کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6814520 | 545876 | 2014 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Comparing illness presentation, treatment and functioning between patients with adolescent- and adult-onset psychosis
ترجمه فارسی عنوان
مقایسه وضعیت بیماری، درمان و عملکرد بیماران مبتلا به روانپزشک مبتلا به نوجوانان و بزرگسالان
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کلمات کلیدی
سن شروع شروع نوجوانی، شروع بزرگسالان قسمت اول، جنون جوانی،
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
روانپزشکی بیولوژیکی
چکیده انگلیسی
Studies have shown that early- and adult-onset schizophrenia patients differ in pre-morbid traits, illness presentation, psychopathology, and prognosis. We aimed to compare adult-onset patients (age range 26-55 years) with an adolescent-onset cohort (15-25 years) in demographics, illness presentation and functioning at baseline. Participants were from two territory-wide early intervention services for adolescent-onset (n=671) and adult-onset psychosis patients (n=360) in Hong Kong. The adolescent-onset cohort had their initial psychotic episode from 2001-2003; retrospective data collection was done through systematic case note review. The adult-onset cohort was recruited for a larger interventional study from 2009-2011; information was collected via face-to-face interviews. Adult-onset psychosis was significantly associated with more females, fewer smokers, more non-local birth, more full-time employment, better functioning, poorer medication adherence, more psychiatric hospitalization and fewer with schizophrenia than adolescent-onset psychosis (mean age: 20.4). The effect sizes were small, except for medication adherence where a robust effect was found. No group difference in DUP was found. The finding that adult-onset patients had better functioning challenges the view that adolescent- and adult-onset psychoses share a similar prognostic trajectory. Implications for adapting intervention processes for adolescent- and adult-onset psychosis are discussed.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Psychiatry Research - Volume 220, Issue 3, 30 December 2014, Pages 797-802
Journal: Psychiatry Research - Volume 220, Issue 3, 30 December 2014, Pages 797-802
نویسندگان
Christy Lai-Ming Hui, Adrienne Wing-Yee Li, Chung-Ming Leung, Wing-Chung Chang, Sherry Kit-Wa Chan, Edwin Ho-Ming Lee, Eric Yu-Hai Chen,