The Integration of Behavioral Health and Primary Care for Hispanic/Latino Patients with Depression and Comorbid PTSD.
The Integration of Behavioral Health and Primary Care for Hispanic/Latino Patients with Depression and Comorbid PTSD.
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DOI：
10.1007/s11414-022-09824-1
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发表时间：
2023-01
影响因子：
1.9
通讯作者：
Sanchez, Katherine
中科院分区：
文献类型：
--
作者：
Eghaneyan, Brittany H.;Killian, Michael O.;Sanchez, Katherine
共患创伤后应激障碍和抑郁症在为低收入和/或移民西班牙裔/拉丁裔人口服务的初级保健机构中明显较高。关于共病PTSD如何影响这些环境中患者对抑郁治疗的反应的研究有限。本研究的目的是探讨创伤后应激障碍抑郁症合并症及其与西班牙裔/拉丁裔患者的治疗结果之间的关系，这些患者参加了一项综合性抑郁症行为健康干预。参与者是符合抑郁症标准且目前未接受治疗的西班牙裔/拉丁裔成人初级保健患者。在基线以及6个月和12个月随访时评估抑郁和焦虑的严重程度。结果比较了符合PTSD诊断标准的参与者和不符合标准的参与者。无论PTSD的诊断如何，抑郁和焦虑评分在1年的干预期内均显著下降。需要更多的研究来了解文化适应性，语言一致性治疗的哪些元素对不同的患者最有益。
Comorbid PTSD and depression are notably high within primary care settings serving low-income and/or immigrant Hispanic/Latino populations. There is limited research examining how comorbid PTSD impacts the response to depression treatment for patients within these settings. The purpose of this study was to examine PTSD-depression comorbidity and its association with treatment outcomes among Hispanic/Latino patients enrolled in an integrated behavioral health intervention for depression. Participants were Hispanic/Latino adult primary care patients who met the criteria for depression and were not currently in treatment. Depression and anxiety severity were assessed at baseline and the 6 and 12 month follow-ups. Outcomes were compared between participants who met the criteria for a PTSD diagnosis and those that did not. Depression and anxiety scores significantly decreased through the 1-year intervention period regardless of PTSD diagnosis. More research is needed to understand what elements of culturally adapted, linguistically concordant treatment benefit diverse patients the most.
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DOI：
10.1001/archfami.9.9.802
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