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City Avoidance in the Early Phase of Psychosis: A Neglected Domain of Assessment and a Potential Target for Recovery Strategies

机译:精神病早期阶段的城市避让:被忽略的评估领域和恢复策略的潜在目标

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摘要

>Background: A considerable amount of research has explored the link between living in an urban environment during childhood and the increased risk to develop psychosis. However, the urban milieu is more than a risk factor as it is also a place for socialization and enrichment. The aims of the current study were to explore, in a large sample of early psychosis (EP) patients, their pattern of use of the city, their perception when exposed to various critical stressors, and their sensitivity to diverse forms of stimuli. >Methods: We sent a questionnaire (based on previous work conducted in a group of patients, including video-recorded walk-along in the city and a literature review) to 305 EP patients and to 220 medical students. >Results: Response rate in patients was low (38%). City avoidance and negative perceptions towards the urban environment increased in patients after onset of psychosis. Patients’ tendency to avoid city center correlates with both problematic social interactions and stimuli perceived as unpleasant. Patients seemed less likely to enjoy urban spaces considered as relaxing, suggesting a lower capacity to benefit from positive aspects of this environment. >Conclusions: The development of psychosis influences the way EP patients perceive the city and their capacity to feel at ease in the urban environment, leading to a high rate of city avoidance. Considering the possible influence of city avoidance on social relations and the recovery process, the development of strategies to help patients in this regard may have a significant effect on their recovery process.
机译:>背景:大量研究探索了童年时期在城市环境中生活与患精神病的风险增加之间的联系。但是,城市环境不仅仅是一个风险因素,因为它也是社会化和丰富化的地方。当前研究的目的是在大量早期精神病(EP)患者中探索他们使用城市的方式,暴露于各种关键压力源下的感知以及对各种形式的刺激的敏感性。 >方法:我们向305名EP患者和220名医科学生发送了调查问卷(基于之前在一组患者中进行的工作,包括在城市中进行的视频记录和文献复习)。 >结果:患者的缓解率很低(38%)。精神病发作后,患者回避城市和对城市环境的负面看法增加。患者回避城市中心的倾向与有问题的社交互动和被认为令人不快的刺激有关。患者似乎不太可能喜欢被认为是放松的城市空间,这表明从这种环境的积极方面受益的能力较低。 >结论:精神病的发展影响着EP患者对城市的感知方式以及他们在城市环境中的舒心能力,从而导致城市回避率高。考虑到回避城市对社会关系和恢复过程的可能影响,在这方面帮助患者的策略的制定可能会对他们的恢复过程产生重大影响。

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