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[撒丁岛地区普通人群样本中的精神药物使用情况]

[Psychotropic drug use in a sample of general population in the Sardinia region].

作者信息

Carta Mauro Giovanni, Hardoy Maria Carolina, Cadeddu Mariangela, Mura Gioia, Floris Anna Laura, Carpiniello Bernardo

机构信息

Dipartimento di Sanità Pubblica, Sezione di Psichiatria, Università degli Studi di Cagliari, Via Liguria 13, 09123 Cagliari.

出版信息

Epidemiol Psichiatr Soc. 2003 Oct-Dec;12(4):287-92. doi: 10.1017/s1121189x00003092.

Abstract

AIMS

To present the results of an epidemiologic research about psychotropic drug use in Sardinia.

METHODS

Cross-sectional study on a sample of 1040 subjects randomly selected from registers.

SETTING

Community survey on three areas of Sardinia region.

EVALUATION

Interviews carried out by physicians by means of Italian version of the Composite International Diagnostic Interview Simplified. Drug consumption was evaluated concerning last week before the interview.

MAIN OUTCOME MEASURES

Point prevalence.

RESULTS

The rate of adults of the general population that consumed benzodiazepines was 10.1%, antidepressants 4.2%, 14.7% of the sample was using psychotropic drugs. 60% of subjects with diagnosis of ICD-10 Depressive Episod did not have the right pharmacologic treatment. A relevant proportion of subjects without lifetime psychiatric diagnosis (anxiety and/or depression) used antidepressants (0.8%). The pharmacologic therapies were managed by psychiatrics in 44.2% of cases, antidepressants were managed by general practitioners in 31.8% of subjects.

CONCLUSIONS

The research underlines an increase of meet needs in subjects affected by depressive episodes against a previous Sardinian survey carried out over ten years ago. This change is parallel to a more frequent management of therapies by general practitioners. Their role seems to become more relevant in treating depressive illness.

摘要

目的

展示一项关于撒丁岛精神药物使用情况的流行病学研究结果。

方法

对从登记册中随机抽取的1040名受试者样本进行横断面研究。

背景

对撒丁岛地区三个区域进行社区调查。

评估

由医生使用意大利语版简化综合国际诊断访谈进行访谈。在访谈前的最后一周评估药物消费情况。

主要观察指标

时点患病率。

结果

普通人群中使用苯二氮䓬类药物的成年人比例为10.1%,使用抗抑郁药的比例为4.2%,14.7%的样本正在使用精神药物。60%被诊断为ICD - 10抑郁发作的受试者没有接受正确的药物治疗。相当一部分没有终生精神疾病诊断(焦虑和/或抑郁)的受试者使用了抗抑郁药(0.8%)。44.2%的病例中药物治疗由精神科医生管理,31.8%的受试者中抗抑郁药由全科医生管理。

结论

该研究强调,与十多年前在撒丁岛进行的一项先前调查相比,受抑郁发作影响的受试者的需求满足情况有所增加。这一变化与全科医生更频繁地管理治疗方法相平行。他们在治疗抑郁症方面的作用似乎变得更加重要。

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