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帕金森病患者的焦虑:时间有什么关系?
Elisabeth C DeMarco1,2, Zidong Zhang1,2, Hunter Robinson1,2
1Department of Health & Clinical Outcomes Research, Saint Louis University School of Medicine, St. Louis, MO, USA.
患有帕金森病的焦虑症患者不太可能接受心理健康治疗,特别是如果在他们的PD诊断后被诊断出来. 早期诊断PD患者的焦虑症可以提高治疗率.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 帕金森病 (PD) 在全球影响超过1000万,经常与焦虑症一起发生.
- 患PD患者的焦虑会降低生活质量,并且可能在运动症状出现之前出现.
- 有限的研究存在于精神健康治疗差异对于PD患者的焦虑.
研究的目的:
- 为了研究帕金森病患者的焦虑治疗率.
- 为了确定与PD诊断相比,焦虑诊断的时间是否会影响治疗接收.
主要方法:
- 无标识电子健康记录 (EHR) 数据的横截面分析.
- 使用ICD-9/10代码来识别PD和焦虑诊断.
- 多变量逻辑回归分析了与心理健康治疗相关的因素.
主要成果:
- 52%的患有焦虑症的PD患者在他们的PD诊断之前有记录的焦虑症诊断.
- 总的来说,69%的PD患者接受了某种形式的治疗.
- 在PD之前被诊断患有焦虑症的患者与诊断后 (59%) 患者相比,治疗率更高 (79%).
结论:
- 在帕金森病诊断后被诊断患有焦虑症的帕金森病患者不太可能接受心理健康治疗.
- 焦虑诊断的时间显著影响PD患者的治疗机会.
- 需要进一步研究,以了解患有焦虑症的PD患者心理健康护理的障碍.
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