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本文引用的文献

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Prevalence of Depression Symptoms in US Adults Before and During the COVID-19 Pandemic.美国成年人在新冠大流行前后出现抑郁症状的比例。
JAMA Netw Open. 2020 Sep 1;3(9):e2019686. doi: 10.1001/jamanetworkopen.2020.19686.
2
COVID-19 Pandemic and Lockdown Measures Impact on Mental Health Among the General Population in Italy.新冠疫情及封锁措施对意大利普通人群心理健康的影响
Front Psychiatry. 2020 Aug 7;11:790. doi: 10.3389/fpsyt.2020.00790. eCollection 2020.
3
Cost-effectiveness of psychological treatments for post-traumatic stress disorder in adults.成人创伤后应激障碍心理治疗的成本效益。
PLoS One. 2020 Apr 30;15(4):e0232245. doi: 10.1371/journal.pone.0232245. eCollection 2020.
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The psychological impact of quarantine and how to reduce it: rapid review of the evidence.隔离的心理影响及其减轻方法:快速综述证据。
Lancet. 2020 Mar 14;395(10227):912-920. doi: 10.1016/S0140-6736(20)30460-8. Epub 2020 Feb 26.
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Performance of UK National Health Service compared with other high income countries: observational study.英国国民保健制度与其他高收入国家的表现比较:观察性研究。
BMJ. 2019 Nov 27;367:l6326. doi: 10.1136/bmj.l6326.
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Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysis.计算机疗法治疗焦虑和抑郁障碍是有效的、可接受的和实用的医疗保健措施:一项更新的荟萃分析。
J Anxiety Disord. 2018 Apr;55:70-78. doi: 10.1016/j.janxdis.2018.01.001. Epub 2018 Feb 1.
7
Realizing the Mass Public Benefit of Evidence-Based Psychological Therapies: The IAPT Program.实现基于证据的心理疗法的大众社会效益:IAPT 计划。
Annu Rev Clin Psychol. 2018 May 7;14:159-183. doi: 10.1146/annurev-clinpsy-050817-084833. Epub 2018 Jan 19.
8
Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis.基于互联网的与面对面的认知行为疗法治疗精神和躯体障碍:一项更新的系统评价和荟萃分析。
Cogn Behav Ther. 2018 Jan;47(1):1-18. doi: 10.1080/16506073.2017.1401115. Epub 2017 Dec 7.
9
Psychotherapy for Major Depressive Disorder and Generalized Anxiety Disorder: A Health Technology Assessment.重度抑郁症和广泛性焦虑症的心理治疗:一项卫生技术评估
Ont Health Technol Assess Ser. 2017 Nov 13;17(15):1-167. eCollection 2017.
10
Assessing the Costs and Benefits of Insuring Psychological Services as Part of Medicare for Depression in Canada.评估将心理服务保险作为加拿大抑郁症纳入医疗保险计划的成本效益。
Psychiatr Serv. 2017 Sep 1;68(9):899-906. doi: 10.1176/appi.ps.201600395. Epub 2017 May 15.

常见精神障碍循证心理治疗的公共资金投入:加拿大各省要求采取行动的呼声日益高涨。

Public Funding of Evidence-Based Psychotherapy for Common Mental Disorders: Increasing Calls for Action in Canadian Provinces.

作者信息

Vasiliadis Helen-Maria, Spagnolo Jessica, Lesage Alain

机构信息

Full Professor, Department of Community Health Sciences, Faculty of Medicine and Health Sciences, University of Sherbrooke, Centre de recherche Charles-Le Moyne - Saguenay-Lac-Saint-Jean sur les innovations en santé, Longueuil, QC.

Postdoctoral Fellow, Department of Community Health Sciences, Faculty of Medicine and Health Sciences, University of Sherbrooke, Centre de recherche Charles-Le Moyne - Saguenay-Lac-Saint-Jean sur les innovations en santé, Longueuil, QC.

出版信息

Healthc Policy. 2021 Feb;16(3):16-25. doi: 10.12927/hcpol.2021.26437.

DOI:10.12927/hcpol.2021.26437
PMID:33720820
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7957359/
Abstract

Canada's provinces are without a publicly funded psychotherapy program for common mental disorders despite evidence that psychological services help reduce the length and number of depressive episodes, symptoms of post-traumatic stress and associated negative outcomes (hospitalizations and suicide attempts). Studies also show that including psychological services as part of the service package offered under the public health plan for those without access pays for itself. We posit that a publicly funded psychotherapy program in Canada, including digitized self-guided psychotherapy platforms for common mental disorders, will lead to improved population health useful in the COVID-19 context and beyond.

摘要

尽管有证据表明心理服务有助于缩短抑郁发作的时长、减少发作次数、缓解创伤后应激症状以及避免相关负面后果(住院和自杀未遂),但加拿大各省仍未设立针对常见精神障碍的公共资助心理治疗项目。研究还表明,将心理服务纳入公共卫生计划为无医保人群提供的服务套餐中,其成本是可以收回的。我们认为,加拿大的公共资助心理治疗项目,包括针对常见精神障碍的数字化自助心理治疗平台,将有助于改善民众健康状况,这在新冠疫情期间及之后都将发挥作用。