The treatment of common mental disorders across age groups: Results from the 2007 adult psychiatric morbidity survey
The treatment of common mental disorders across age groups: Results from the 2007 adult psychiatric morbidity survey
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DOI：
10.1016/j.jad.2010.04.020
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发表时间：
2010-12-01
影响因子：
6.6
通讯作者：
Livingston, Gill
中科院分区：
文献类型：
--
作者：
Cooper, Claudia;Bebbington, Paul;Livingston, Gill
背景资料：我们调查了第一次在全国范围内的调查是否老年人不太可能比年轻的成年人有相同的症状严重程度接受治疗的常见精神疾病（CMD）。方法：我们分析了2007年英国成人精神病发病率调查，代表生活在私人住宅的人的数据。7461人（57%）参加了活动。我们使用了修订后的临床访谈时间表来衡量CMD症状severity.Results：老年参与者不太可能比年轻人接受谈话治疗，并看到他们的家庭医生在过去一年的心理健康，更有可能接受苯二氮卓类药物，调整后的CMD症状。35-74岁的成年人最有可能服用抗抑郁药。也有初步证据表明，非白人种族的人不太可能服用抗抑郁药，也不太可能在过去一年中看到他们的家庭医生对他们的心理健康。局限性：我们只记录了当前的治疗，这是可能的，老年人不太可能接受治疗，他们发现没有帮助的早期生活。我们问人们是否看到他们的家庭医生在过去的一年中的心理健康问题，但这个问题可能没有检测到那些谁参加了他们的anxiets.Conclusions躯体表现：老年人不太可能接受循证治疗CMD。管理者和临床医生应该优先考虑减少这种不平等。(C)2010 Elsevier B. V.保留所有权利。
Background: We investigated for the first time in a national survey whether older people were less likely than younger adults with the same symptom severity to receive treatment for Common Mental Disorders (CMD).Method: We analysed data from the 2007 English Adult Psychiatric Morbidity Survey, representative of people living in private homes. 7461 (57%) people approached took part. We used the revised Clinical Interview Schedule to measure CMD symptom severity.Results: Older participants were less likely than younger adults to receive talking therapy and to have seen their GP in the last year about mental health, and more likely to receive benzodiazepines, after adjusting for CMD symptoms. Adults aged 35-74 were the most likely to take antidepressants. There was also preliminary evidence that people from non-white ethnicities were less likely to be taking antidepressants and to have seen their GP in the last year about their mental health.Limitations: We only recorded current treatment, and it is possible that older adults were less likely to be receiving treatments they had found unhelpful earlier in their lives. We asked people whether they had seen their GP about a mental health problem in the last year, but this question may not have detected those who attended for somatic manifestations of their anxieties.Conclusions: Older people are less likely to receive evidence-based treatment for CMD. Managers and clinicians should prioritise reducing this inequality. (C) 2010 Elsevier B.V. All rights reserved.