UNASSIGNED:目前将精神分裂症概念化为神经发育障碍,应该在重组精神卫生保健系统方面导致创新的公共卫生政策,特别是在从青春期到成年的过渡中,为了减少个人,熟悉的,社会成本和负担。该项目的目的是在意大利精神分裂症专家小组中进行一项调查,分享有关青少年精神分裂症的循证信息,并探索以下四个宏观领域专业人员的共识程度:早期诊断;药物治疗;医疗保健系统的组织和从青少年到成年的过渡过程;和社会心理干预措施。
UNASSIGNED:共识过程由基于Web的两步Delphi方法组成,发生在2021年6月至11月之间。这项调查是由四名精神科医生和四名儿童神经精神科医生组成的小组制定的,被确定为关键意见领袖(KOL)。KOL确定了21项陈述,涉及70个项目,主要需要澄清早发性精神分裂症(EOS)。该调查已分发给86名精神病学和儿童神经精神病学专家。
UNASSIGNED:结果显示,专家组在青少年精神分裂症的护理和管理模式的所有调查领域都达成了共识。德尔福调查的67个项目(95.7%)最终达成了共识,对2个项目达成了否定共识,对1个项目没有达成共识。
未经评估:总的来说,结果表明,获得的科学知识与临床实践之间存在显着差距。在这种情况下,应该有必要在多个层面规划具体举措,编辑临床决策建议,以及促进政治和组织层面的变革,还涉及科学社会,病人,和家庭协会,克服拖延实施进程的障碍。
UNASSIGNED: The current conceptualization of schizophrenia as neurodevelopmental disorder should lead to innovative public health policies in terms of a reorganization of the mental health care systems, particularly in the transition from adolescence to adulthood, to reduce personal, familiar, and social costs and burdens. The purpose of the project was to perform a survey among a panel of Italian schizophrenia experts, to share evidence-based information on adolescent schizophrenia and explore the degree of consensus among professionals in the following four macro-areas: early diagnosis; pharmacological treatment; health care system organization and transition process from adolescent to adulthood; and psychosocial interventions.
UNASSIGNED: The consensus process consisted of a two-step web-based Delphi method, which took place between June and November 2021. The survey was developed by a panel of four psychiatrists and four child neuropsychiatrists, identified as key opinion leaders (KOLs). The KOLs identified 21 statements involving a total of 70 items with a major need of clarification on early-onset schizophrenia (EOS). The survey was distributed to 86 specialists in psychiatry and child neuropsychiatry.
UNASSIGNED: The results revealed a large agreement among the expert group on all the investigated areas of adolescent schizophrenia patterns of care and management. Consensus was ultimately reached for 67 items of the Delphi survey (95.7%), while negative consensus was reached for 2 items and no consensus was reached for 1 item.
UNASSIGNED: Overall, results showed a significant gap between the acquired scientific knowledge and clinical practice. In this scenario, it should be necessary to plan specific initiatives at a multiple level, to edit recommendations on clinical decision-making, as well as to prompt changes at the political and organizational levels, also involving scientific societies, patients, and family associations, to overcome the barriers that delay the implementation process.