Recognizing and engaging depressed Chinese Americans in treatment in a primary care setting.
Recognizing and engaging depressed Chinese Americans in treatment in a primary care setting.
复制标题
认识并让抑郁的华裔美国人在初级保健机构接受治疗。
DOI：
10.1002/gps.1566
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发表时间：
2006
影响因子：
4
通讯作者：
Fava,Maurizio
中科院分区：
文献类型：
--
作者：
Yeung,Albert;Yu,Shu-Ching;Fung,Freddy;Vorono,Sienna;Fava,Maurizio
ObjectivesTo examine effectiveness of depression screening and the Engagement Interview Protocol（EIP）in identifying and engaging in treatment depressed Chinese Americans in a primary care setting.MethodsChinese Americans patients who attended a primary care clinic between 15 September 2004 and 14 September 2005 were screened for depression using the Chinese Bilingual version of the Patient Health Questionnaire（CB-PHQ-9）.筛选阳性（CB-PHQ-9 ≥ 15）的患者进行了评估，使用EIP建立精神病诊断和从事patients in treatment. Results 3812例患者完成了CB-PHQ-9，其中113（3.2%）筛选阳性MDD。在筛查阳性的人中，6人（5.3%）一直在接受抑郁症的精神病治疗，57人（50%）拒绝接受精神病访谈或无法联系，50人（44%）同意接受EIP的访谈。在接受采访的50例患者中，44（88%）有他们的MDD诊断确认;其中，41（93%）同意接受治疗抑郁症和三（7%）拒绝intervention.ConclusionsUnder-recognition和Under-treatment的抑郁症的美国华人在初级保健设置继续流行。通过使用简短的CB-PHQ-9筛查抑郁症，可以增强对抑郁症的识别。在抑郁症筛查呈阳性的华裔美国人中，有一半拒绝接受心理健康专家的评估。大多数接受评估的抑郁症华裔美国人同意接受治疗。在精神病评估中使用EIP增强了文化敏感性，这可能有助于成功地让抑郁的华裔美国人参与治疗。版权所有© 2006约翰威利父子有限公司.
ObjectivesTo examine the effectiveness of depression screening and the Engagement Interview Protocol (EIP) in identifying and engaging in treatment depressed Chinese Americans in a primary care setting.MethodsChinese American patients who attended a primary care clinic between 15 September, 2004 and 14 September, 2005 were screened for depression using the Chinese Bilingual version of the Patient Health Questionnaire (CB‐PHQ‐9). Patients who screened positive (CB‐PHQ‐9 ≥ 15) were evaluated using the EIP to establish psychiatric diagnosis and to engage patients in treatment.ResultsThree thousand eight hundred and twelve patients completed the CB‐PHQ‐9, of which 113 (3.2%) screened positive for MDD. Among those screening positive, six (5.3%) had been receiving psychiatric treatment for depression, 57 (50%) declined to receive a psychiatric interview or were unable to be contacted, and 50 (44%) agreed to be interviewed with the EIP. Out of the 50 patients interviewed, 44 (88%) had their MDD diagnosis confirmed; among them, 41 (93%) agreed to receive treatment for depression and three (7%) declined intervention.ConclusionsUnder‐recognition and under‐treatment of depressed Chinese Americans in primary care settings continue to be prevalent. Recognition of depression can be enhanced by using the brief CB‐PHQ‐9 to screen for depression. Half of the Chinese Americans who screened positive for MDD declined evaluation by a mental health professional. Most of the depressed Chinese Americans who were evaluated agreed to receive treatment. Enhanced cultural sensitivity with the use of the EIP in psychiatric assessment may have contributed to the success in engaging depressed Chinese Americans in treatment. Copyright © 2006 John Wiley & Sons, Ltd.