Greenfield S F, Reizes J M, Muenz L R, Kopans B, Kozloff R C, Jacobs D G
Consolidated Department of Psychiatry, Harvard Medical School, Boston, USA.
Am J Psychiatry. 2000 Nov;157(11):1867-9. doi: 10.1176/appi.ajp.157.11.1867.
Characteristics of the subsequent treatment received by people who screened positive for depression in the 1996 National Depression Screening Day were investigated.
A follow-up telephone survey was completed by 1,502 randomly selected participants from 2,800 sites.
Of 927 people for whom additional evaluation was recommended, 602 (64.9%) obtained evaluations and 503 (83.6%) received treatment. Of these 503, 260 (51.7%) received psychotherapy and medication, 130 (25.8%) received medication only, and 93 (18.5%) received psychotherapy only. Compared with people without health or mental health insurance, individuals with health insurance (66.7% versus 57.5%) and mental health insurance (74.6% versus 55.3%) were more likely to comply with the recommendation to obtain follow-up evaluation.
One-half of the people treated for depression received a combination of psychotherapy and medication. Lack of insurance was associated with not following the recommendation to obtain further evaluation and treatment.
对在1996年全国抑郁症筛查日筛查出抑郁症呈阳性的人群所接受的后续治疗特征进行调查。
从2800个地点随机抽取1502名参与者完成了一项随访电话调查。
在927名被建议进行进一步评估的人中,602人(64.9%)进行了评估,503人(83.6%)接受了治疗。在这503人中,260人(51.7%)接受了心理治疗和药物治疗,130人(25.8%)仅接受了药物治疗,93人(18.5%)仅接受了心理治疗。与没有健康保险或心理健康保险的人相比,有健康保险的人(66.7%对57.5%)和有心理健康保险的人(74.6%对55.3%)更有可能遵守接受后续评估的建议。
接受抑郁症治疗的人群中有一半同时接受了心理治疗和药物治疗。缺乏保险与未遵循接受进一步评估和治疗的建议有关。