在COVID-19期间,为产后焦虑处方二甲类药物的增加
Grace Bagwell Adams1, Shelby Steuart2, Emily C Lawler3
1University of Georgia, Athens, Georgia, USA. gbagwell@uga.edu.
Archives of women's mental health
|June 28, 2024
概括
在COVID-19期间,产后情绪障碍的诊断没有增加,但二西平的处方增加了. 这表明,对于产后妇女进行适当的抑郁和焦虑诊断和治疗,存在潜在的障碍.
科学领域:
- 围产期心理健康问题
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 产后情绪障碍影响许多女性,对母亲和婴儿构成风险.
- 有效的治疗策略包括治疗抑郁和焦虑的药物.
- COVID-19大流行对产后情绪障碍诊断和治疗的影响尚不清楚.
研究的目的:
- 在COVID-19大流行期间调查产后情绪障碍诊断和治疗的变化.
- 分析2016年至2020年私人保险的产后妇女焦虑和抑郁症诊断和药物处方的趋势.
主要方法:
- 使用美国索赔数据 (2016-2020年) 进行回顾性聚合横截面设计.
- 对焦虑和抑郁的诊断分析.
- 检查处方填充抗抑郁药,二类药和z药的检查.
- 常规最小平方回归用于预测大流行前的趋势,并与实际结果进行比较.
主要成果:
- 在2020年3月COVID-19大流行开始后,产后抑郁症和焦虑症诊断没有显著增加.
- 在私人保险的产后妇女中,二甲处方增加了15.2%.
- 抗抑郁药和z药处方模式在提供的结果中没有详细说明.
结论:
- 在COVID-19大流行期间,产后情绪障碍的诊断没有增加.
- 增加的二胺填充表明,在获得适当的诊断和治疗产后抑郁症和焦虑症方面存在潜在的挑战.
- 需要进一步的研究来了解公共卫生危机期间的护理障碍.
相关概念视频
Anxiolytic Drugs: Benzodiazepines and Buspirone
667
Benzodiazepines are a class of anxiolytic drugs known for their rapid efficacy and high therapeutic-to-lethal dose ratio, but with a potential risk of drug dependence. These drugs are lipophilic, allowing for rapid absorption after oral administration, eventually reaching the central nervous system (CNS). Once in the CNS, benzodiazepines bind to the allosteric site of the GABAA receptor. This binding enhances the inhibitory effects of the neurotransmitter GABA. By doing so, they prevent...
667
CNS Depressants: Barbiturates and Benzodiazepines
243
CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
243
Anxiolytic Drugs: Overview
265
Anxiolytic drugs are vital in managing anxiety disorders by effectively alleviating symptoms such as excessive fear, tachycardia, and tremors. There are several classes of anxiolytic medications, each with unique mechanisms of action and potential side effects.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
265
Sedatives and Hypnotics Drugs: Benzodiazepines
234
Benzodiazepines have both sedative and hypnotic properties. They include compounds such as diazepam (Valium) and alprazolam (Xanax). Structurally, their cores are similar, consisting of the fusion of a benzene ring and a diazepine ring, but they share a common mechanism of action in the central nervous system (CNS).
Benzodiazepines work by enhancing the effects of the inhibitory neurotransmitter GABA. They bind to the GABAA receptor, increasing its affinity for GABA, which opens chloride...
Benzodiazepines work by enhancing the effects of the inhibitory neurotransmitter GABA. They bind to the GABAA receptor, increasing its affinity for GABA, which opens chloride...
234
Panic Disorder
72
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
72
Drug Therapy
41
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
41


