Willingness to Engage in Traditional and Novel Depression Treatment Modalities Among Myocardial Infarction Survivors.
Willingness to Engage in Traditional and Novel Depression Treatment Modalities Among Myocardial Infarction Survivors.
复制标题
心肌梗塞幸存者接受传统和新型抑郁症治疗方式的意愿。
DOI：
10.1007/s11606-019-05406-8
复制
发表时间：
2020
影响因子：
5.7
通讯作者：
Alcantara,Carmela
中科院分区：
文献类型：
--
作者：
Moise,Nathalie;Thanataveerat,Anusorn;Florez-Salamanca,Ludwing;Ye,Siqin;Qian,Min;Obi,Megan;Alcantara,Carmela
方法从 2013 年 5 月到 2013 年 7 月，无党派在线民意调查公司 YouGov 对 1500 名美国选择加入的调查小组参与者进行了英语和西班牙语调查，报告了医疗保健专业人员对 MI 的诊断。抽样目标基于 2010 年全国健康访谈调查 (NHIS) 中 MI 的年龄、性别和种族分布，采用两步样本匹配方法，从目标人群中随机抽取样本，然后创建一组与这些边缘相匹配的调查受访者（英语回答率为 45.8%；西班牙语回答率为 16.2%）。 3 我们将分析仅限于抑郁症状加重的参与者（患者健康问卷 - 8≥ 10）。我们引出病史和当前/过去抑郁症治疗使用情况、态度（即处理与心肌梗死相关的压力的重要性、谈论自己感受的兴趣（包括免费提供的情况）以及按方式划分的意愿（定义为4点李克特量表≥3[非常/有点感兴趣]）：面对面咨询、抗抑郁药、团体治疗（包括社交团体，例如运动）、远程治疗（电话或视频咨询）和自助（这里是在线或智能手机应用程序提供的）。我们使用基于 2010 年 NHIS 年龄、性别和种族分布的抽样权重来计算加权百分比。加权多变量逻辑回归确定了根据先验假设调整收入、教育和抑郁症病史的治疗意愿之间的关联。结果总体而言，1500 人中有 352 人（加权百分比 23.7%）。 MI 参与者的抑郁症状较高：平均年龄（标准误差）59.6 (0.69) 岁；50.4% 为女性，23.9% 为非白人；79.6% 报告有高血压病史，78.7% 患有高胆固醇，47.3% 患有糖尿病，69.5% 患有抑郁症（表 1）。 72.6% 的人对谈论自己的感受有些/非常感兴趣，95.2% 的人认为处理与 MI 相关的压力/感受很重要。在 246 名 (71.2%) 的人中，在发生 MI 时没有接受咨询，其中 74.2% 的人如果免费提供咨询就会离开。
METHODSFrom May 2013 to July 2013, YouGov, a non-partisan online polling firm, administered English and Spanish surveys to 1500 US opt-in survey panel participants reporting MI diagnosis by a healthcare professional. Sampling targets were based on age, sex, and race distribution of MI in the 2010 National Health Interview Survey (NHIS) using a two-step sample matching method that drew a random sample from the target population and then created a matched set of survey respondents to these marginals (response rates 45.8% English; 16.2% Spanish). 3 We restricted analyses to participants with elevated depressive symptoms (Patient Health Questionnaire-8≥ 10). We elicited medical history and current/past depression treatment use, attitudes (ie, importance of dealing with MI-related stress, interest in talking about one’s feelings (including if offered at no cost), and willingness by modality (defined as≥ 3 [very/somewhat interested] on a 4-point Likert scale): face-to-face counseling, antidepressants, group therapy (including social groups, eg, exercise), remote therapy (telephone or video counseling), and self-help (here online or smartphone application-delivered). We used sampling weights based on 2010 NHIS age, gender, and race distributions of MI to calculate weighted percentages. Weighted multivariable logistic regression determined the association between key demographic characteristics (age, gender, race/ethnicity) and treatment willingness adjusting for income, education, and history of depression based on a priori hypotheses.RESULTSOverall, 352 (weighted percentage 23.7%) of 1500 MI participants had elevated depressive symptoms: average age (standard error) 59.6 (0.69) years; 50.4% were female, and 23.9% non-white; 79.6% reported a history of hypertension, 78.7% high cholesterol, 47.3% heart failure, and 44.3% diabetes; 69.5% had prior depression (Table 1). Overall, 20.0% were currently receiving therapy, but 72.6% were somewhat/very interested in talking about their feelings and 95.2% felt it was important to deal with MI-related stress/feelings. Of 246 (71.2%) individuals not offered counseling at the time of their MI, 74.2% would have gone if offered at no cost.