在初级保健中识别华裔美国抑郁症患者的结果。
Outcomes of recognizing depressed Chinese American patients in primary care.
作者信息
Yeung Albert, Kung Winnie W, Murakami Jessica L, Mischoulon David, Alpert Jonathan E, Nierenberg Andrew A, Fava Maurizio
机构信息
Depression Clinical and Research Program, Massachusetts General Hospital, Harvard Medical School, 15 Parkman Street, Boston, Massachusetts 02114, USA.
出版信息
Int J Psychiatry Med. 2005;35(3):213-24. doi: 10.2190/11DA-XNQR-WYXR-AGXK.
PURPOSE
This study aims to examine the effect of identifying Chinese American patients as having major depressive disorder (MDD) to their primary care physicians (PCPs) on the latter's attention given to the treatment of depression.
METHODOLOGY
Forty Chinese American patients from a primary care clinic were identified as having major depressive disorder (MDD), and their primary care physicians (PCPs) were notified of the diagnosis by letter. Three months later, medical records of subjects in the study were reviewed to see if their PCPs had intervened through referral and/or initiated treatment of depression.
RESULTS
PCPs documented intervention in 19 patients (47%) regarding their depression. Two of these patients (11%) were started on an antidepressant. Four (21%) accepted and 13 (68%) declined referral to mental health services. No intervention was recorded for 21 (53%) patients.
CONCLUSION
We conclude that recognition alone of MDD among Chinese Americans in the community primary care setting does not lead to adequate initiation of treatment for depression by PCPs.
目的
本研究旨在探讨向初级保健医生（PCP）告知华裔美国患者患有重度抑郁症（MDD）对后者给予抑郁症治疗的关注度的影响。
方法
从一家初级保健诊所中确定40名华裔美国患者患有重度抑郁症（MDD），并通过信件将诊断结果告知他们的初级保健医生（PCP）。三个月后，查阅研究对象的病历，查看其PCP是否通过转诊进行干预和/或启动抑郁症治疗。
结果
PCP记录了对19名患者（47%）的抑郁症干预情况。其中两名患者（11%）开始服用抗抑郁药。四名患者（21%）接受了转诊，13名患者（68%）拒绝转诊至心理健康服务机构。21名患者（53%）未记录到干预情况。
结论
我们得出结论，在社区初级保健环境中，仅识别华裔美国人中的MDD并不能促使PCP充分启动抑郁症治疗。
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