Bernhardt Miriam, Siebert Stefan, Baumgardt Johanna, Domanska Olga Maria, Leopold Karolina, Bechdolf Andreas
Kliniken für Psychiatrie, Psychotherapie und Psychosomatik mit FRITZ am Urban & soulspace, Vivantes Klinikum Am Urban und Vivantes Klinikum im Friedrichshain, Dieffenbachstraße 1, 10967, Berlin, Deutschland.
Alfred Adler Gesellschaft für Individualpsychologie in Berlin e. V., Berlin, Deutschland.
Nervenarzt. 2025 Jan;96(1):50-56. doi: 10.1007/s00115-024-01777-4. Epub 2025 Jan 16.
In Germany, there are hardly any studies that investigated the care pathways in the early course of psychosis and the duration of untreated psychosis (DUP) and took the migration background into account.
The study examined whether young adults with (PwM) and without a migration background (PoM) who had a first psychotic episode or first contact with the psychiatric care system within the last 5 years differ in their utilization of care services and DUP.
The data collection and post hoc analyses were carried out as a part of a cohort study (84 inpatients) at the Early Intervention and Therapy Center (FRITZ) in Berlin.
The number of PwM (n = 38) who experienced a first psychotic episode did not significantly differ from the comparison group (PoM, n = 46) in the utilization of healthcare services (p = 0.22). Neither the time until seeking help from the first service nor the number of contacts with healthcare services and DUP significantly differed between PwM and Pom. The PwM were predominantly young adults with a good education background who grew up in Germany.
Users sought help at FRITZ relatively quickly, independent of their migration background, which supports further implementation of specialized early detection and intervention services in Germany. The results could be attributed to the selection of the study population.
Further studies are needed that address people with lower education and low language skills. The early detection programs and awareness campaigns should be adapted to this target group.
在德国，几乎没有研究调查过精神病早期阶段的护理途径以及未治疗精神病持续时间（DUP），且未考虑移民背景。
本研究考察了在过去5年内首次出现精神病发作或首次与精神科护理系统接触的有移民背景的年轻人（PwM）和无移民背景的年轻人（PoM）在护理服务利用情况和DUP方面是否存在差异。
数据收集和事后分析是作为柏林早期干预与治疗中心（FRITZ）一项队列研究（84名住院患者）的一部分进行的。
首次出现精神病发作的PwM组（n = 38）与对照组（PoM，n = 46）在医疗服务利用方面无显著差异（p = 0.22）。PwM组和PoM组在首次寻求服务前的时间、与医疗服务机构的接触次数以及DUP方面均无显著差异。PwM主要是在德国长大、受过良好教育的年轻人。
无论移民背景如何，患者都相对较快地在FRITZ寻求帮助，这支持了德国进一步实施专门的早期检测和干预服务。结果可能归因于研究人群的选择。
需要针对教育程度较低和语言技能较差人群开展进一步研究。早期检测项目和宣传活动应针对这一目标群体进行调整。
