Alsabhan Jawza, Alanazi Ashwaq, Alhajaji Raghad, Elbashir Malaz, Alzahrani Faisal, Alhajaji Fatima, Almehmadi Mariah, Alqorashi Salihah, Ahmed Fairaq Bashaier, Alhazmi Fayza
Clinical Pharmacy, King Saud University, Riyadh, SAU.
Second Health Cluster, King Fahad Medical City, Riyadh, SAU.
Cureus. 2024 Jul 28;16(7):e65562. doi: 10.7759/cureus.65562. eCollection 2024 Jul.
Background The mental healthcare program is widely implemented in primary healthcare settings in Saudi Arabia. It consisted of early screening and management of mental health disorders associated with chronic health conditions. Family physicians are authorized to prescribe selective serotonin reuptake inhibitors (SSRIs) for early management of mental health disorders in primary healthcare centers (PHCs). The aim of the study is exploring the prevalence of various types of mental health disorders and to assess the prescribing pattern of SSRIs in PHCs. Materials and methods A cross-sectional study based on the data from electronic health records, telephone interviews, and prescriptions of individuals administered SSRIs at PHCs. Results Among 219 patients visiting PHCs, 67.6% were female participants. Forty-four percent of the patients were 20-30 years old and 61.2% of them received SSRI medications. The most prevalent chronic condition was diabetes (22.5%) followed by hypertension (20.5%) and asthma (6.4%). The most prevalent mental disorder was major depressive disorder (MDD; 78.1%), followed by anxiety disorder (7.3%), panic disorder (6.4%), and MDD with anxiety disorders (5.5%). Conclusion Implementing mental healthcare programs in PHCs is believed to promote population health. MDD was the predominant mental health disorder among patients visiting PHCs, and SSRIs were the most prescribed medications in this setting. This suggests that mental healthcare programs in PHCs are effective in improving mental health outcomes.
沙特阿拉伯在初级卫生保健机构广泛实施精神卫生保健项目。该项目包括对与慢性健康状况相关的精神障碍进行早期筛查和管理。家庭医生被授权在初级卫生保健中心(PHC)开具选择性5-羟色胺再摄取抑制剂(SSRI),用于精神障碍的早期管理。本研究的目的是探索各类精神障碍的患病率,并评估初级卫生保健中心SSRI的处方模式。材料与方法:一项基于电子健康记录、电话访谈以及初级卫生保健中心接受SSRI治疗患者处方数据的横断面研究。结果:在219名就诊于初级卫生保健中心的患者中,67.6%为女性参与者。44%的患者年龄在20至30岁之间,其中61.2%接受了SSRI药物治疗。最常见的慢性病是糖尿病(22.5%),其次是高血压(20.5%)和哮喘(6.4%)。最常见的精神障碍是重度抑郁症(MDD;78.1%),其次是焦虑症(7.3%)、恐慌症(6.4%)以及伴有焦虑症的重度抑郁症(5.5%)。结论:在初级卫生保健中心实施精神卫生保健项目被认为可促进人群健康。重度抑郁症是就诊于初级卫生保健中心患者中最主要的精神障碍,SSRI是该环境下处方最多的药物。这表明初级卫生保健中心的精神卫生保健项目在改善精神健康结局方面是有效的。