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Socioeconomic Heterogeneity in the Impact of Psychiatric Care: A Secondary Analysis of the RAISE-ETP Trial for Patients with First-Episode Psychosis

Socioeconomic Heterogeneity in the Impact of Psychiatric Care: A Secondary Analysis of the RAISE-ETP Trial for Patients with First-Episode Psychosis
社会经济异质性对精神科护理的影响:针对首发精神病患者的 RAISE-ETP 试验的二次分析
批准号:
10305685
负责人:
Daniel Mark Bennett
金额:
$8.25万
依托单位国家:
美国
项目类别:
财政年份:
2020
资助国家:
美国
项目状态:
已结题
起止时间:
2020-12-01 至 2022-11-30

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中文摘要
翻译
使用NIMH赞助的RAISE-ETP试验的数据,这项研究考察了影响这一效应的社会经济障碍。 提供积极的精神护理。RAISE调查人员发现早期干预计划的适度好处fi 适用于fi首发精神病患者。我们的初步分析表明,有很大的统计意义的fi不能 只有高SES患者从干预中受益的fi的差距。我们将研究可能的解释 这种模式包括SES在初始心理健康、耻辱、治疗依从性、认知、实质上的差异 虐待和经济赋权。最后,我们将量化此模式对年SES差距的贡献 心理健康。这项调查有别于RAISE调查人员提出或进行的任何分析 出去。
英文摘要
Using data from the NIMH-sponsored RAISE-ETP trial, this study examines socioeconomic barriers to the effec- tive provision of psychiatric care. RAISE investigators found modest benefits of an early-intervention program for patients with first-episode psychosis. Our preliminary analysis suggests a large and statistically significant gap in which only high-SES patients benefitted from the intervention. We will examine possible explanations for this pattern, including SES differences in initial mental health, stigma, treatment adherence, cognition, substance abuse, and economic empowerment. Finally we will quantify the contribution of this pattern for the SES gap in mental health. This inquiry is distinct from any analysis that the RAISE investigators have proposed or carried out.
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