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药物治疗与认知行为疗法治疗低收入少数族裔年轻女性抑郁症的随机对照比较

A Randomized Comparison of Medication and Cognitive Behavioral Therapy for Treating Depression in Low-Income Young Minority Women.

作者信息

Cho Hyunkeun, Son Sang Joon, Kim Sanghee, Park Jungsik

机构信息

Department of Statistics, Western Michigan University, Kalamazoo, MI, USA.

Department of Psychiatry, Ajou University School of Medicine, Suwon, South Korea.

出版信息

Med Sci Monit. 2016 Dec 16;22:4947-4953. doi: 10.12659/msm.902206.

Abstract

BACKGROUND Longitudinal data arise frequently in biomedical science and health studies where each subject is repeatedly measured over time. We compared the effectiveness of medication and cognitive behavioral therapy on depression in predominantly low-income young minority women. MATERIAL AND METHODS The treatment effects on patients with low-level depression may differ from the treatment effects on patients with high-level depression. We used a quantile regression model for longitudinal data analysis to determine which treatment is most beneficial for patients at different stress levels over time. RESULTS The results confirm that both treatments are effective in reducing the depression score over time, regardless of the depression level. CONCLUSIONS Compared to cognitive behavioral therapy, treatment with medication more often effective, although the size of the effect differs. Thus, no matter how severe a patient's depression symptoms are, antidepressant medication is effective in decreasing depression symptoms.

摘要

背景 在生物医学科学和健康研究中,纵向数据经常出现,其中每个受试者会随时间进行重复测量。我们比较了药物治疗和认知行为疗法对以低收入年轻少数族裔女性为主的抑郁症患者的疗效。材料与方法 对轻度抑郁症患者的治疗效果可能与对重度抑郁症患者的治疗效果不同。我们使用分位数回归模型进行纵向数据分析,以确定随着时间推移,哪种治疗方法对处于不同压力水平的患者最为有益。结果 结果证实,无论抑郁程度如何,两种治疗方法都能有效降低随时间变化的抑郁评分。结论 与认知行为疗法相比,药物治疗更常有效,尽管效果大小有所不同。因此,无论患者的抑郁症状有多严重,抗抑郁药物都能有效减轻抑郁症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac2a/5189608/cd625779bd93/medscimonit-22-4947-g001.jpg

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