在COVID-19大流行之前和期间对抑郁症的初级护理:一项回顾性前后研究
Michelle Howard1, Karla Freeman2, Shuaib Hafid2
1Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada mhoward@mcmaster.ca.
BMJ open
|January 9, 2026
概括
在COVID-19大流行期间,抑郁症的初级护理保持一致. 与大流行前的患者相比,在大流行期间检测到的患者接受了更频繁的初级保健接触和抗抑郁药 (SSRI) 处方.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 在全球范围内,COVID-19大流行严重影响了医疗保健服务.
- 了解心理健康护理的连续性,特别是对于抑郁症,在这个时期至关重要.
- 初级保健在管理抑郁症方面发挥着至关重要的作用.
研究的目的:
- 为了比较COVID-19大流行之前和期间对抑郁症的初级保健的提供.
- 调查抑郁症诊断的时间 (大流行前与大流行前) 是否影响了所接受的护理.
- 检查疫情期间患者特征和抑郁症护理之间的关联.
主要方法:
- 一项回顾性研究分析了加拿大初级保健哨兵监测网络 (CPCSSN) 的非识别电子病历数据.
- 该研究包括在2018年1月至2021年12月期间被诊断患有抑郁症的患者,分为大流行前或大流行期间的患者.
- 结果包括初级保健接触和心理药物/SSRI处方在检测后3个月和12个月,使用多变量回归分析.
主要成果:
- 确定了超过91,000名患有抑郁症的患者,53%的患者被诊断为大流行前.
- 在大流行期间被诊断出来的患者年轻,并有较少的并发症.
- 与大流行前的诊断相比,在大流行期间诊断的患者接受了更高比例的护理,包括精神药物和SSRI处方.
结论:
- 在整个大流行期间,抑郁症的初级护理在很大程度上保持了.
- 在流行病期间,儿科患者的遭遇率增加和年轻人的处方增加,需要进一步调查.
- 抑郁症检测的时间是获得护理的更强有力的预测因素,而不是患者的社会人口统计特征.
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