Miller Marilyn J, McCrone Susan
Maryland Veterans Affairs Health Care System, Mental Health Clinic, Circle Drive, Building 80, Perry Point, MD 21902, USA.
Mil Med. 2005 Feb;170(2):158-63.
The first purpose of this study was to examine the variables related to the diagnosis of a depressive disorder and associated with referral to a mental health clinician. The second purpose was to examine the level of agreement of the primary care provider's diagnosis of depression with that of the mental health clinician.
The design was a retrospective, case-control study (n = 162). Data were analyzed with descriptive statistics and logistic regression.
Referred patients tended to be Caucasian, middle-aged or older men who had a history of depression, were experiencing depressive symptoms and/or an acute or chronic stressor, had a diagnosis of cardiovascular disease or cerebrovascular accident, and were taking a greater number of medications. Mental health clinicians agreed with the primary care clinicians' diagnoses of depression 76% of the time.
Primary care clinicians accurately diagnosed depression for the majority of patients and appropriately referred them for psychiatric care.
本研究的首要目的是检查与抑郁症诊断相关且与转诊至心理健康临床医生有关的变量。第二个目的是检查初级保健提供者对抑郁症的诊断与心理健康临床医生诊断的一致程度。
设计为一项回顾性病例对照研究（n = 162）。数据采用描述性统计和逻辑回归进行分析。
被转诊患者倾向于是白人、中年或老年男性，有抑郁症病史，正在经历抑郁症状和/或急性或慢性应激源，被诊断患有心血管疾病或脑血管意外，并且正在服用更多种类的药物。心理健康临床医生在76%的时间里与初级保健临床医生对抑郁症的诊断意见一致。
初级保健临床医生对大多数患者准确诊断出抑郁症，并适当地将他们转诊接受精神科护理。
