种族和民族差异对首次抗抑郁药物或心理治疗的时间影响。
Racial and ethnic disparities in time to first antidepressant medication or psychotherapy.
机构信息
Mailman School of Public Health, Columbia University, New York, NY, United States.
Columbia University Medical Center and New York State Psychiatric Institute, New York, NY, United States.
出版信息
Psychiatry Res. 2023 Aug;326:115324. doi: 10.1016/j.psychres.2023.115324. Epub 2023 Jun 25.
Abstract
Time from first DSM4 major depressive episode (MDE) until treatment in the community was compared across racial/ethnic groups. This secondary analysis used structured baseline data from a depression research clinic (N = 260). Chi-square and survival analyses compared rates and delays to antidepressant medication and psychotherapy. Non-Hispanic Black and Hispanic (any race) participants had lower rates of both antidepressant medication and psychotherapy and longer delays to antidepressant medication compared with non-Hispanic White participants. The results underscore the need to reduce these disparities.
摘要
比较了不同种族/族裔群体从首次 DSM4 重性抑郁发作（MDE）到社区治疗的时间。这项二次分析使用了抑郁症研究诊所的结构化基线数据（N=260）。卡方检验和生存分析比较了抗抑郁药和心理治疗的使用率和延迟情况。与非西班牙裔白种人相比，非西班牙裔黑人和西班牙裔（任何种族）参与者的抗抑郁药和心理治疗使用率较低，抗抑郁药治疗延迟时间较长。这些结果突出表明需要减少这些差异。
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