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社会经济地位,心理治疗的持续时间,以及因常见精神障碍而导致的残疾后的恢复工作
Helena Leppänen1,2, Olli Kampman1,2,3,4,5, Reija Autio6
1Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
概括
更高的社会经济地位 (SES) 与常见精神障碍 (CMD) 的更长时间心理治疗有关. 适度治疗持续时间有助于恢复工作 (RTW),但差异仍然存在.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 公共卫生 公共卫生
- 职业医学 职业医学是专业的.
背景情况:
- 低社会经济地位 (SES) 是由于常见精神障碍 (CMD) 导致劳动残疾的已知风险因素.
- 不平等的服务获取和使用可能会导致这种差异.
- 心理治疗是一种有效的,基于证据的CMD治疗方法.
研究的目的:
- 调查CMD患者在心理治疗的社会经济和社会人口统计差异.
- 检查心理治疗持续时间和残疾养老金 (DP) 后返回工作 (RTW) 之间的关联.
主要方法:
- 对12263名芬兰公民的分析,他们在2010-2012年期间获得了CMDDP.
- 基于SES和社会人口统计学的多项逻辑回归模型来评估心理治疗持续时间的差异.
- 检查心理治疗持续时间和RTW之间的联系临时DP接受者的RTW.
主要成果:
- 较高的SES,女性性别和年龄较小与更长的心理治疗出席 (>10次) 相相关.
- 11-60次心理治疗与完全和部分RTW有关.
- 更长时间的心理治疗 (>60次) 没有显示出与RTW有显著的关联,而早期终止只与部分RTW有关.
结论:
- 根据CMD患者的社会经济和社会人口背景,CMD患者接受心理治疗的持续时间存在显著差异.
- 获得长期康复心理治疗的这些差异可能会导致工作成果的不平等.
- 需要进一步的研究来解决服务利用差距,并优化RTW策略,以满足不同患者群体的需求.
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