Screening for Depression and High Utilization of Health Care Resources Among Patients in Primary Care
Screening for Depression and High Utilization of Health Care Resources Among Patients in Primary Care
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DOI：
10.1007/s10597-014-9700-4
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发表时间：
2014-10-01
影响因子：
2.7
通讯作者：
Pfennig, Andrea
中科院分区：
文献类型：
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作者：
Berghoefer, Anne;Roll, Stephanie;Pfennig, Andrea
该研究旨在评估初级保健患者中抑郁症的患病率以及抑郁症状的严重程度，这些患者是医疗保健资源的高利用者（HU）。采用横断面、两阶段设计，使用简短的精神健康问卷和精神疾病诊断专家系统来筛查抑郁症。共有 38 名获得德国柏林和波茨坦执业资格的初级保健医生参与了这项研究。总共有 1,775 名患者参与，其中 507 名被确定为 HU，其中 182 名 (36%) 患有抑郁症，而典型使用者中有 81 名 (11%) 患有抑郁症 (p < 0.001)。与典型使用者相比，HU 中的抑郁评分更高，急性自杀倾向更普遍 (p < 0.001)。我们的结果表明，HU 代表了初级保健中抑郁症患病率较高的人群，应考虑进行常规抑郁症筛查。
The study aims to evaluate the prevalence of depression and the severity of depressive symptoms among primary care patients, who are high utilizers (HU) of health care resources. A cross-sectional, two-stage design was applied to screen for depression using the Brief Psychiatric Health Questionnaire and the Diagnostic Expert System for Psychiatric Disorders. A total of 38 primary care physicians accredited to practice in Berlin and Potsdam in Germany participated in the study. A total of 1,775 patients participated, 507 were identified as HU, 182 (36 %) of these were depressed compared to 81 (11 %) of the typical utilizers (p < 0.001). The depression score was higher and acute suicidality was more prevalent in HU than in typical utilizers (p < 0.001). Our results suggest that HU represent a population with a high prevalence of depression in primary care and should be considered for routine depression screening.