在过度活跃膀的妇女中启动和使用心理治疗
Sarah E S Jeney1, Cassie B Ford2, Jennifer M Wu3
1From the Department of Obstetrics and Gynecology, Division of Urogynecology, University of New Mexico Health Sciences Center, Albuquerque, NM.
Urogynecology (Philadelphia, Pa.)
|May 13, 2025
概括
心理治疗的使用在患有过度活跃膀 (OAB) 的老年女性中很常见. 心理健康状况和社会经济因素影响OAB患者获得治疗的机会.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 过度活跃的膀 (OAB) 显著影响生活质量.
- 在患有OAB的女性中,使用心理治疗的情况没有得到充分的证据.
研究的目的:
- 确定在被诊断为OAB的女性医疗保险受益者中开始心理治疗的发生率.
- 在OAB诊断后三年内确定与心理治疗使用相关的临床和社会人口因素.
主要方法:
- 使用医疗保险数据 (2011-2021) 的回顾性队列研究.
- 通过ICD和CPT代码识别OAB诊断和随后的心理治疗使用.
- 采用Cox比例危险和物流回归模型来分析相关因素.
主要成果:
- 在374,918名OAB女性中,8.7%的女性在5年内开始接受心理治疗.
- 心理治疗使用与双重医疗补助/医疗保险状态,北美居住,以及焦虑,抑郁或药物滥用诊断有关.
- 较高的并发症分数也与心理治疗利用率的增加相关.
结论:
- 心理治疗经常被老年妇女使用,她们的膀过度活跃.
- 精神病的并发症和人口特征显著影响心理治疗的开始和使用在这个人群中.
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