公共心理健康系统中的焦虑症：临床特征与服务使用模式
Anxiety disorders in a public mental health system: clinical characteristics and service use patterns.
作者信息
Wetherell Julie Loebach, Kim Daniel S, Lindamer Laurie A, Thorp Steven R, Hawthorne William, Kim Kathleen, Hough Richard L, Garcia Piedad, Jeste Dilip V
机构信息
Department of Psychiatry, University of California, San Diego, La Jolla, CA 92093-9116, United States.
出版信息
J Affect Disord. 2007 Dec;104(1-3):179-83. doi: 10.1016/j.jad.2007.02.021. Epub 2007 Apr 3.
BACKGROUND
Anxiety disorders are among the most common forms of psychiatric disorder, yet few investigations have examined the prevalence or service use of clients with anxiety disorders in the public mental health sector.
METHODS
We examined demographics, clinical information, and service use in clients with anxiety disorders enrolled in San Diego County Adult and Older Adult Mental Health Services in fiscal 2002-2003.
RESULTS
Almost 15% of the sample had a diagnosis of an anxiety disorder based on administrative billing data. Most anxiety disorder clients had additional psychiatric diagnoses, most commonly depression. Clients with both anxiety disorders and depression were more likely than those with anxiety or depression alone to use emergency psychiatric services and outpatient services than those with depression alone. Those with anxiety disorders alone used more outpatient services than those with depression alone.
LIMITATION
Data were taken from an administrative database.
CONCLUSIONS
Data indicate that anxiety disorders are not uncommon in public mental health settings and are associated with higher utilization of outpatient mental health services.
背景
焦虑症是最常见的精神疾病形式之一，但很少有调查研究过公共心理健康部门中焦虑症患者的患病率或服务使用情况。
方法
我们研究了2002 - 2003财年在圣地亚哥县成人及老年成人心理健康服务机构登记的焦虑症患者的人口统计学特征、临床信息和服务使用情况。
结果
根据行政计费数据，近15%的样本被诊断患有焦虑症。大多数焦虑症患者还有其他精神疾病诊断，最常见的是抑郁症。同时患有焦虑症和抑郁症的患者比仅患有焦虑症或抑郁症的患者更有可能使用紧急精神科服务和门诊服务。仅患有焦虑症的患者比仅患有抑郁症的患者使用更多的门诊服务。
局限性
数据取自行政数据库。
结论
数据表明，焦虑症在公共心理健康环境中并不罕见，并且与门诊心理健康服务的更高利用率相关。
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