Isometsä E T, Katila H, Aro T
Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland.
Am J Psychiatry. 2000 Nov;157(11):1869-72. doi: 10.1176/appi.ajp.157.11.1869.
The authors' goal was to investigate the treatment received before receipt of a disability pension for major depression in a representative sample of depressed patients.
The medical statements for a random sample of 277 subjects drawn from the Disability Pension Register of the Social Insurance Institution were examined. The subjects selected represented individuals in Finland who were granted a disability pension because of DSM-III-R major depression during a 12-month period in 1993-1994.
For 254 (92%) of the subjects, the statements regarding pension eligibility were written either by a psychiatrist or a psychiatric resident for patients who were currently being treated in psychiatric settings. There was an additional diagnosis of a comorbid mental disorder or a somatic disease contributing to disability in two-thirds of the statements. Overall, the statements indicated that 242 (87%) of the subjects were prescribed antidepressant medication, but only 24 (9%) received weekly psychotherapy, and only 11 (4%) received ECT.
Most subjects granted a disability pension for major depression in Finland have comorbid mental or physical disorders contributing to their disability. Before receiving their pension, most received antidepressant treatment, but few received the established nonpharmacological treatments.
作者的目标是在有代表性的抑郁症患者样本中，调查在领取重度抑郁症残疾抚恤金之前所接受的治疗情况。
检查了从社会保险机构残疾抚恤金登记册中随机抽取的277名受试者的医疗记录。所选受试者代表了1993 - 1994年12个月期间因DSM - III - R重度抑郁症在芬兰获得残疾抚恤金的个体。
对于254名（92%）受试者，关于抚恤金资格的记录是由精神科医生或精神科住院医生为当时正在精神科接受治疗的患者所写。在三分之二的记录中，有共病精神障碍或躯体疾病导致残疾的额外诊断。总体而言，记录表明242名（87%）受试者被开了抗抑郁药，但只有24名（9%）接受每周一次的心理治疗，只有11名（4%）接受了电休克治疗。
在芬兰，大多数因重度抑郁症获得残疾抚恤金的受试者有导致其残疾的共病精神或身体疾病。在领取抚恤金之前，大多数人接受了抗抑郁治疗，但很少有人接受既定的非药物治疗。
