希腊/希腊农村精神病谱系障碍或双相情感障碍患者早期发现的挑战:流动精神卫生单位的作用。

IF 2.7 4区 医学 Q2 PSYCHIATRY
Alexandros N Vgontzas, Eirini M Mitropoulou, Kalliopi Diakaki, Vasiliki Galanopoulou, Avgi Zografaki, Maria Anastasaki, Maria Daskalaki, Vasilis Chatziorphanos, Aikaterini Koutra, Panagiotis G Simos
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引用次数: 0

摘要

背景:早期发现和干预被认为是严重精神障碍长期预后的重要决定因素。初步证据表明,在克里特岛/希腊的农村地区,患有精神病或双相情感障碍的患者在寻求精神保健方面存在严重延误。目的/目的:本研究的主要目的是检查:精神病谱系或双相情感障碍患者首次入院/就诊时的平均年龄和非自愿入院的百分比;以及这些关联在流动精神卫生单位(MMHU)运营的10年中(2013-2023年)是否受到影响。次要目的是分析首次入院/就诊时年轻和老年患者的人口统计学和临床差异。方法:参与者是年龄在15岁之间的成年人,被诊断为精神病谱系障碍或双相情感障碍,生活在克里特岛/希腊的一个明确的集水区。我们比较了精神病或双相患者在三个时间点的首次入院/就诊年龄,特别是2013年、2018年和2023年,以及基于首次入院/就诊年龄的患者人口学和临床特征的差异。结果:精神病谱系障碍患者首次就诊的平均年龄为39.7 ~ 43.1岁,而双相情感障碍患者的平均年龄约为40.7 ~ 45.97岁。值得注意的是,在MMHU运营的十年间(2013-2023年),首次入院/就诊的年龄没有降低,而非自愿入院的比例很高。最后,单身、滥用药物和受过高等教育的患者更倾向于早期寻求精神病学帮助。结论:在克里特岛/希腊农村,为这两种疾病寻求精神护理的平均年龄过去和现在都非常高。由于缺乏一致和可靠的心理健康服务,再加上对耻辱的恐惧以及希腊家庭和小城镇的文化特点,使个人不愿及早寻求心理保健。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenges in the early detection of patients with psychotic spectrum disorder or bipolar disorder in rural Grete/Greece: The role of the mobile mental health unit.

Background: Early detection and intervention are considered important determinants of long-term outcomes of severe mental disorders. Preliminary evidence has shown that in Crete/Greece in rural areas there is a significant delay in seeking mental health care for patients with psychosis or bipolar disorder.

Aims/objectives: The primary aim of this study is to examine: the mean age and percentage of involuntary admissions of patients with psychotic spectrum or bipolar disorder at first admission/visit; and whether these associations were affected over the 10 years of the mobile mental health unit (MMHU) operation (2013-2023). A secondary objective is to analyze demographic and clinical differences between younger and older patients at first admission/visit.

Methods: Participants were adults >15 years, diagnosed with psychotic spectrum disorder or bipolar disorder, living within a well-defined catchment-area in Crete/Greece. We compared age of first admission/visit for psychotic or bipolar patients at three time points, specifically years 2013, 2018, and 2023 and differences of patients' demographic and clinical characteristics based on age of first admission/visit.

Results: The average age of first admission/visit for patients with psychotic spectrum disorders ranges from 39.7 to 43.1, while the average age range for those with bipolar disorder is approximately 40.7 to 45.97 years. Notably, there was no reduction of the age of first admission/visit over the ten years of the MMHU operation (2013-2023), whereas there was a high percentage of involuntary admissions. Finally, patients who are single, abuse drugs, and have a higher education are more prone to seek psychiatric help earlier.

Conclusions: In rural Crete/Greece the average age of seeking mental care for both disorders was and remains markedly high. The lack of consistent and reliable mental health services coupled with the fear of stigma and cultural characteristics of Greek families and small rural towns, discourages individuals seeking mental health care early.

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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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