在COVID-19之前和期间坚持使用心理药物:一项全民回顾性观察性研究
Brandon Froese1, Gian Aquino1, Eunice Valencia1
1From the College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba.
Journal of clinical psychopharmacology
|June 14, 2023
概括
随着COVID-19大流行,大多数精神药物,包括抗抑郁药和兴奋剂,都得到了改善. 已经服用药物的患者在疫情期间不太可能停止服用药物.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 随着COVID-19的流行,医疗保健的获取和提供发生了重大变化.
- 在疫情期间实施的公共卫生措施影响了患者行为和医疗保健利用.
研究的目的:
- 调查COVID-19流行病对心理药物药物坚持的影响.
- 在疫情期间分析各种精神药物类别的坚持模式的变化.
主要方法:
- 使用加拿大曼尼托巴 (2015-2020) 的行政卫生数据进行的回顾性队列研究.
- 包括处方抗抑郁药,抗精神病药,抗焦虑药/镇静催眠药,大麻素,或兴奋剂的门诊患者.
- 以平均持有率每季度≥0.8的个体比例来衡量坚持;将2020年的趋势与预期的趋势和2019年的戒断率进行比较.
主要成果:
- 2020年,与预期的趋势相比,抗抑郁药和兴奋剂 (Q4) 以及抗焦虑药和大麻素 (Q3) 的坚持增加.
- 在2020年第三季度,刺激剂坚持度下降.
- 抗精神病药物的坚持没有显著变化;的坚持也没有显著变化.
- 与2019年相比,以前坚持治疗的患者在大流行期间在大多数类别 (除) 中药物停用率降低.
结论:
- 在COVID-19大流行期间颁布的公共卫生限制与对大多数精神药物药物的更好遵守有关.
- 已建立心理药物药物坚持的患者更有可能在整个大流行期间保持他们的处方.
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