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首页> 外文期刊>The British journal of psychiatry : >Early intervention in psychotic disorders: beyond debate to solving problems
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Early intervention in psychotic disorders: beyond debate to solving problems

机译：精神病的早期干预：从辩论到解决问题

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The challenges of early diagnosis are similar in psychiatry to the rest of medicine.For potentially severe and persistent disorders there is great value in early diagnosis, however, only under certain conditions. Early diagnosis would not be justified if there were no efficacious treatments or if such treatments provided earlier would do more harm than good for those exposed.There is growing evidence that earlier and sustained intervention improves at least short-term outcomes. However, early intervention may be iatrogenic where systems of care are poor in quality. One thing is clear, the general pattern of care is still a€?too little, too latea€? even in the most affluent countries. Consistent and extensive reform of health systems, with recognition of early intervention as an increasingly evidence-based a€?best buya€?, represents one of the key priorities in international mental health.
机译：在精神病学方面，早期诊断的挑战与其余药物相似。对于潜在的严重和持续性疾病，只有在特定条件下，早期诊断才具有重要价值。如果没有有效的治疗方法，或者如果早期提供的这种治疗方法对暴露的人来说弊大于利，那么早期诊断将是不合理的。越来越多的证据表明，早期和持续的干预至少可以改善短期结果。但是，在护理系统质量较差的地方，早期干预可能是医源性的。一件事很清楚，总体护理模式仍然太少，太迟。即使在最富裕的国家不断进行广泛的卫生系统改革，并将早期干预视为越来越多的基于证据的“最佳购买”，这是国际精神卫生的关键优先事项之一。

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