Differences in patients' perceived helpfulness of depression treatment provided by general medical providers and specialty mental health providers
Differences in patients' perceived helpfulness of depression treatment provided by general medical providers and specialty mental health providers
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DOI：
10.1016/j.genhosppsych.2015.04.006
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发表时间：
2015-07-01
影响因子：
7
通讯作者：
Mojtabai, Ramin
中科院分区：
文献类型：
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作者：
Kuramoto-Crawford, S. Janet;Han, Beth;Mojtabai, Ramin
目的：本研究探讨了从一个普通的医疗提供者，一个专业的心理健康提供者或两者的治疗接受的重性抑郁发作（MDE）的感知帮助水平的差异。方法：这项研究调查了2008-2012年全国药物使用和健康调查中的8900名受访者，年龄在18-64岁之间，他们过去12个月的MDE（基于精神障碍诊断和统计手册第四版中规定的标准），并接受抑郁症治疗。广义有序Logistic回归分析进行估计之间的关联类型的治疗提供者和感知的有益的抑郁症treatment.Results：成年人接受抑郁症治疗，无论是专业的心理健康提供者单独或专业的心理健康提供者和一般的医疗提供者在过去的一年中，更有可能报告说，治疗帮助他们。调整后的社会人口学特征，共病的健康状况，抑郁症的药物治疗和抑郁症的严重程度（调整后的优势比整个水平的感知帮助范围从1.63到3.96）的差异持续存在。结论：这一发现要求更多的关注与供应商类型和组织背景，可能有助于抑郁症治疗的感知帮助的差异相关的因素。爱思唯尔公司出版
Objective: This study examined the differences in the level of perceived helpfulness of treatments received for a major depressive episode (MDE) from a general medical provider only, a specialty mental health provider only or both.Method: This study examined a sample of 8900 respondents from the 2008-2012 National Survey on Drug Use and Health aged 18-64 who had past 12-month MDE (based on criteria specified in the Diagnostic and Statistical Manual of Mental Disorders, Fourth edition) and received treatment for depression. Generalized ordered logistic regression analyses were conducted to estimate the association between the type of treatment providers and perceived helpfulness of depression treatment.Results: Adults who received depression treatment from either specialty mental health providers alone or from both specialty mental health providers and general medical providers in the past year were more likely to report that treatment helped them. The differences persisted after adjusting for sociodemographic characteristics, co-morbid health conditions, receipt of depression medication and severity of depression (adjusted odds ratios across level of perceived helpfulness ranged from 1.63 to 3.96).Conclusions: This finding calls for greater attention to factors associated with provider type and organizational context that may contribute to differences in perceived helpfulness of depression treatment. Published by Elsevier Inc.