Predictors of antidepressant prescription and early use among depressed outpatients.
Predictors of antidepressant prescription and early use among depressed outpatients.
复制标题
抗抑郁药处方和抑郁症门诊患者早期使用的预测因素。
DOI：
10.1176/ajp.156.5.690
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Raue,P
中科院分区：
文献类型：
--
作者：
Sirey,JA;Meyers,BS;Bruce,ML;Alexopoulos,GS;Perlick,DA;Raue,P
抗抑郁药的推荐率和使用率是在接受精神卫生诊所服务的重度抑郁症门诊患者中确定的。服务地点和患者的社会人口学和临床特征进行了调查，作为可能的predictors.METHODPatients承认六个门诊诊所招募通过两阶段抽样程序。根据DSM-IV-Patient Edition的结构化临床访谈，在入院时和3个月后对124例重度抑郁症患者进行了评估，大多数患者（71%）推荐使用TSDrug治疗，59%的受试者记录了最少的使用（至少1周）。白色患者接受抗抑郁药物推荐的可能性几乎是白人患者的三倍。抗抑郁药的推荐也与抑郁情绪的严重程度、近期药物使用和临床类型有关。最近的抗抑郁药的使用是唯一的变量，预测患者是否真的采取了推荐的medication.CONCLUSIONSMany抑郁症患者寻求治疗在社区精神卫生诊所不接受抗抑郁药物治疗。根据患者种族、临床类型和症状严重程度预测药物供应。少数民族患者不太可能接受抗抑郁治疗。
OBJECTIVEThe rates of antidepressant recommendation and use were determined in outpatients with major depression receiving services in mental health clinics. Site of service and the patients’ sociodemographic and clinical characteristics were investigated as possible predictors.METHODPatients admitted to six outpatient clinics were recruited through a two-stage sampling procedure. Patients with major depressive disorder (N=124) according to the Structured Clinical Interview for DSM-IV—Patient Edition were assessed at admission and 3 months later.RESULTSDrug therapy was recommended for most patients (71%), and minimal use (at least 1 week) was recorded for 59% of the subjects. White patients were nearly three times as likely to receive a recommendation for antidepressants. Antidepressant recommendation was also associated with severity of depressed mood, recent medication use, and clinic type. Recent antidepressant use was the only variable that predicted whether the patient actually took the recommended medication.CONCLUSIONSMany patients with depression seeking treatment at community mental health clinics do not receive antidepressant drug therapy. The offer of medication is predicted by patient ethnicity, clinic type, and symptom severity. Minority patients are less likely to be offered antidepressant treatment.