and Psychosis: Working With Patients Who Have Potential Medical Comorbidities Along With Mental Illness.

作者信息

Singh Mona, Agustines Davin

机构信息

Osteopathic Medicine, Western University of Health Sciences, Pomona, USA.

Psychiatry, Olive View University of California Los Angeles Medical Center, Los Angeles, USA.

出版信息

Cureus. 2024 Aug 14;16(8):e66903. doi: 10.7759/cureus.66903. eCollection 2024 Aug.

DOI:10.7759/cureus.66903
PMID:39280501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11399472/
Abstract

Marginalized groups, such as Black participants experiencing homelessness and diagnosed with schizophrenia, often face significant barriers to care. Improvements in treatment can be achieved by incorporating patient views, addressing stigmas, avoiding medical jargon, respecting patient preferences, and demonstrating transparency and positive affect. We discuss one example in our case report where a newly unhoused woman with schizophrenia, highlighting the impact of medical mistrust, discrimination, and ineffective communication in mental health care. We retrospectively used the Brief Psychiatric Rating Scale (BPRS) score to assess the severity of the patient's psychiatric condition after her workup. The severity of the BPRS scale is graded as mild (31-40 total score), moderate (41-52 total score), and severe (above 52 total score). Using this scale and our case report, we aim to highlight the importance of emphasizing the rationale of the plan of care to patients, explaining their diagnoses, and reasoning of diagnostics without using medical jargon.

摘要

边缘化群体,如无家可归且被诊断患有精神分裂症的黑人参与者,在获得医疗护理方面往往面临重大障碍。通过纳入患者观点、消除污名、避免使用医学术语、尊重患者偏好以及展现透明度和积极态度,可以实现治疗的改善。我们在病例报告中讨论了一个例子,该例子涉及一名新无家可归的精神分裂症女性,突出了医疗不信任、歧视以及心理健康护理中无效沟通的影响。我们回顾性地使用简明精神病评定量表(BPRS)得分来评估患者检查后的精神疾病严重程度。BPRS量表的严重程度分为轻度(总分31 - 40)、中度(总分41 - 52)和重度(总分高于52)。通过使用该量表和我们的病例报告,我们旨在强调向患者强调护理计划的基本原理、解释他们的诊断以及诊断推理而不使用医学术语的重要性。