办公室儿童和青少年医生访问精神健康的比例的变化,2005-2019年
Alex Gertner1, Caleb W Easterly1,2, Samantha DeSilva3
1Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill.
Psychiatric services (Washington, D.C.)
|December 3, 2025
概括
从2005年到2019年,儿童心理健康医生的访问量显著增加,焦虑症导致了这一增长,特别是在女性中. 初级保健医生越来越多地解决了这些问题.
科学领域:
- 儿科健康 儿科健康
- 心理健康趋势 心理健康趋势
- 医疗保健利用情况 医疗保健利用情况
背景情况:
- 儿童和青少年的办公室医生访问是医疗保健需求的关键指标.
- 了解心理健康访问的趋势对于解决日益增长的儿科心理健康问题至关重要.
研究的目的:
- 描述美国儿童和青少年在办公室内与心理健康相关的医生访问的趋势.
- 分析随着时间的推移,涉及精神病诊断和药物治疗的访问比例的变化.
主要方法:
- 采用了一种描述性的,重复的横截面研究设计.
- 从国家门诊医疗保健调查 (2005-2019) 中分析了43,790次儿科访问 (4-17岁) 的数据.
- 分析的重点是心理健康访问比例的变化,特定的诊断和精神病药物使用.
主要成果:
- 针对心理健康的儿科诊所的百分比从9.3% (2005-2011) 增加到13.6% (2012-2019).
- 焦虑症导致精神病诊断的增加,特别是在女性和青少年 (13-17岁) 中.
- 没有观察到精神病药物处方或延续的显著变化.
结论:
- 办公室医生越来越多地管理儿科心理健康问题,反映了日益增长的需求.
- 心理健康访问趋势因患者人口统计学 (性别,种族-种族) 而异.
- 鉴于初级保健医生在心理健康方面的作用越来越大,为儿科医生提供加强的心理健康培训是必不可少的.
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