周产期情绪和焦虑障碍在私人保险人群中增加,2008-20
Kara Zivin1, Andrea Pangori2, Xiaosong Zhang3
1Kara Zivin (kzivin@umich.edu), University of Michigan, Veterans Affairs Ann Arbor Healthcare System, and Mathematica, Ann Arbor, Michigan.
Health affairs (Project Hope)
|March 20, 2024
概括
在全国范围内,围产期情绪和焦虑障碍的诊断显著增加,这表明母亲的心理健康状况恶化. 虽然心理治疗的使用量增加了,但近年来与此相关的自杀率有所下降.
科学领域:
- 围产期心理健康问题
- 孕产妇的健康结果
- 医疗保健利用率 医疗保健利用率
背景情况:
- 围产期情绪和焦虑障碍 (PMADs) 是一个重大的公共卫生问题.
- 了解PMAD诊断和相关结果的趋势对于孕产妇护理至关重要.
- 之前的研究表明,患病率各不相同,因此需要更新全国数据.
研究的目的:
- 从2008年到2020年,分析私人保险人员中围产期情绪和焦虑障碍 (PMADs) 诊断的全国趋势.
- 在研究期间检查PMAD相关的自杀倾向和心理治疗利用率的变化.
- 为了确定PMAD发病率和寻求治疗的时间模式.
主要方法:
- 追溯分析来自美国大量私人保险人群的索赔数据.
- 对PMAD,自杀倾向和心理治疗服务的诊断代码的趋势分析.
- 两个不同时期的诊断和治疗率的比较:2008-2014年和2015-2020年.
主要成果:
- 在全国范围内,PMAD诊断在2008年至2020年期间增加了93.3%,与2008-2014年相比,2015-2020年观察到的增长速度更快.
- 在大多数州和人口分组中,PMAD诊断的增加普遍存在,这表明母亲心理健康发病率在全国范围内有所增加.
- 虽然PMAD相关的心理治疗率从2015年至2020年继续上升,但相关的自杀率在同一时期呈现下降.
结论:
- 正如PMAD诊断所指出的,孕产妇心理健康发病率在全国范围内恶化.
- 增加对心理治疗的获取或使用可能与PMAD相关的自杀倾向的下降有关.
- 持续监测PMAD趋势和治疗结果对于有效的公共卫生干预措施至关重要.
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