Sadock Elizabeth, Auerbach Stephen M, Rybarczyk Bruce, Aggarwal Arpita, Lanoye Autumn
*Virginia Commonwealth University; and †Virginia Commonwealth University Health System (VCUHS), Richmond, VA.
J Nerv Ment Dis. 2014 Oct;202(10):763-6. doi: 10.1097/NMD.0000000000000195.
Exposure to stressful life events, mood disorder, and health care utilization were evaluated in 102 low-income, primarily minority patients receiving behavioral health and medical services at a safety-net primary care clinic. Exposure to major stressors was far higher in this sample than in the general population, with older patients having lower stress scores. Proportions of patients who met the criteria for clinical depression and anxiety were higher than in normative samples of primary care patients. Stress exposure was higher in the patients who met the criterion for clinical anxiety but was unrelated to clinical depression. Contrary to expectation, anxiety, depression, or stress exposure was not related to service utilization. Latter findings are discussed in terms of the influence of the provision of behavioral health services, the highly skewed distribution of major stressor scores, and the likely greater influence of individual differences in minor stressor exposure on utilization in this population.
在一家安全网初级保健诊所接受行为健康和医疗服务的102名低收入、主要为少数族裔的患者中，对其生活压力事件暴露情况、情绪障碍及医疗保健利用情况进行了评估。该样本中重大压力源的暴露率远高于普通人群，老年患者的压力得分较低。符合临床抑郁症和焦虑症标准的患者比例高于初级保健患者的标准样本。符合临床焦虑症标准的患者压力暴露率更高，但与临床抑郁症无关。与预期相反，焦虑、抑郁或压力暴露与服务利用无关。根据行为健康服务提供的影响、重大压力源得分的高度偏态分布以及在该人群中轻微压力源暴露的个体差异对利用情况可能产生的更大影响，对后一项发现进行了讨论。
