Improving Care for Depression in Obstetrics and Gynecology A Randomized Controlled Trial
Improving Care for Depression in Obstetrics and Gynecology A Randomized Controlled Trial
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DOI：
10.1097/aog.0000000000000231
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发表时间：
2014-06-01
影响因子：
7.2
通讯作者：
Katon, Wayne
中科院分区：
文献类型：
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作者：
Melville, Jennifer L.;Reed, Susan D.;Katon, Wayne
目的：评估一个以证据为基础的协作抑郁症护理干预适应产科和妇科诊所相比，通常career.METHODS：一个两个网站，随机对照试验包括筛选阳性的妇女（患者健康问卷-9评分至少10分）谁符合标准的重性抑郁症，心境恶劣，或两者兼而有之（迷你国际神经精神访谈）。女性被随机分配到12个月的抑郁症合作管理或常规护理; 6个月，12个月和18个月的结果进行了比较。主要结局是抑郁症状和功能状态从基线到12个月的变化。次要结局包括抑郁症状至少减少和缓解50%、整体改善、治疗满意度和护理质量。结果：参与者平均年龄39岁，44%是非白人，56%患有创伤后应激障碍。干预组（n=102）与常规治疗组（n=103）相比，在12个月时抑郁症状有更大改善（P
OBJECTIVE: To evaluate an evidence-based collaborative depression care intervention adapted to obstetrics and gynecology clinics compared with usual care.METHODS: A two-site, randomized controlled trial included screen-positive women (Patient Health Questionnaire-9 score of at least 10) who met criteria for major depression, dysthymia, or both (Mini-International Neuropsychiatric Interview). Women were randomized to 12 months of collaborative depression management or usual care; 6-month, 12-month, and 18-month outcomes were compared. The primary outcomes were change from baseline to 12 months in depression symptoms and functional status. Secondary outcomes included at least 50% decrease and remission in depressive symptoms, global improvement, treatment satisfaction, and quality of care.RESULTS: Participants were, on average, 39 years old, 44% were nonwhite, and 56% had posttraumatic stress disorder. Intervention (n=102) compared with usual care (n=103) patients had greater improvement in depressive symptoms at 12 months (P