[Characteristics of psychoses in adolescence-Longitudinal data of integrated care]. / Charakteristika von Psychosen in der Adoleszenz longitudinale Daten der Integrierten Versorgung.
Nervenarzt
; 93(4): 331-340, 2022 Apr.
Article
en De
| MEDLINE
| ID: mdl-35277731
BACKGROUND: Integrated care according to the Hamburg model combines therapeutic assertive community treatment (TACT) with initiatives for early detection and early treatment of schizophrenia and affective psychoses. The aim of this study was to identify the clinical characteristics of adolescents in comparison to adult patients and to derive knowledge for transition-specific treatment approaches. METHODOLOGY: Sociodemographic and clinical variables as well as treatment performance and clinical outcome were investigated over a period of 12 months in 167 patients with psychoses (16-25 years, nâ¯= 88; and >25 years, nâ¯= 79). RESULTS: Patients with psychosis in adolescence had significantly more outpatient treatment contacts (3.5/week vs. 1.6/week; pâ¯< 0.001), while adults were hospitalized for twice as long (10â¯days vs. 21â¯days; pâ¯= 0.003). The duration of untreated psychoses was significantly shorter in the adolescent group than in adults (122 weeks vs. 208 weeks; pâ¯= 0.002). The proportion of comorbid mental disorders was significantly higher in the adolescent group (87% vs. 63%; pâ¯< 0.001). In addition, the adolescence patients already showed greater impairment of daily functions and a higher severity of illness at the start of treatment. DISCUSSION: The treatment of psychoses in adolescence was characterized by a particularly high need for flexibility across all sectors and support systems, taking comorbid problem areas into account. Care models for adolescents and young adults with psychoses should therefore combine treatment approaches for severely ill patients with transition psychiatric interventions to avoid breaks in care and to meet the complex requirements of young patients with severe mental illnesses.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Trastornos Psicóticos
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Esquizofrenia
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Servicios Comunitarios de Salud Mental
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Prestación Integrada de Atención de Salud
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Trastornos Mentales
Tipo de estudio:
Diagnostic_studies
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Prognostic_studies
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Risk_factors_studies
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Screening_studies
Límite:
Adolescent
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Adult
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Humans
Idioma:
De
Revista:
Nervenarzt
Año:
2022
Tipo del documento:
Article
Pais de publicación:
Alemania