在焦虑的年轻成年人处方类药物:一般医生观点的定性研究
Charlotte Archer1, Nicola Wiles1, David Kessler1
1Centre for Academic Mental Health, University of Bristol, Bristol Medical School, Bristol.
概括
一般医生 (GPs) 在为年轻成年人处方类药物治疗焦虑时表示谨慎,并注意到患者对快速缓解症状和增加依赖性的需求. 这表明未满足的治疗需求可能需要重新审视处方做法.
科学领域:
- 一般的做法一般的做法
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 自2008年以来,在初级保健中治疗焦虑症的奔二甲类药物处方在年轻成年人 (18-34岁) 中有所增加.
- 关于二二的处方存在担忧,2017年有44%的事件处方超过了推的短期持续时间.
- 准则建议在焦虑管理中短期使用 (2-4周) 类药物.
研究的目的:
- 调查全科医生 (GPs) 为年轻成年人处方抗焦虑类药物的原因和情况.
- 了解全科医生对二使用在这个人口群中的作用和持续时间的看法.
主要方法:
- 这是一项定性研究,涉及对英格兰西南部10家全科医院的17名全科医生进行深入采访.
- 采访通过电话或视频通话进行,使用一致的主题指南.
- 数据被录音,文字转录,并使用反射主题分析进行分析.
主要成果:
- 全科医生对青少年焦虑症成年人处方二甲表示谨慎,但承认它们在急性情况下的有用性.
- 一些全科医生认为长期处方可能是适当的,质疑当前的初级保健方法.
- 总医生注意到患者对二类药物的要求,因为他们希望迅速缓解症状,并观察到年轻人呈现现现有的二类药物依赖的增加.
结论:
- 患者驱动的因素表明,年轻人对焦虑的治疗需求尚未得到满足.
- 这一年龄段处方率的上升表明,需要重新评估二类药物在初级保健焦虑管理中的作用.
- 对替代焦虑治疗和患者支持的进一步研究是有必要的.
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