Preferences for Depression Treatment Including Internet-Based Interventions: Results From a Large Sample of Primary Care Patients.
Preferences for Depression Treatment Including Internet-Based Interventions: Results From a Large Sample of Primary Care Patients.
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DOI：
10.3389/fpsyt.2018.00181
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发表时间：
2018
影响因子：
4.7
通讯作者：
Riedel-Heller SG
中科院分区：
文献类型：
--
作者：
Dorow M;Löbner M;Pabst A;Stein J;Riedel-Heller SG
背景：迄今为止，人们对新媒体抑郁症的治疗偏好知之甚少。本研究旨在（1）调查抑郁症的治疗偏好，包括基于互联网的干预措施;（2）检查年龄，性别和抑郁症严重程度以及与治疗偏好相关的患者相关因素的亚组差异。方法：数据来自@ktiv-trial的基线评估。对641例轻度至中度抑郁的初级保健患者的抑郁治疗偏好进行了评估，包括以下治疗：药物治疗、心理治疗、联合治疗、替代治疗、与朋友和家人交谈、锻炼、自助文献和基于互联网的干预。抑郁症的严重程度由GP根据ICD-10标准规定。有序逻辑回归模型进行识别治疗偏好的相关因素。结果：患者平均年龄为43.9岁（SD = 13.8），超过三分之二（68.6%）为女性。大约43%的患者患有轻度抑郁症，而57%的患者被诊断为中度抑郁症。大多数患者报告强烈偏好心理治疗，与朋友和家人交谈以及锻炼。大约五分之一的患者很可能考虑基于互联网的干预措施来治疗抑郁症。年轻患者对心理治疗和基于互联网的干预措施的治疗偏好明显强于老年患者。与治疗偏好相关的最显著因素是患者的教育程度和自我效能感。结论：抑郁症患者个体报告不同的治疗偏好。我们的研究结果强调了在初级保健中共同决策的重要性。未来的研究应该调查不同类型的基于互联网的干预措施的治疗偏好。
Background: To date, little is known about treatment preferences for depression concerning new media. This study aims to (1) investigate treatment preferences for depression including internet-based interventions and (2) examine subgroup differences concerning age, gender and severity of depression as well as patient-related factors associated with treatment preferences. Methods: Data were derived from the baseline assessment of the @ktiv-trial. Depression treatment preferences were assessed from n = 641 primary care patients with mild to moderate depression regarding the following treatments: medication, psychotherapy, combined treatment, alternative treatment, talking to friends and family, exercise, self-help literature, and internet-based interventions. Depression severity was specified by GPs according to ICD-10 criteria. Ordinal logistic regression models were conducted to identify associated factors of treatment preferences. Results: Patients had a mean age of 43.9 years (SD = 13.8) and more than two thirds (68.6%) were female. About 43% of patients had mild depression while 57% were diagnosed with moderate depression. The majority of patients reported strong preferences for psychotherapy, talking to friends and family, and exercise. About one in five patients was very likely to consider internet-based interventions in case of depression. Younger patients expressed significantly stronger treatment preferences for psychotherapy and internet-based interventions than older patients. The most salient factors associated with treatment preferences were the patients' education and perceived self-efficacy. Conclusions: Patients with depression report individually different treatment preferences.Our results underline the importance of shared decision-making within primary care. Future studies should investigate treatment preferences for different types of internet-based interventions.
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影响因子：
5.2
作者：
Batterham, Philip J.;Calear, Alison L.
通讯作者：
Calear, Alison L.
影响因子：
--
作者：
Gelhorn, Heather L;Sexton, Chris C;Classi, Peter M
通讯作者：
Classi, Peter M
影响因子：
2.8
作者：
Kitchen KA;McKibbin CL;Wykes TL;Lee AA;Carrico CP;McConnell KA
通讯作者：
McConnell KA
影响因子：
6.6
作者：
Casey, Leanne M.;Joy, Angela;Clough, Bonnie A.
通讯作者：
Clough, Bonnie A.
西班牙裔个体的抑郁症治疗偏好：探索种族、语言和解释模型的影响。
DOI：
10.3122/jabfm.2011.01.100118
发表时间：
2011-01
期刊：
Journal of the American Board of Family Medicine : JABFM
影响因子：
--
作者：
Fernandez Y Garcia E;Franks P;Jerant A;Bell RA;Kravitz RL
通讯作者：
Kravitz RL