One-year outcomes of a randomized clinical trial treating depression in low-income minority women.
One-year outcomes of a randomized clinical trial treating depression in low-income minority women.
复制标题
一项治疗低收入少数族裔女性抑郁症的随机临床试验的一年结果。
DOI：
10.1037/0022-006x.74.1.99
复制
发表时间：
2006
影响因子：
5.9
通讯作者：
Revicki,Dennis
中科院分区：
文献类型：
--
作者：
Miranda,Jeanne;Green,BonnieL;Krupnick,JaniceL;Chung,Joyce;Siddique,Juned;Belin,Tom;Revicki,Dennis
本研究调查了267名主要是低收入的年轻少数民族妇女的1年抑郁症状和功能结局，这些妇女被随机分配到抗抑郁药物治疗、团体或个人认知行为治疗（CBT）或社区转诊。76%的被分配到药物治疗组的患者接受了9周或更长时间的指南一致剂量的药物治疗; 36%的被分配到心理治疗组的患者接受了6次或更长时间的CBT治疗。意向治疗，重复测量分析显示，药物（p=. 001)CBT（P=. 02)在1年随访中，在降低抑郁症状方面上级社区转诊。在第12个月，50.9%的分配到抗抑郁药，56.9%的分配到CBT，37.1%的分配到社区转诊不再临床抑郁。这些研究结果表明，抗抑郁药物和CBT都能显著降低低收入少数民族女性的抑郁症。（PsycInfo数据库记录（c）2016阿帕，保留所有权利）
This study examines 1-year depressive symptom and functional outcomes of 267 predominantly lowincome, young minority women randomly assigned to antidepressant medication, group or individual cognitive-behavioral therapy (CBT), or community referral. Seventy-six percent assigned to medications received 9 or more weeks of guideline-concordant doses of medications; 36% assigned to psychotherapy received 6 or more CBT sessions. Intent-to-treat, repeated measures analyses revealed that medication (p=. 001) and CBT (p=. 02) were superior to community referral in lowering depressive symptoms across 1-year follow-up. At Month 12, 50.9% assigned to antidepressants, 56.9% assigned to CBT, and 37.1% assigned to community referral were no longer clinically depressed. These findings suggest that both antidepressant medications and CBT result in clinically significant decreases in depression for low-income minority women.(PsycINFO Database Record (c) 2016 APA, all rights reserved)