New Jersey Veterans Administration Healthcare System, East Orange, NJ 07018, USA.
World Psychiatry. 2010 Oct;9(3):177-82. doi: 10.1002/j.2051-5545.2010.tb00306.x.
The study aimed to examine treatment patterns for depression among women veterans diagnosed with cardiovascular conditions or diabetes. We used longitudinal data from the 2002-2003 merged Veteran Health Administration (VHA) and Medicare files. Chi-square tests and multinomial logistic regression were performed to analyse depression treatment among veteran women with incident depressive episode and one of the following chronic conditions: diabetes or coronary artery disease or hypertension. Overall, 77% received treatment for depression, 54% with only antidepressants, 4% with only psychotherapy, and 19% with both. Multinomial logistic regression revealed that African American women were more likely to be in the no treatment group and were more likely than white women to receive psychotherapy rather than antidepressants. Older women and women with coronary artery disease only were less likely to receive treatment.
本研究旨在调查诊断患有心血管疾病或糖尿病的女性退伍军人的抑郁治疗模式。我们使用了 2002-2003 年退伍军人健康管理局(VHA)和医疗保险合并档案的纵向数据。采用卡方检验和多项逻辑回归分析退伍女性新发抑郁发作和以下慢性疾病之一的抑郁治疗情况:糖尿病、冠状动脉疾病或高血压。总体而言,77%的人接受了抑郁治疗,54%的人仅接受抗抑郁药治疗,4%的人仅接受心理治疗,19%的人同时接受两种治疗。多项逻辑回归显示,非裔美国女性更有可能不接受治疗,且比白人女性更有可能接受心理治疗而非抗抑郁药治疗。年龄较大的女性和仅有冠状动脉疾病的女性接受治疗的可能性较小。