量化门诊心理治疗使用的年龄相关差异:对来自德国29所大学诊所的例行数据进行代表率分析
Nicolas Wrede1, Marlena L Itz2, Anne Katrin Risch3
1Department of Counseling and Clinical Intervention, Friedrich Schiller University Jena, Institute of Psychology, Humboldtstraße 11, 07743, Jena, Germany. nicolas.wrede@uni-jena.de.
BMC health services research
|November 26, 2025
概括
德国心理治疗服务中老年人的代表性明显不足,他们只得到了预期的部分照顾. 这凸显了改善这一人口群体的获取和利用的必要性.
科学领域:
- 老年精神病学是一门精神病学专业.
- 医疗保健服务研究 医疗服务研究
- 心理健康差异的差异
背景情况:
- 精神障碍在老年人中很常见,但心理治疗的使用不足是显而易见的.
- 正式估计老年人在常规心理治疗中的代表性是有限的.
- 在获得心理健康护理方面,与年龄相关的差异需要进行系统的调查.
研究的目的:
- 量化德国门诊心理治疗使用的年龄相关差异.
- 在常规临床数据上应用表达率方法.
- 确定在心理治疗中代表性不足的特定老年人群.
主要方法:
- 分析了13,635名在德国大学门诊开始认知行为治疗 (2018-2023) 的成年患者.
- 使用代表率来比较年轻人 (65-74岁) 和老年人 (≥75岁) 的观察和预期比例.
- 进行了敏感性分析,采用了替代流行假设和长期护理调整.
主要成果:
- 年轻的老年人占他们预期比例的25%,老年人占13%.
- 年轻的劳动年龄成年人 (18-34岁) 在样本中占比过高.
- 在创伤后应激障碍,饮食障碍和抑郁症中,代表人数不足最为明显.
结论:
- 代表率有效地从常规数据中识别和量化心理治疗使用的年龄差异.
- 德国大学门诊心理治疗机构中,老年人的代表性明显不足.
- 迫切需要改善老年人获得和利用心理治疗服务.
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