Use of community support services by middle-aged and older patients with psychotic disorders
Use of community support services by middle-aged and older patients with psychotic disorders
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DOI：
10.1176/appi.ps.51.4.506
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发表时间：
2000-04-01
影响因子：
3.8
通讯作者：
Jeste, DV
中科院分区：
文献类型：
--
作者：
Shaw, WS;Patterson, TL;Jeste, DV
目的：该研究旨在确定社区服务的使用与生活在社区的老年精神病患者的易感性，使能性和需求因素相关的程度，并评估社区服务的高使用率是否与精神病理学的改善或下降相关。方法：对89例社区中老年精神分裂症或其他精神障碍患者进行调查。基线评估和两次随访（每6个月一次）调整了精神病理学、幸福感和社会适应的指标，以及心理、社会和日常生活服务三类17项正式社区服务的使用频率。结果：92%的患者报告使用社区支持服务。每名病人每年平均接触心理服务36.6次，社会服务81次，日常生活服务39.7次。心理服务的高用户更年轻，经历了更严重的积极精神病症状和抑郁症状。社会服务的高使用者具有较高的社会经济地位，更可能是女性，有较长的精神病史，更多的认知缺陷，更严重的阴性精神病和抑郁症状。使用日常生活服务的患者年龄较大，功能健康状况较差，认知缺陷较多，不良的阴性精神病和抑郁症状较严重。人们注意到，随着时间的推移，社会服务的高使用者的抑郁症状有所缓解。结论：使用社区服务是常见的老年精神病门诊患者，但其频率变化的功能，病人的特点。
Objective: The study sought to determine the degree to which use of community services is related to predisposing, enabling, and need factors among older patients with psychotic disorders who live in the community and to assess whether high use of community services is associated with improving or declining psychopathology. Methods: The sample consisted of 89 middle-aged and elderly community-dwelling patients with schizophrenia or other psychotic disorders. Assessments at baseline and two follow-ups at six-month intervals adjusted measures of psychopathology, well-being, and social adjustment, in addition to the frequency of use of 17 formal community services in three categories-psychological, social, and daily living services. Results: Ninety-two percent of patients reported use of community support services. The mean number of annual service contacts per patient was 36.6 for psychological services, 81 for social services, and 39.7 for daily living services. High users of psychological services were younger and experienced more severe positive psychotic symptoms and depressive symptoms. High users of social services were of higher socioeconomic status, more likely to be female, and had a longer history of psychosis, more cognitive deficits, and more severe negative psychotic and depressive symptoms. Patients who used daily living services were older, had poorer functional health status and more cognitive deficits, and Bad more severe negative psychotic and depressive symptoms. A trend was noted for high users of social services to experience relief from depressive symptoms over time. Conclusions: Use of community services is common among older outpatients with psychotic disorders, but its frequency varies as a function of patient characteristics.