预测重度抑郁症治疗利用的因素。
Predictors of treatment utilization in major depression.
机构信息
School of Social Work, Columbia University, New York, New York 10027, USA.
出版信息
Arch Suicide Res. 2011;15(2):160-71. doi: 10.1080/13811118.2011.566052.
Abstract
Suicide attempters with major depression are at risk for repeat attempts and often do not utilize treatment. Identifying predictors of treatment non-utilization could inform interventions to motivate treatment use and reduce suicide risk in major depression. Two hundred and seventy three participants with a major depressive episode as part of a major depressive disorder or bipolar disorder, were assessed for socio-demographic and clinical characteristics at baseline and again 1 year later to identify predictors of treatment utilization. Treatment utilization rate was high 1 year after initial evaluation (72.5%). Severity of baseline depression, baseline treatment status, and education were associated with treatment utilization at 1 year. Interventions focused on increasing knowledge about depression and treatment efficacy may improve treatment adherence when treating depression.
摘要
有重度抑郁症的自杀未遂者有再次尝试的风险，而且往往不接受治疗。确定治疗不利用的预测因素可以为干预措施提供信息，以激励治疗的使用并降低重度抑郁症的自杀风险。273 名患有重度抑郁症发作的参与者，作为重度抑郁症或双相情感障碍的一部分，在基线时和 1 年后再次评估社会人口统计学和临床特征，以确定治疗利用的预测因素。在初始评估后 1 年，治疗利用率很高（72.5%）。基线抑郁严重程度、基线治疗状况和教育程度与 1 年后的治疗利用相关。当治疗抑郁症时，专注于增加对抑郁症和治疗效果的了解的干预措施可能会提高治疗依从性。
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本文引用的文献
1
Collaborative care and motivational interviewing: improving depression outcomes through patient empowerment interventions.协作护理与动机性访谈：通过患者赋权干预改善抑郁症治疗效果
Am J Manag Care. 2007 Nov;13(4 Suppl):S103-6.
2
Prevalence, comorbidity, and service utilization for mood disorders in the United States at the beginning of the twenty-first century.21世纪初美国心境障碍的患病率、共病情况及服务利用情况。
Annu Rev Clin Psychol. 2007;3:137-58. doi: 10.1146/annurev.clinpsy.3.022806.091444.
3
Compliance therapy: an intervention to improve inpatients' attitudes toward treatment.
J Psychosoc Nurs Ment Health Serv. 2007 Jun;45(6):29-37. doi: 10.3928/02793695-20070601-09.
4
Patient education and group counselling to improve the treatment of depression in primary care: a randomized controlled trial.患者教育与团体咨询以改善基层医疗中抑郁症的治疗：一项随机对照试验。
J Affect Disord. 2008 Jan;105(1-3):235-40. doi: 10.1016/j.jad.2007.04.007. Epub 2007 May 16.
5
Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites: results from the National Survey of American Life.非裔美国人、加勒比黑人及非西班牙裔白人中重度抑郁症的患病率及分布情况：美国国家生活调查结果
Arch Gen Psychiatry. 2007 Mar;64(3):305-15. doi: 10.1001/archpsyc.64.3.305.
6
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7
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8
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Fam Process. 2006 Jun;45(2):153-69. doi: 10.1111/j.1545-5300.2006.00088.x.
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Arch Gen Psychiatry. 2005 Oct;62(10):1097-106. doi: 10.1001/archpsyc.62.10.1097.
10
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