Primary care providers' beliefs about teen and parent barriers to depression care.
Primary care providers' beliefs about teen and parent barriers to depression care.
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DOI：
10.1097/dbp.0000000000000089
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发表时间：
2014-10
期刊：
影响因子：
--
通讯作者：
Stein BD
中科院分区：
文献类型：
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作者：
Radovic A;Farris C;Reynolds K;Reis EC;Miller E;Stein BD
只有三分之一的美国青少年抑郁症患者接受抑郁症治疗。青少年和父母的障碍不同，但都有助于低治疗率。初级保健提供者（PCP）可能能够引出和解决这些障碍，但很少有人知道他们的青少年和父母的障碍，以及他们是否认识到这些差异的看法。我们进行了一项调查，以58 PCP评估他们的看法的重要性，具体障碍，抑郁症护理青少年和家长使用McNemar的测试，以检查差异。大多数PCP认为父母的障碍包括难以预约，担心别人会怎么想，以及费用。PCP认为青少年的障碍包括不想接受治疗和担心别人会怎么想。PCP认为父母和青少年在他们认为费用、预约困难和不想接受护理是障碍的程度上存在差异（ps<.001）。PCP认识到青少年和父母有不同的照顾障碍，但可能有不一致的看法，某些障碍的重要性，青少年和他们的父母。PCP可能需要单独调查父母和青少年关于阻碍抑郁症护理的障碍，以加强共同决策和治疗吸收。
Only one-third of U.S. adolescents with depression obtain treatment for depression. Teen and parent barriers differ, but both contribute to low treatment rates. Primary care providers (PCPs) may be able to elicit and address such barriers, but little is known about their perceptions of teen and parent barriers, and whether they recognize these differences. We administered a survey to 58 PCPs assessing their perceptions of the importance of specific barriers to depression care for teens and parents using McNemar’s test to examine differences. Most PCPs believed barriers for parents included difficulty making appointments, worry about what others would think, and cost. PCPs believed barriers for teens included not wanting treatment and worry about what others would think. PCPs believed parents and teens differed in the extent to which they would perceive cost, difficulty making appointments, and not wanting care as a barrier (ps<.001). PCPs recognize teens and parents have different barriers to care, but may have discordant perceptions of the importance of certain barriers for teens and their parents. PCPs may need to probe parents and teens individually about barriers which impede depression care to enhance shared decision making and treatment uptake.