青少年和年轻成年人纵向队列中自我报告的精神病经历轨迹与心理健康护理连续性之间的关联》(The Trajectories Between Self-reported Psychotic Experiences and Continuity of Mental Health Care in a Longitudinal Cohort of Adolescents and Young Adults)。

IF 5.3 1区 医学 Q1 PSYCHIATRY
Suzanne E Gerritsen, Koen Bolhuis, Larissa S van Bodegom, Athanasios Maras, Mathilde M Overbeek, Therese A M J van Amelsvoort, Dieter Wolke, Giovanni de Girolamo, Tomislav Franić, Jason Madan, Fiona McNicholas, Moli Paul, Diane Purper-Ouakil, Paramala Santosh, Ulrike M E Schulze, Swaran P Singh, Cathy Street, Sabine Tremmery, Helena Tuomainen, Gwen C Dieleman, Esther Mesman
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引用次数: 0

摘要

背景和假设:有精神病经历(PE)的青少年(YP)罹患精神障碍的风险更高。因此,了解从儿童和青少年心理健康服务(CAMHS)到成人心理健康服务(AMHS)与持续性精神分裂症有关的护理知识非常重要。在此,我们调查了自我报告的持续性PE轨迹是否与过渡到成人心理健康服务的可能性和心理健康结果有关:在这项前瞻性队列研究中,我们采用访谈和问卷调查的方式,对欧洲 8 个国家 763 名达到服务年龄上限的儿童和青少年心理健康服务使用者的 PE、心理健康和服务使用情况进行了评估。使用增长混合模型(GMM)确定了自我报告的 PE(3 个项目)从基线到 24 个月随访的轨迹。通过辅助变量和混合模型对相关性进行了评估。研究结果基线时,56.7% 的青少年报告有 PE。GMM 确定了 24 个月内的 5 个轨迹:中度增加(5.2%)、中度稳定(11.7%)、中度减少(6.5%)、高度减少(4.2%)和低度稳定(72.4%)。PE 轨迹与专科护理的连续性或向 AMHS 的过渡无关。总体而言,患有 PE 的青少年在基线时报告了更多的心理健康问题。PE持续或增加与随访结果较差有关:结论:当达到 CAMHS 的年龄上限时,PE 在 CAMHS 使用者中很常见。PE的持续或增加与较差的心理健康结果、较差的预后和功能受损有关,但对持续护理的影响较小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Association Between Trajectories of Self-reported Psychotic Experiences and Continuity of Mental Health Care in a Longitudinal Cohort of Adolescents and Young Adults.

Background and hypothesis: Young people (YP) with psychotic experiences (PE) have an increased risk of developing a psychiatric disorder. Therefore, knowledge on continuity of care from child and adolescent (CAMHS) to adult mental health services (AMHS) in relation to PE is important. Here, we investigated whether the self-reported trajectories of persistent PE were associated with likelihood of transition to AMHS and mental health outcomes.

Study design: In this prospective cohort study, interviews and questionnaires were used to assess PE, mental health, and service use in 763 child and adolescent mental health service users reaching their service's upper age limit in 8 European countries. Trajectories of self-reported PE (3 items) from baseline to 24-month follow-up were determined using growth mixture modeling (GMM). Associations were assessed with auxiliary variables and using mixed models. Study results. At baseline, 56.7% of YP reported PE. GMM identified 5 trajectories over 24 months: medium increasing (5.2%), medium stable (11.7%), medium decreasing (6.5%), high decreasing (4.2%), and low stable (72.4%). PE trajectories were not associated with continuity of specialist care or transition to AMHS. Overall, YP with PE reported more mental health problems at baseline. Persistence of PE or an increase was associated with poorer outcomes at follow-up.

Conclusions: PE are common among CAMHS users when reaching the upper age limit of CAMHS. Persistence or an increase of PE was associated with poorer mental health outcomes, poorer prognosis, and impaired functioning, but were less discriminative for continuity of care.

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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.
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