Characteristics of socially withdrawn youth in France: A retrospective study
Characteristics of socially withdrawn youth in France: A retrospective study
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DOI：
10.1177/0020764017704474
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发表时间：
2017-06-01
影响因子：
7.5
通讯作者：
Terra, Jean-Louis
中科院分区：
文献类型：
--
作者：
Chauliac, Nicolas;Couillet, Audrey;Terra, Jean-Louis
背景：自从精神病学诞生以来，不良的社会交往一直被认为是一种症状。就社交退缩青少年(SWY)而言，研究主要针对寻求护理的患者。我们的精神科外展团队能够接触到没有寻求心理健康护理的SWY患者。目的：确定转至我们精神移动单元的SWY患者的临床和社会人口学特征。方法：我们对2012年4月至2015年12月期间18-34岁的SWY患者因戒断精神移动而被转介的记录进行了回顾研究。SWY主要是来自大家庭或单亲家庭的男性(80%)。约42%的人在被转介给心理医生之前没有与心理健康专业人员有过接触。退出的平均持续时间为29个月。总体而言，42%的SWY吸食大麻，73%的人出现睡眠-觉醒时间表紊乱。约71%的人与家人保持关系，73%的人偶尔外出。主要诊断为精神分裂症(37%)或心境障碍(23%)。结论：18~34岁的精神病患者中有超过1/3的患者因社交退缩而就诊。我们的数据可能比来自求助患者或在线问卷的数据更准确地说明一般人群中年轻人的社交退缩情况。
Background: Poor social interactions have been recognized as a symptom since the beginnings of psychiatry. As far as socially withdrawn youth (SWY) are concerned, studies were mostly conducted on patients seeking care. Our psychiatric outreach team called Psymobile was able to reach SWY patients who were not seeking mental health care.Aims: To identify the clinical and socio-demographic characteristics of SWY patients referred to our Psymobile unit.Method: We carried out a retrospective study on the records of patients aged 18-34years, who were referred to Psymobile for withdrawal', between April 2012 and December 2015.Results: In total, 66 patients were included in the study. SWY are predominantly male (80%) from large families or single-parent ones. About 42% had no prior contact with a mental health professional before being referred to Psymobile. The mean duration of withdrawal is 29months. In all, 42% of SWY use cannabis and 73% present disorders of the sleep-wake schedule. About 71% maintain relations with their families and 73% go out occasionally. They are mostly diagnosed with schizophrenia (37%) or mood disorders (23%).Conclusion: Over one-third of Psymobile patients aged 18-34years were referred on grounds of social withdrawal. Our data may illustrate more accurately the situation of youth social withdrawal amid the general population than data from help-seeking patients or online questionnaires.