美国青少年抑郁症,自杀倾向和物质使用障碍的治疗情况
Dennis Lee1,2,3, Stacie B Dusetzina2,4, Stephen W Patrick5,6,7
1Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles.
JAMA health forum
|August 29, 2025
概括
青少年和年轻成年人患有物质使用障碍 (SUD) 和精神健康诊断面临严重的治疗缺口. 患有SUD的年轻人和青少年接受不充分的护理, 并未充分使用阿片类药物治疗.
科学领域:
- 公共卫生
- 青少年医学
- 心理健康研究
背景情况:
- 青少年过量使用突显了综合心理健康和物质使用障碍 (SUD) 治疗的需要.
- 现有研究研究了青少年心理健康和SUD治疗差距的程度.
研究的目的:
- 描述与青少年心理健康和SUD诊断和治疗相关的因素.
- 发现美国青少年和年轻人的心理健康和SUD治疗差异.
主要方法:
- 使用2021-2022年国家药物使用和健康调查数据进行横截面研究.
- 调查加权的描述性统计和千平方测试分析了美国青少年和年轻成年人的数据 (12-20岁).
- 主要结果:精神健康诊断 (抑郁症,自杀倾向),SUD和治疗率;次要结果:治疗环境,社会经济因素,保险.
主要成果:
- 13%的参与者患有SUD,24%的参与者患有精神健康诊断;只有10%的SUD和51%的精神健康诊断接受治疗.
- 患有SUD的青少年 (12-17岁) 和年轻成年人 (18-20岁) 接受治疗减少 (心理健康和SUD护理).
- 与社会经济地位和保险相关的治疗差异;患有阿片类药物使用障碍的青少年的药物治疗不足.
结论:
- 患有SUD的青少年和年轻人很少接受适当的治疗.
- 特别是在过渡到年轻成年期的青少年中,存在显著的治疗差距.
- 针对阿片类药物使用障碍的药物在该群体中被系统地使用不足.
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