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儿科强迫症管理的国家趋势:从回顾性队列研究的见解
Raman Baweja1, Daniel A Waschbusch1, Aarya K Rajalakshmi2
1Penn State College of Medicine, Hershey, Pennsylvania, USA.
儿科强迫症 (OCD) 治疗表现出变化,抗精神病药物通常在抗抑郁药和心理治疗等一线治疗之前使用. 这凸显了基于证据的护理方面的差距,特别是强迫症青少年获得心理治疗的机会.
科学领域:
- 精神病学是一个精神病学.
- 儿科心理学 儿科心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 强迫症严重影响儿童和青少年的社会,学术和整体功能.
- 标准的第一线治疗包括抗抑郁药和认知行为疗法,但增强剂的使用,特别是抗精神病药,差异很大.
- 了解儿科强迫症的当前治疗模式对于改善护理至关重要.
研究的目的:
- 检查被诊断患有强迫症 (OCD) 的儿童和青少年的治疗模式.
- 分析儿童强迫症患者使用抗抑郁药,抗精神病药和心理治疗的情况.
- 研究社会人口统计学因素和临床环境对治疗决策的影响.
主要方法:
- 一个基于人口的回顾性队列研究,使用TriNetX研究网络.
- 纳入标准:年龄在6-18岁,有强迫症诊断的患者 (F42).
- 基于社会人口统计和临床环境的治疗模式分析,使用Cox比例危险模型.
主要成果:
- 55%的患者被处方抗抑郁药,22%的患者被处方抗精神病药.
- 种族和少数民族的年轻人接受的整体治疗较少,抗抑郁药和治疗的几率较低,但抗精神病药的几率更高.
- 住院住院与抗精神病药物处方有很强的相关性 (aHR:3.03).
结论:
- 儿科强迫症药物管理存在显著的变化,在一线治疗之前经常使用抗精神病药物.
- 心理治疗利用率低表明儿童强迫症的基于证据的护理的遵守可能存在差距.
- 对于年轻人来说,需要加强对强迫症治疗指南的遵守,强调增加心理治疗的机会.
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