SCHIZOPHRENIA: MEDICAL ILLNESS, MORTALITY, AND AGING
SCHIZOPHRENIA: MEDICAL ILLNESS, MORTALITY, AND AGING
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DOI：
10.2190/pm.41.3.c
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发表时间：
2011-01-01
影响因子：
2
通讯作者：
Shihabuddin, Lina
中科院分区：
文献类型：
--
作者：
Casey, David A.;Rodriguez, Mercedes;Shihabuddin, Lina
目的：精神分裂症是一种破坏性很强的常见精神障碍，除精神病外，还具有较高的内科发病率和寿命缩短。在本文中，这些问题将在精神分裂症和老龄化的背景下进行讨论。方法：以Pubmed、Medline和Google Searcher为检索词，对近期文献进行综述，检索词为“精神分裂症，衰老，医学问题”。结果：精神分裂症与显著的内科发病率和死亡率有关。糖尿病和心血管疾病，以及吸烟和肥胖，比例过高，导致生活质量和寿命下降。精神分裂症患者经常得到糟糕的医疗护理。结论：精神分裂症对身体健康和成功老龄化的影响被低估了。精神病学家和初级保健医生需要处理这种疾病的重叠的医疗和精神方面的问题，而这些患者的医疗保健系统需要比目前可用的更高程度的协调。(国际医学精神病学杂志，2011；41：245-251)
Objective: Schizophrenia is a devastating and common psychiatric disorder which is associated with a high degree of medical morbidity and reduced life span in addition to psychosis. In this article, these problems will be discussed in the context of schizophrenia and aging. Method: The recent literature was reviewed using Pubmed, Medline, and Google scholar with the search terms "schizophrenia, aging, medical problems." Results: Schizophrenia is associated with significant medical morbidity and mortality. Diabetes and cardiovascular disease, along with smoking and obesity, are over-represented and contribute to reduced quality of life and life span. Schizophrenics often receive poor medical care. Conclusions: The impacts of schizophrenia on physical health and successful aging have been under-estimated. Psychiatrists and primary care physicians need to address the overlapping medical and psychiatric aspects of the disorder while the medical care system for these patients requires a much higher degree of coordination than is currently available. (Int'l. J. Psychiatry in Medicine 2011;41:245-251)