COVID-19 与初级保健中的心理健康治疗:全球大流行对精神药物合作护理管理计划的影响。

IF 1.1 4区 医学 Q4 PSYCHIATRY
Zachary D Zuschlag, Benjamin Lord, Teagan Smith, Alexander Lengerich, Kaitlin Leonard, Yvette Guereca, Ambuj Kumar, Vanessa A Milsom
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引用次数: 0

摘要

目的:COVID-19 大流行对心理健康(MH)障碍患者和心理健康服务的提供产生了深远的影响。针对在大流行限制期间无需对服务提供方式进行重大改变的治疗模式(如协作护理管理 (CoCM) 计划)的研究少之又少。因此,我们进行了一项纵向回顾性队列分析,以研究 COVID-19 大流行对精神药理学 CoCM 项目的影响:方法:在 COVID-19 大流行的前 10 个月,我们收集了在一家大型退伍军人医疗机构参加 CoCM 项目的所有美国退伍军人的数据,并将其与前一年日期匹配的对照组进行了比较。比较了 COVID 前的项目治疗与大流行期间的治疗在基线症状、MH 症状改善和项目坚持方面的关系:结果:在控制日期内有 462 名退伍军人被转诊,而在大流行期间有 351 名。为了获得至少 6 个月的随访数据,每个研究臂的前 4 个月都有退伍军人加入,但他们的抑郁或焦虑基线症状没有差异。与大流行前的对照组相比,在大流行期间接受治疗的退伍军人的计划完成率更高。COVID时期退伍军人的抑郁反应率高于对照组,在抑郁缓解、焦虑反应或焦虑缓解方面没有观察到差异:结论:精神药物 CoCM 治疗模式可成功控制抑郁和焦虑,即使在精神健康服务受到前所未有的破坏期间,也未发现这种干预措施的有效性有所下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19 and mental health treatment in primary care: Impact of a global pandemic on a psychopharmacological collaborative care management program.

Objective: The COVID-19 pandemic has had a profound impact on individuals with mental health (MH) disorders and on the delivery of MH services. Few studies have examined treatment models not requiring substantial changes to the delivery of services during pandemic restrictions, such as collaborative care management (CoCM) programs. Therefore, a longitudinal retrospective cohort analysis was conducted to examine the impact of the COVID-19 pandemic on a psychopharmacological CoCM program.

Method: Data were collected on all U.S. Veterans enrolled in a CoCM program at a large VA during the first 10 months of the COVID-19 pandemic and compared to a matched control group one-year prior to that date. Treatment in the program pre-COVID vs. treatment during the pandemic was compared in relation to baseline symptomatology, improvements in MH symptoms, and program adherence.

Results: A total of 462 Veterans were referred during the control period, compared to 351 during the same time period during the pandemic. Veterans enrolled during the first four months of each study arm, to allow for a minimum of 6 months of follow up data, had no differences in baseline symptoms of depression or anxiety between groups. Veterans receiving care during the pandemic had higher rates of program completion than pre-pandemic controls. COVID-era Veterans also had higher rates of depression response compared to controls, but no differences were observed between groups on depression remission, anxiety response, or anxiety remission.

Conclusions: Psychopharmacological CoCM treatment models can successfully manage depression and anxiety with no observed decrease in the effectiveness of this intervention even during periods of unprecedented disruptions to MH services.

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来源期刊
CiteScore
3.00
自引率
5.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...
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