Vincent R 't Hart, Lukas B M Koet, Boris W V Schouten, Premysl Velek, Patrick J E Bindels, Heike Gerger
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引用次数: 0
Abstract
Purpose: In recent decades, the prevalence of mental health problems among children and young people (CYP) has increased. It is unclear whether this increase in prevalence has also led to changes in health care utilization for these problems in general practice (GP). We therefore investigated time trends in incidence and consultation rates for eight mental health problems in CYP in Dutch general practice.
Methods: We conducted a longitudinal population-based study using a GP-database (Rijnmond Primary Care Database) between 2016 and 2022. We extracted monthly data on mental health problems in CYP (0-24 years) in general practice. Using negative binomial models, we calculated trends for GP-registered incidence and consultation rates for different age and sex categories for the complete study period and for the period before the COVID-19 pandemic.
Results: Consultation rates of all eight mental health problems increased significantly over time. Additionally, incidence rates for attention deficit hyperactivity disorder and depressive problems in both sexes, and anxiety problems in females increased significantly. Although we observed a decrease in incidence and consultations in the first months of the COVID-19 pandemic, overall trends did not differ from pre-pandemic trends.
Conclusion: Our findings suggest an increasing workload for GPs for mental health problems in CYP. These observations imply the need for policymakers and GP-councils to develop new strategies which deal with these trends to ensure appropriate support and resources in the future.
目的：近几十年来，儿童和青少年（CYP）中心理健康问题的患病率有所上升。目前尚不清楚这种患病率的增加是否也导致了在全科医生（GP）中对这些问题的卫生保健利用的变化。因此，我们调查了荷兰全科医生中CYP中八种精神健康问题的发病率和咨询率的时间趋势。方法：我们在2016年至2022年间使用gp数据库（Rijnmond Primary Care Database）进行了一项基于人群的纵向研究。我们提取了一般实践中CYP（0-24岁）每月的心理健康问题数据。使用负二项模型，我们计算了不同年龄和性别类别的gdp登记发病率和咨询率在整个研究期间和COVID-19大流行之前的趋势。结果：随着时间的推移，所有八种心理健康问题的咨询率都显著增加。此外，男女的注意缺陷多动障碍和抑郁问题的发病率以及女性的焦虑问题显著增加。虽然我们观察到在COVID-19大流行的头几个月发病率和咨询有所下降，但总体趋势与大流行前的趋势没有差异。结论：我们的研究结果表明，心理健康问题的全科医生的工作量增加。这些观察结果表明，决策者和全球生产总值理事会需要制定应对这些趋势的新战略，以确保今后获得适当的支持和资源。
期刊介绍：
Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic.
In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation.
Both original work and review articles may be submitted.
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