Clinical Variables Associated with Successful Treatment of Depression or Anxiety in Collaborative Care.

IF 1.5 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Carol Hardy, Brandn Green, Virna Little, Karl Vanderwood
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Abstract

Collaborative Care, an evidence-based model, has proven effective in treating depression and anxiety in healthcare settings. However, limited attention has been paid to exploring treatment outcome differences by clinical variables and diagnosis within this model. While previous research suggests that early and frequent contacts and swift treatment access lead to positive outcomes for depression and anxiety, these aspects have not been comprehensively examined in Collaborative Care. This study investigates the impact of clinical variables on treatment completion in patients primarily diagnosed with anxiety or depression who received collaborative care treatment as a treatment program. Analysis was completed as an observational study of patients (n =2018) with behavioral health diagnoses spanning from 2016 to 2023. Classification analysis offers insights into optimal practices for implementing Collaborative Care across diverse healthcare populations from pediatric to geriatric. Identifying clinical characteristics associated with successful treatment in Collaborative Care has far-reaching implications for model adoption and enhancing patient outcomes. Across all results, patients who received more clinical support and had shorter enrollment durations showed a strong association with successful treatment completion.

与合作护理中成功治疗抑郁症或焦虑症相关的临床变量。
协作护理是一种循证模式,已被证明能有效治疗医疗机构中的抑郁症和焦虑症。然而,在这一模式中,人们对探索临床变量和诊断的治疗结果差异的关注还很有限。以往的研究表明,早期和频繁的接触以及迅速获得治疗可为抑郁和焦虑症带来积极的治疗效果,但这些方面在协作式护理中尚未得到全面的研究。本研究调查了临床变量对主要被诊断为焦虑症或抑郁症并接受协作式护理治疗的患者完成治疗的影响。分析以观察性研究的形式完成,研究对象为行为健康诊断患者(n =2018),时间跨度为 2016 年至 2023 年。分类分析为在从儿童到老年的不同医疗人群中实施协作护理的最佳实践提供了见解。确定与协作式医疗成功治疗相关的临床特征对采用该模式和提高患者疗效具有深远影响。在所有结果中,获得更多临床支持和注册时间较短的患者与成功完成治疗密切相关。
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来源期刊
Journal of Behavioral Health Services & Research
Journal of Behavioral Health Services & Research HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
3.90
自引率
5.30%
发文量
51
审稿时长
>12 weeks
期刊介绍: This journal examines the organization, financing, delivery and outcomes of behavioral health services (i.e., alcohol, drug abuse, and mental disorders), providing practical and empirical contributions to and explaining the implications for the broader behavioral health field. Each issue includes an overview of contemporary concerns and recent developments in behavioral health policy and management through research articles, policy perspectives, commentaries, brief reports, and book reviews. This journal is the official publication of the National Council for Behavioral Health.
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