2024-10-21 サセックス大学
◆FEPの早期治療は重要で、適切な診断と支援により、症状の改善や再発リスクの低減が期待されます。また、早期に介入することで、患者の社会生活や仕事への影響を最小限に抑えることが可能です。
<関連情報>
- https://www.sussex.ac.uk/research/full-news-list?id=65957
- https://www.cambridge.org/core/journals/bjpsych-bulletin/article/determining-unmet-need-clinical-relevance-of-suspected-neurodivergence-in-firstepisode-psychosis/E4C514A84E5684D4E2014297B44B624F
アンメットニーズの決定:初回エピソード精神病における神経ダイバージェンス疑いの臨床的関連性 Determining unmet need: clinical relevance of suspected neurodivergence in first-episode psychosis
Nikola Nikolić[],Catherine Sculthorpe,Jessica Stock,Dan Stevens and Jessica Eccles
BJPsych Bulletin Published:14 October 2024
DOI:https://doi.org/10.1192/bjb.2024.64
Abstract
Aims and method
We explored the prevalence of autism and attention-deficit hyperactivity disorder in first-episode psychosis. Through service evaluation involving 509 individuals, detailed analyses were conducted on neurodevelopmental traits and patterns of service utilisation.
Results
Prevalence of neurodivergence in first-episode psychosis was 37.7%. Neurodivergent individuals used urgent mental health services more frequently (Mann–Whitney U = 25925, Z = -2.832, P = 0.005) and had longer hospital stays (Mann–Whitney U = 22816, Z = -4.886, P ≤ 0.001) than non-neurodivergent people. Neurodivergent people spend more than twice as long in mental health hospitals at a time than the non-neurodivergent people (Mann–Whitney U = 22 909.5, Z = -4.826, P ≤ 0.001). Mediation analysis underscored indirect impact of neurodivergence on hospital stay durations through age at onset of psychosis and use of emergency services.
Clinical implications
Prevalence of neurodevelopmental conditions in first-episode psychosis is underestimated. Neurodivergent individuals show increased utilisation of mental health services and experience psychosis earlier. Early assessment is crucial for optimising psychosis management and improving mental health outcomes.
