Một lưỡi dao hai lưỡi: tổng quan về sự tương tác giữa sức khỏe thể chất và sức khỏe tinh thần

Springer Science and Business Media LLC - Tập 184 - Trang 107-112 - 2014
C. Behan1, R. Doyle1, S. Masterson1, D. Shiers2, M. Clarke1,3
1DETECT Early Intervention Service in Psychosis, Dublin, Ireland
2General Practitioner & NICE Guidance Development Group (GDG), North Staffordshire, UK
3School of Medicine, University College Dublin, Dublin, Ireland

Tóm tắt

Được công nhận rộng rãi rằng có sự tương tác giữa sức khỏe thể chất và sức khỏe tinh thần, với nguyên nhân cảm biến theo cả hai chiều. Một chủ đề phổ biến ở các quốc gia là sự không chắc chắn về ai nên đóng vai trò là người kiểm soát các vấn đề sức khỏe thể chất trong lĩnh vực tâm thần học. Phần lớn việc theo dõi chuyển hóa được thực hiện bởi các bác sĩ tâm thần, quienes thường cảm thấy không đủ khả năng để điều trị các vấn đề y tế như cholesterol bất thường hoặc rối loạn chuyển hóa glucose. Tuy nhiên, nhiều bệnh nhân không đến chăm sóc sức khỏe ban đầu một cách thường xuyên và có thể không có khả năng tiếp tục theo dõi trong trường hợp được giới thiệu đến chăm sóc sức khỏe ban đầu. Tổng quan này nhằm mục đích xem xét sự tương tác giữa các tình trạng sức khỏe thể chất và sức khỏe tinh thần đi kèm, xác định các tình trạng sức khỏe thể chất đặc biệt liên quan đến bệnh lý cảm xúc nghiêm trọng và tâm thần phân liệt và thảo luận ngắn gọn về các can thiệp và khuyến nghị trong lĩnh vực này. Khi những người mắc bệnh tâm thần nghiêm trọng sống ngắn hơn 10–20 năm so với những người đồng trang lứa, với phần lớn cái chết sớm này do bệnh tim mạch, chủ đề này đang nổi lên như một trong những vấn đề rất quan trọng đối với các bác sĩ lâm sàng và nhà hoạch định chính sách trên toàn cầu.

Từ khóa

#sức khỏe thể chất; sức khỏe tinh thần; y tế tâm thần; theo dõi chuyển hóa; bệnh tim mạch

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