Medical illness in patients with schizophrenia.
Medical illness in patients with schizophrenia.
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精神分裂症患者的医疗疾病。
DOI：
--
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发表时间：
1999
影响因子：
5.3
通讯作者：
L. Goldman
中科院分区：
文献类型：
--
作者：
L. Goldman
对身体疾病和精神分裂症之间关系的研究表明，精神分裂症患者患某些疾病的风险可能会降低，如类风湿性关节炎和过敏，但患其他疾病的风险会增加，包括药物滥用和烦渴。虽然这些知识可能最终有助于确定精神分裂症的根本原因，执业临床医生的主要关注点应该是诊断和治疗个别患者的医学合并症。近50%的精神分裂症患者患有合并症，但其中许多疾病被误诊或未确诊。一个支离破碎的医疗保健系统，缺乏获得护理，病人无法清楚地了解或描述一个医疗问题，病人不愿意讨论这些问题，都有助于缺乏对精神分裂症患者的医疗问题的关注。治疗精神分裂症患者的精神科医生和初级保健从业者应努力通过使用结构化访谈或常规体检来发现医学疾病，无论何时患者都被视为护理。
Research into the relationship between physical illness and schizophrenia has revealed that patients with schizophrenia may be at decreased risk for certain disorders, such as rheumatoid arthritis and allergies, but at increased risk for others, including substance abuse and polydipsia. Although such knowledge may ultimately help determine the underlying causes of schizophrenia, the principal concern of practicing clinicians should be to diagnose and treat medical comorbidity in individual patients. Nearly 50% of patients with schizophrenia have a comorbid medical condition, but many of these illnesses are misdiagnosed or undiagnosed. A fragmented health care system, lack of access to care, patient inability to clearly appreciate or describe a medical problem, and patient reluctance to discuss such problems all contribute to the lack of attention to medical problems in patients with schizophrenia. Psychiatrists and primary care practitioners who treat patients with schizophrenia should make an effort to uncover medical illnesses by using a structured interview or routine physical examination whenever a patient is seen for care.
DOI：
10.1176/ajp.153.3.311
发表时间：
1996-03
期刊：
The American journal of psychiatry
影响因子：
--
作者：
C. Nemeroff;C. DeVane;B. Pollock
通讯作者：
C. Nemeroff;C. DeVane;B. Pollock
尼古丁依赖和精神分裂症。
DOI：
10.1176/ps.45.3.204
发表时间：
1994
期刊：
Hospital & community psychiatry
影响因子：
--
作者：
Ziedonis,DM;Kosten,TR;Glazer,WM;Frances,RJ
通讯作者：
Frances,RJ
精神分裂症患者的药物滥用：临床相关性和使用原因。
DOI：
10.1176/ajp.148.2.224
发表时间：
1991
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Dixon,L;Haas,G;Weiden,PJ;Sweeney,J;Frances,AJ
通讯作者：
Frances,AJ