Mental Health Service Use Before and After Diagnosis of Early-Onset Bipolar Disorder
Mental Health Service Use Before and After Diagnosis of Early-Onset Bipolar Disorder
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DOI：
10.1007/s11414-010-9225-8
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发表时间：
2011-07-01
影响因子：
1.9
通讯作者：
Riley, Anne W.
中科院分区：
文献类型：
--
作者：
Evans-Lacko, Sara E.;dosReis, Susan;Riley, Anne W.
为了调查被诊断为双相情感障碍的青年接受精神卫生服务、精神药物治疗和精神诊断的模式，从2000-2001年Thomson/MedSTAT-MarketScan(C)数据库中检查了323名青年(6-18岁)的保险索赔。在双相情感障碍治疗前6个月和治疗后6个月对纵向模式进行评估。青年亚组(即，连续、间歇和不连续的服务)，由与双相情感诊断相关的索赔的持续性定义，根据人口统计和临床特征进行比较。几乎所有青年在首次诊断为双相情感障碍后立即接受心理健康服务的使用率和治疗率都很高，但只有一半的人在确诊后6个月继续接受服务。与双相情感诊断相关的连续索赔模式与使用更多资源、接受心理健康专业人员的初步诊断、参加管理性护理计划以及在索引双相情感诊断后有更多精神诊断有关。进一步的研究应该检查双相情感障碍的持续性与治疗质量和临床结果之间的关系。
To investigate patterns of mental health services, psychotropic treatments, and psychiatric diagnoses received by youth diagnosed with bipolar disorder, insurance claims of 323 youth (ages 6-18 years) were examined from the 2000-2001 Thomson/Medstat-MarketScan(c) database. Longitudinal patterns are assessed 6 months prior and following a new treatment episode of bipolar disorder. Youth subgroups (i.e., continuous, intermittent, and discontinuous services), defined by persistence of claims associated with a bipolar diagnosis, are compared by demographic and clinical characteristics. Virtually all youth had high rates of mental health service use and treatment immediately following initial bipolar diagnosis, but only half continued to receive services 6 months following diagnosis. A continuous pattern of claims associated with a bipolar diagnosis was associated with using more resources, receiving initial diagnosis from a mental health professional, being in a managed care plan, and having more psychiatric diagnoses following index bipolar diagnosis. Further research should examine how continuity of claims for bipolar is related to treatment quality and clinical outcomes.