在初级保健中为患有抑郁症的青少年提供协作护理:一项随机临床试验
Laura P Richardson1, Evette Ludman2, Elizabeth McCauley3
1Department of Pediatrics, University of Washington School of Medicine, Seattle2Seattle Children's Research Institute Center for Child Health, Behavior, and Development, Seattle.
JAMA
|August 27, 2014
概括
与常规护理相比,协作护理干预显著改善了青少年的抑郁症状. 这种方法将心理健康服务整合到初级保健中,以改善青少年抑郁症的结果.
科学领域:
- 青少年精神病学 青少年精神病学
- 主要护理药物 医疗保健药物
- 心理健康服务研究 心理健康服务研究
背景情况:
- 大型抑郁症影响到20%的青少年在18岁时.
- 很少有青少年获得基于证据的抑郁症治疗方法.
- 将心理健康纳入初级保健是一个关键的需要.
研究的目的:
- 为了评估青少年抑郁症的协作护理干预.
- 将其有效性与初级保健机构的常规护理进行比较.
主要方法:
- 在九个初级保健诊所进行了一项随机试验.
- 报名的是13-17岁的青少年,他们的查结果为抑郁症呈阳性.
- 一个为期12个月的协作护理干预措施与常规护理进行了比较.
主要成果:
- 协作护理组在12个月后显示出抑郁症状 (CDRS-R分数) 的显著减少.
- 干预组的青少年更有可能实现抑郁反应和缓解.
- 在功能障碍 (CIS分数) 中没有发现显著差异.
结论:
- 协作护理是初级保健中青少年抑郁症的有效干预措施.
- 将心理健康服务纳入初级保健机构可以改善青少年抑郁的结果.
- 这个模型为青少年心理健康治疗提供了一个可扩展的解决方案.
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