常见精神障碍严重程度与治疗接触和治疗强度的关联,以及它在十二年内发生的变化
J Nuyen1, S van Dorsselaer2, M Tuithof2
1Netherlands Institute of Mental Health and Addiction (Trimbos Institute), PO Box 725, Utrecht, 3500 AS, The Netherlands. jnuijen@trimbos.nl.
Social psychiatry and psychiatric epidemiology
|March 11, 2025
概括
对常见精神疾病 (CMD) 的治疗在中度和严重病例的一般医疗保健 (GMC) 中得到了改善. 然而,精神卫生保健 (MHC) 对严重心血管疾病的资源分配没有显示出类似的改善.
科学领域:
- 心理健康研究 心理健康研究
- 公共卫生政策 公共卫生政策
- 医疗保健资源分配 医疗保健资源分配
背景情况:
- 常见的精神障碍 (CMD) 构成了严重的公共卫生负担.
- 了解CMD严重程度与医疗保健利用之间的关系对于有效的资源配置至关重要.
- 之前的研究已经探索了CMD的治疗接触和强度,需要更新的发现.
研究的目的:
- 更新和扩展以前关于CMD严重程度与治疗接触和强度之间的关联的发现.
- 为CMDs. 提供正式的医疗保健资源分配决定的信息.
- 检查随着时间的推移,CMD治疗模式的变化.
主要方法:
- 利用了来自NEMESIS-3的基线数据,这是一项针对荷兰成年人的前性研究 (2019-2022).
- 使用CIDI 3.0.0评估了12个月的CMD严重程度.
- 在一般医疗保健 (GMC) 和精神卫生保健 (MHC) 中使用多变量分析来检查与12个月治疗接触和强度的关联,以解决情绪/物质使用问题.
- 将当前发现与NEMESIS-2 (2007-2009) 的基线数据进行比较,以识别随时间变化的变化.
主要成果:
- 与没有CMD的人相比,患有严重CMD的个体更有可能与仅GMC或MHC接触.
- 在2007-2009年和2019-2022年之间,对于中度的CMD病例,仅GMC接触率显著增加.
- 在严重的CMD病例中,高强度治疗在GMC和MHC环境中更常见.
- 仅使用GMC的严重CMD病例的高强度治疗率增加,但在使用MHC.的人群中暂时下降.
结论:
- 有证据表明,在过去的十二年里,在一般医疗保健中治疗CMD已经得到加强.
- 目前的调查结果并没有表明,精神健康护理资源对患有严重心血管疾病的个体的分配有所改善.
- 该研究强调了基于医疗保健部门和疾病严重程度的治疗机会和强度的差异.
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