通用焦虑症查得分与抑郁症退伍军人治疗需求增加有关
K G Saulnier1, D Ganoczy2, P P Grau3
1VA Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, MI, USA; University of Michigan Medical School, Ann Arbor, MI, USA.
Journal of psychiatric research
|July 6, 2024
概括
抑郁症患者的严重焦虑症状预示着增加药物使用和更糟糕的结果,但心理治疗较少. 综合焦虑障碍-7 (GAD-7) 可以识别那些需要更多心理健康服务的人.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
- 临床心理学 临床心理学
背景情况:
- 伴随性焦虑和抑郁症会使患者的预后恶化.
- 在识别需要密集心理健康服务的抑郁患者时,焦虑症状评分的有用性尚不清楚.
研究的目的:
- 评估是否自我报告的焦虑症状预测了退伍军人卫生管理局 (VHA) 中新诊断患有抑郁症的患者的治疗接收和结果.
- 为了确定通用焦虑障碍-7 (GAD-7) 评分是否可以识别需要更密集的心理健康服务的抑郁患者.
主要方法:
- 分析了128,917名被诊断患有抑郁症的VHA患者的电子病历数据.
- 研究了92,237名被评估为焦虑症的患者的通用焦虑障碍-7 (GAD-7) 评分和精神药物处方,心理治疗收件,急性护理利用率和随访抑郁症症状之间的关联.
主要成果:
- 患有严重焦虑症状的患者更有可能接受足够的抗抑郁药,抗焦虑剂/镇静剂和催眠药治疗.
- 基线严重的焦虑症状与随访时更严重的抑郁和自杀念头有关.
- 报告严重焦虑症状的患者不太可能开始心理治疗.
结论:
- 综合焦虑障碍-7 (GAD-7) 评分可以帮助识别患有较高疾病负担的抑郁患者,他们需要额外的心理健康服务.
- 焦虑症状的严重程度是抑郁症治疗模式和临床结果的重要预测因素.
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