The Impact of Posttraumatic Stress Disorder on the 6-Month Outcomes in Collaborative Care Management for Depression
The Impact of Posttraumatic Stress Disorder on the 6-Month Outcomes in Collaborative Care Management for Depression
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DOI：
10.1177/2150131916638329
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发表时间：
2016-07-01
影响因子：
3.6
通讯作者：
Williams, Mark D.
中科院分区：
文献类型：
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作者：
Angstman, Kurt B.;Marcelin, Alberto;Williams, Mark D.
创伤后应激障碍(PTSD)具有包括抑郁在内的一系列症状，这两种障碍可能并存。协同护理管理(CCM)已成功地应用于门诊患者的心理健康管理(尤其是抑郁症和焦虑症)，并取得了良好的效果。尽管如此，关于诊断创伤后应激障碍对CCM患者抑郁结局的临床影响的数据有限。本研究采用回溯性队列设计，在2121名在初级保健环境中接受CCM治疗的成人患者中，研究创伤后应激障碍与抑郁结局之间的关系。使用标准化的自我报告测量方法，评估基线抑郁评分和6个月结局评分。76名患者的电子病历中记录了创伤后应激障碍的诊断。PTSD患者在基线时报告了更严重的抑郁症状(患者健康问卷-9分17.9分对15.4分，P
Posttraumatic stress disorder (PTSD) has symptoms that exist along a spectrum that includes depression and the 2 disorders may coexist. Collaborative care management (CCM) has been successfully used in outpatient mental health management (especially depression and anxiety) with favorable outcomes. Despite this, there exist limited data on clinical impact of a diagnosis of PTSD on depression outcomes in CCM. The present study used a retrospective cohort design to examine the association of PTSD with depression outcomes among 2121 adult patients involved in CCM in a primary care setting. Using standardized self-report measures, baseline depression scores and 6-month outcome scores were evaluated. Seventy-six patients had a diagnosis of PTSD documented in their electronic medical record. Patients with PTSD reported more severe depressive symptoms at baseline (Patient Health Questionnaire-9 score of 17.9 vs 15.4, P