Factors associated with depression detection in a New Hampshire mental health outreach program.
Factors associated with depression detection in a New Hampshire mental health outreach program.
复制标题
DOI：
10.1080/13607863.2017.1364346
复制
发表时间：
2018-11
影响因子：
3.4
通讯作者：
Bruce ML
中科院分区：
文献类型：
--
作者：
Ghesquiere AR;Pepin R;Kinsey J;Bartels SJ;Bruce ML
对于为老年人服务的心理健康外展项目，准确检测抑郁症是提供优质服务的必要组成部分。多种因素，包括性别、认知障碍、共病焦虑或最近的丧亲之痛可能会影响抑郁检测，但心理健康外展项目对此的研究还不够。因此，我们试图确定服务于老年人的心理健康外展计划参与者的抑郁症状检测率，并检查与检测抑郁症不准确相关的因素。我们对新罕布什尔州一项以老年人为重点的心理健康外展计划——转介教育援助和预防 (REAP) 计划中的 1,126 个病例进行了图表审查。抑郁症检测的准确性是通过比较 15 项老年抑郁量表 (GDS) 上抑郁症状的屏幕阳性评分与咨询师在“提出问题”列表上识别的抑郁症来确定的。 27.6% 的病例出现了不准确的抑郁症检测（GDS 呈阳性，但咨询师未识别出抑郁症）。多元回归分析表明，焦虑、认知问题和乡村性都与检测不准确有关。这项研究似乎是第一个在心理健康外展计划中研究影响抑郁症检测的因素的研究。未来的培训计划和其他努力应有助于确保所有老年心理健康外展客户以最佳比率检测到抑郁症。
For mental health outreach programs serving older adults, accurately detecting depression is a necessary component of quality service provision. Multiple factors, including gender, cognitive impairment, comorbid anxiety, or recent bereavement may affect depressiiondetection, but this is under-studied in mental health outreach programs. Therefore, we sought to both establish rates of depressive symptom detection and to examine factors associated with inaccuracies of detecting depression among participants in a mental health outreach program serving older adults. We conducted a chart review of 1,126 cases in an older adult-focused mental health outreach program in New Hampshire, the Referral Education Assistance & Prevention (REAP) program. Accuracy of depression detection was identified by comparing screen-positive scores for depressive symptoms on the 15-item Geriatric Depression Scale (GDS) to depression identification by counselors on a “presenting concerns” list. Inaccurate depression detection (positive on the GDS but depression not identified by counselors) occurred in 27.6% of cases. Multivariate regression analyses indicated that anxiety, cognitive concerns, and rurality were all associated with inaccuracy of detection. This study appears to be the first to examine factors influencing depression detection in a mental health outreach program. Future training programs and other efforts should help ensure that all older mental health outreach clients have depression detected at optimal rates.
登录
查看更多内容
识别较旧的医疗住院患者抑郁症。
影响因子：
5.7
作者：
Cepoiu, Monica;McCusker, Jane;Cole, Martin G.;Sewitch, Maida;Ciampi, Antonio
通讯作者：
Ciampi, Antonio
影响因子：
1.3
作者：
Smith, Marianne;Haedtke, Christine;Shibley, Deborah
通讯作者：
Shibley, Deborah
DOI：
10.1089/jwh.1.1999.8.1063
发表时间：
1999-10-01
期刊：
JOURNAL OF WOMENS HEALTH & GENDER-BASED MEDICINE
影响因子：
--
作者：
Alvidrez, J;Azocar, F
通讯作者：
Azocar, F
DOI：
10.1097/jgp.0b013e318186bd67
发表时间：
2008-11
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
--
作者：
Marc LG;Raue PJ;Bruce ML
通讯作者：
Bruce ML
影响因子：
3.4
作者：
Pepin, Renee;Segal, Daniel L.;Coolidge, Frederick L.
通讯作者：
Coolidge, Frederick L.