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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >People living with psychotic illness in 2010: The second Australian national survey of psychosis.
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People living with psychotic illness in 2010: The second Australian national survey of psychosis.

机译：2010年患有精神病疾病的人：第二澳洲的精神病调查。

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Objective: The 2010 Survey of High Impact Psychosis (SHIP) is Australia's second national psychosis survey. This paper provides an overview of its findings, including comparisons with the first psychosis survey and general population data. Methods: The survey covered 1.5 million people aged 18-64 years, approximately 10% of Australians in this age group. A two-phase design was used. In phase 1, screening for psychosis took place in public mental health services and non-government organizations supporting people with mental illness. In phase 2, 1825 of those screen-positive for psychosis were randomly selected and interviewed. Data collected included symptomatology, substance use, functioning, service utilization, medication use, education, employment, housing, and physical health including fasting blood samples. Results: The estimated 1-month treated prevalence of psychotic disorders in public treatment services was 3.1 people per 1000 population; the 12-month treated prevalence was 4.5 people per 1000. The majority (63.0%) of participants met ICD-10 criteria for schizophrenia/schizoaffective disorder. One-half (49.5%) reported attempting suicide in their lifetime and two-thirds (63.2%) were rated as impaired in their ability to socialize. Over half (54.8%) had metabolic syndrome. The proportion currently smoking was 66.1%. Educational achievement was low. Only 21.5% were currently employed. Key changes in the 12 years since the first survey included: a marked drop in psychiatric inpatient admissions; a large increase in the proportion attending community mental health clinics; increased use of rehabilitation services and non-government organizations supporting people with mental illness; a major shift from typical to atypical antipsychotics; and large increases in the proportions with lifetime alcohol or drug abuse/dependence. Conclusion: People with psychotic illness face multiple challenges. An integrated approach to service provision is needed to ensure that their living requirements and needs for social participation are met, in addition to their very considerable mental and physical health needs.
机译：目的：2010年高影响精神病（船舶）的调查是澳大利亚第二次国家精神病调查。本文概述了其调查结果，包括与第一个精神病调查和一般人口数据的比较。方法：调查涵盖了180万人18-64岁的人，澳大利亚人在这个年龄组中约有10％。使用了两相的设计。在1阶段，对精神病的筛查发生在公共心理健康服务和支持精神疾病人士的非政府组织中。在那些对精神病的筛查阳性的1825阶段，被随机选择和接受采访。收集的数据包括症状，物质使用，运作，服务利用率，药物使用，教育，就业，住房和身体健康，包括禁食血样。结果：公共治疗服务中精神障碍的估计1个月治疗患病率为每1000人口3.1人;每1000人的12个月治疗的患病率为4.5人。大多数（63.0％）的参与者符合精神分裂症/血液化障碍的ICD-10标准。报告的一半（49.5％）报告在其终生和三分之二（63.2％）中试图自杀（63.2％）被评为社交能力。超过一半（54.8％）具有代谢综合征。目前吸烟的比例为66.1％。教育成就低。目前只采用了21.5％。自第一次调查以来12年来的关键变化：精神病住院入学招生的明显下降;占社区心理健康诊所的比例大幅增加;增加了利用康复服务和支持患有精神疾病的人的非政府组织;从典型到非典型抗精神病学的重大转变;寿命酒精或药物滥用/依赖的比例大幅增加。结论：精神病患者面临多种挑战。还需要一种综合的服务提供方法，以确保在其非常适当的心理和身体健康需求外，满足他们的生活要求和对社会参与的需求。

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