在VA患者中,抑郁症症状的结果和重新参与,这些患者在有症状时停止治疗
K G Saulnier1, V Panaite2, D Ganoczy3
1VA Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, MI, USA; VA Ann Arbor Healthcare System, Ann Arbor, MI, USA; University of Michigan Medical School, Ann Arbor, MI, USA.
General hospital psychiatry
|October 20, 2023
概括
退伍军人在有症状时停止抑郁治疗的退伍军人,如果他们的预期较低或症状不那么严重,那么他们更有可能没有接受治疗. 组合治疗改善了重新参与率.
科学领域:
- 心理健康 心理健康
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
背景情况:
- 抑郁症显著影响退伍军人的幸福感.
- 了解停止治疗对于有效的心理健康护理至关重要.
- 确定与持续症状性抑郁症相关的因素是优先考虑的.
研究的目的:
- 为了评估退伍军人停止治疗并持续出现中度抑郁症状的结果.
- 为了确定治疗中止,重新投入和持续症状的预测因素.
主要方法:
- 在29个退伍军人机构对1359名退伍军人进行前性研究,他们患有高度抑郁症状.
- 一年后的随访评估治疗状态,重新参与和症状严重程度.
- 分析断药率和预测器的分析,并保持症状.
主要成果:
- 17.8%的退伍军人在有症状时停止治疗;在黑人退伍军人中观察到更高的比例,那些不太严重的抑郁症,以及那些仅接受心理治疗的人.
- 停止治疗的人中有45.8%在六个月内重新开始治疗;联合治疗导致了更高的重新参与.
- 在那些在症状出现时停止治疗并没有恢复治疗的人中,68.8%在12个月内仍然有症状.
结论:
- 黑人种族,较低的症状严重程度和治疗方式 (单独心理治疗) 与更高的症状中止风险有关.
- 较低的治疗期望预测了更高的症状和护理之外的风险.
- 识别有风险的患者可以告知有针对性的干预措施,以改善持续的心理健康结果.
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