整合基于测量的青少年抑郁症和自杀倾向的护理使用VitalSign6
Tarrah B Mitchell1, Sarah M Wakefield1, Afsaneh Rezaeizadeh2
1Department of Psychiatry, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Child psychiatry and human development
|February 19, 2024
概括
基于测量的护理 (MBC) 软件有效地选了农村地区的青年抑郁症和自杀倾向. 对年轻人群体的早期干预显示了更高的缓解率,突出了该工具在改善心理健康轨迹方面的潜力.
科学领域:
- 儿童和青少年精神病学
- 心理健康技术 心理健康技术
- 农村卫生 农村卫生
背景情况:
- 抑郁症和自杀倾向显著影响年轻人,导致不良结果.
- 有效的查和治疗对于这个脆弱的人群至关重要.
- 农村和服务不足的地区在获得心理健康服务方面经常面临挑战.
研究的目的:
- 评估VitalSign的可行性和有效性,这是一个基于测量的护理 (MBC) 软件,用于在农村环境中查和治疗青少年 (8-17岁) 的抑郁和自杀倾向.
- 评估该人口中抑郁症和自杀倾向的患病率.
- 检查治疗结果,包括缓解率,并在各年龄段进行比较.
主要方法:
- 总共有1984名年轻人使用患者健康问卷-2进行了查,积极的查随后是青少年修改的患者健康问卷-9 (PHQ-9-A).
- 在农村医疗诊所收集了一年的数据.
- 用描述性统计和t测试或威尔科克森-曼-惠特尼测试进行分析.
主要成果:
- 24.2%的年轻人对抑郁症的查结果呈阳性,14.9%的人支持自杀倾向.
- 在那些阳性查的人中,PHQ-9-A平均得分为12.8,其中66.9%处于中度至重度范围,44.2%支持自杀.
- 近一半的抑郁症青少年进行了后续评估,大约25%的人在4个月内实现了缓解. 年龄较小的儿童的缓解率更高.
结论:
- 使用像VitalSign这样的软件的基于测量的护理 (MBC) 是可行且有效的,用于识别和管理农村青年的抑郁和自杀倾向.
- 早期发现和干预,特别是在较年轻的年龄组,对于改善长期心理健康结果至关重要.
- 该研究支持将MBC工具集成到初级保健机构,以解决青年心理健康差异.
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