在积极的抑郁查结果后,抑郁症治疗
Maria E Garcia1,2,3,4, Lisa Ochoa-Frongia1, John Neuhaus4
1Division of General Internal Medicine, Department of Medicine, University of California, San Francisco.
JAMA internal medicine
|December 9, 2024
概括
初级保健抑郁症查显示治疗率中等. 针对自杀念头 (SI),黑人,亚洲人和老年患者需要有针对性的干预措施,以解决治疗不足问题并改善公平护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床精神病学 临床精神病学
- 健康 公平 卫生 公平
背景情况:
- 初级保健实践越来越多地选抑郁症.
- 抑郁症查和适当,公平的治疗之间的关联仍然不清楚.
研究的目的:
- 调查与初始治疗相关的因素,用于对抑郁症和/或自杀念头 (SI) 查阳性患者的初始治疗.
主要方法:
- 一项队列研究分析了成人初级保健患者的电子健康记录数据,这些患者患有高抑郁症状或SI.
- 排除标准包括基线抑郁症,双相情感障碍,精神分裂症,精神分裂情感障碍或痴呆症.
- 治疗被评估为抗抑郁药物或精神健康转诊,在查时和8周内订购.
主要成果:
- 在3980名症状升高或SI患者中,38%的患者接受了最初的抗抑郁药/转诊.
- 与白人患者 (40.5%) 相比,黑人 (34.0%) 和亚裔 (35.4%) 患者的治疗率较低.
- 随着年龄的增长,治疗减少,SI患者的治疗率更高,但仍然很低 (43.5%).
结论:
- 在患有抑郁症状或SI的患者中,观察到适度的初始治疗率.
- 针对性干预对于高风险群体是必要的,包括IS患者,黑人和亚洲患者以及老年人,以改善公平的护理.
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