behavioral

行为
  • 文章类型: Journal Article
    协调工具对于可靠的数据共享和准确识别心理健康研究中的相关因素至关重要。这项研究的主要目的是创建一个统一的问卷来收集人口统计,成人精神病学不同临床试验中的临床和行为数据。
    我们进行了文献综述,并检查了以前发表的精神病学随机对照试验中使用的24份问卷,确定了以前探索的总共27个领域。使用Delphi方法过程,由精神病学专家组成的工作组,流行病学和统计学选择了15个基本领域纳入最终问卷.
    最终的选择产生了一组简洁的22个问题。这些问题涵盖了年龄等因素,性别,性别,祖先,教育,生活安排,就业状况,homelocation,关系状态,医疗和精神病史.身体活动等行为因素,饮食,吸烟,酒精和非法药物的使用也包括在内,还有一个关于精神疾病家族史的问题。由于高度混杂和冗余,收入被排除在外,而语言是作为移民状态的一种衡量标准。
    建议和采用这一统一的人口统计评估工具,心理健康研究中的临床和行为数据可以增强数据的一致性,并使临床试验具有可比性。
    UNASSIGNED: Harmonized tools are essential for reliable data sharing and accurate identification of relevant factors in mental health research. The primary objective of this study was to create a harmonized questionnaire to collect demographic, clinical and behavioral data in diverse clinical trials in adult psychiatry.
    UNASSIGNED: We conducted a literature review and examined 24 questionnaires used in previously published randomized controlled trials in psychiatry, identifying a total of 27 domains previously explored. Using a Delphi-method process, a task force team comprising experts in psychiatry, epidemiology and statistics selected 15 essential domains for inclusion in the final questionnaire.
    UNASSIGNED: The final selection resulted in a concise set of 22 questions. These questions cover factors such as age, sex, gender, ancestry, education, living arrangement, employment status, home location, relationship status, and history of medical and mental illness. Behavioral factors like physical activity, diet, smoking, alcohol and illicit drug use were also included, along with one question addressing family history of mental illness. Income was excluded due to high confounding and redundancy, while language was included as a measure of migration status.
    UNASSIGNED: The recommendation and adoption of this harmonized tool for the assessment of demographic, clinical and behavioral data in mental health research can enhance data consistency and enable comparability across clinical trials.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    ABSTRACTObjectives:Behavioral and psychological symptoms of dementia (BPSD) are nearly universal in dementia, a condition occurring in more than 40 million people worldwide. BPSD present a considerable treatment challenge for prescribers and healthcare professionals. Our purpose was to prioritize existing and emerging treatments for BPSD in Alzheimer\'s disease (AD) overall, as well as specifically for agitation and psychosis.
    International Delphi consensus process. Two rounds of feedback were conducted, followed by an in-person meeting to ratify the outcome of the electronic process.
    2015 International Psychogeriatric Association meeting.
    Expert panel comprised of 11 international members with clinical and research expertise in BPSD management.
    Consensus outcomes showed a clear preference for an escalating approach to the management of BPSD in AD commencing with the identification of underlying causes. For BPSD overall and for agitation, caregiver training, environmental adaptations, person-centered care, and tailored activities were identified as first-line approaches prior to any pharmacologic approaches. If pharmacologic strategies were needed, citalopram and analgesia were prioritized ahead of antipsychotics. In contrast, for psychosis, pharmacologic options, and in particular, risperidone, were prioritized following the assessment of underlying causes. Two tailored non-drug approaches (DICE and music therapy) were agreed upon as the most promising non-pharmacologic treatment approaches for BPSD overall and agitation, with dextromethorphan/quinidine as a promising potential pharmacologic candidate for agitation. Regarding future treatments for psychosis, the greatest priority was placed on pimavanserin.
    This international consensus panel provided clear suggestions for potential refinement of current treatment criteria and prioritization of emerging therapies.
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