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服务利用率和社会疾病率与社区中抑郁症状相关
J Johnson1, M M Weissman, G L Klerman
1Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY.
JAMA
|March 18, 1992
概括
虽然抑郁症状不是一种正式的疾病,但由于其高患病率,抑郁症状显著增加了医疗保健服务的使用率和社会障碍. 解决这些亚临床病例对于公共卫生至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
背景情况:
- 抑郁症状在社区中非常普遍.
- 了解这些症状的社会负担对于有效的医疗保健规划至关重要.
研究的目的:
- 估计与抑郁症状相关的服务利用率和社会病率.
- 应用流行病学衡量人口可归因风险的方法.
主要方法:
- 进行了一项流行病学调查.
- 从五个美国社区的复杂随机样本中采访了18571名成年人 (流行病学流域研究).
- 评估结果包括自杀企图,药物使用,健康状况,工作缺勤率和对情绪问题的医疗保健服务使用.
主要成果:
- 大型抑郁症-抑郁症 (6.1%的患病率) 和抑郁症状 (23.1%的患病率) 都与增加的服务使用率和社会发病率相关.
- 抑郁症状占了大量人口的可归因风险百分比,包括急诊室使用 (11.8%),医疗咨询 (21.5%),药物使用 (14.6%的镇静剂,21.0%的安眠药,22.2%的抗抑郁药),自我报告的情绪健康不佳 (15.3%),工作日丢失 (17.8%) 和自杀企图 (25.0%).
- 抑郁症状的高患病率导致了与被诊断患有抑郁症的服务负担相当或超过的人口级服务负担.
结论:
- 医生为患有抑郁症状的人提供服务,而不是诊断出抑郁症的患者.
- 亚临床抑郁症由于其高患病率而构成重大公共卫生挑战.
- 需要专注于诊断和治疗亚临床抑郁症状.
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