在第一次服用抗抑郁药物或心理治疗的时间内存在种族和民族差异
Meghan R Enslow1, Hanga C Galfalvy2, Sumra Sajid2
1Mailman School of Public Health, Columbia University, New York, NY, United States.
Psychiatry research
|June 30, 2023
概括
在抑郁症治疗中存在种族差异. 与非西班牙裔白人相比,非西班牙裔黑人和西班牙裔个人经历了较长的延迟和较低的抗抑郁药物治疗和心理治疗率.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 健康差距 研究 研究 研究 研究
- 临床心理学 临床心理学
背景情况:
- 重度抑郁期 (MDE) 是一个重要的心理健康问题.
- 及时启动治疗对于有效管理抑郁症至关重要.
- 现有的研究表明,在获得心理健康护理和结果方面存在种族和种族差异.
研究的目的:
- 为了比较从第一次重大抑郁发作 (MDE) 到不同种族/种族群体社区治疗开始的时间.
- 分析接受抗抑郁药物和心理治疗的速度和延迟的差异.
- 为了确定特定的种族/民族群体面临更大的障碍,抑郁症治疗.
主要方法:
- 从抑郁症研究诊所获得的结构化基线数据的二次分析 (N=260).
- 使用奇平方分析来比较治疗率.
- 使用生存分析来比较抗抑郁药物治疗和心理治疗的时间延迟到治疗开始.
主要成果:
- 非西班牙裔黑人和西班牙裔参与者 (任何种族) 的抗抑郁药物和心理治疗率都显著降低.
- 与非西班牙裔白人参与者相比,这些相同的群体在启动抗抑郁药物治疗中出现了较长的延迟.
- 这些发现突出了在获得及时抑郁症治疗和接受治疗方面存在显著的种族/民族差异.
结论:
- 种族和民族少数群体,特别是非西班牙裔黑人和西班牙裔个人,面临着及时治疗抑郁症的重大障碍.
- 迫切需要解决和减少在精神卫生保健中发现的这些差异.
- 未来的干预措施应侧重于改善贫困人口的治疗机会和减少治疗延迟.
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