Treatment experiences of adults with unipolar depression: the influence of patient and life context factors.
Treatment experiences of adults with unipolar depression: the influence of patient and life context factors.
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成人单相抑郁症的治疗经验：患者和生活背景因素的影响。
DOI：
10.1037//0022-006x.52.1.119
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发表时间：
1984
影响因子：
5.9
通讯作者：
Moos,RH
中科院分区：
文献类型：
--
作者：
Billings,AG;Moos,RH
检查了412名在6个项目中的1个项目中接受单相抑郁症治疗的患者（年龄18岁以上）所获得的治疗量和类型在项目之间和项目内的变化。采用健康与日常生活量表、家庭环境量表和工作环境量表对学生进行评定。每一个程序都有一个独特的取向对治疗所示的相当大的程序之间的变异性在SS的治疗经验。这些程序之间的差异仍然显着控制后，抑郁症状的严重程度和社会人口特征的SS在每个程序中处理。在程序中，只有有限的证据，病人治疗匹配的过程中，更严重的抑郁症患者接受更密集的治疗。然而，也有很少的证据表明，临床医生对提供治疗不太“理想”的学生，如那些谁是老年人或社会地位较低的偏见。那些经历了更多近期生活压力的学生没有得到那么密集的治疗，也许是因为他们倾向于将抑郁归因于情境因素而不是性格因素。(45参考）（PsycINFO数据库记录（c）2016阿帕，保留所有权利）
Examined between-and within-programs variations in the amount and type of treatment obtained by 412 patients (aged 18+ yrs) who entered treatment for unipolar depression in 1 of 6 programs. Ss were assessed on the Health and Daily Living Form, the Family Environment Scale, and the Work Environment Scale. Each program had a distinctive orientation toward treatment as shown by considerable between-programs variability in Ss' treatment experiences. These between-programs differences remained significant after controlling for severity of depressive symptoms and the sociodemographic characteristics of Ss treated in each program. Within programs, there was only limited evidence for a patient–treatment matching process in which Ss with more severe depression received more intensive treatment. However, there was also little evidence of clinician bias against providing treatment to less" desirable" Ss, such as those who were older or of lower social status. Ss who experienced more recent life stressors were treated less intensively, perhaps because of a tendency to attribute their depression to situational rather than dispositional factors.(45 ref)(PsycINFO Database Record (c) 2016 APA, all rights reserved)