在美国青少年中与适当的抑郁症治疗利用相关的需求因素。

IF 3.2 3区医学 Q1 HEALTH POLICY & SERVICES

Psychiatric services Pub Date : 2025-07-01 Epub Date: 2025-04-16 DOI:10.1176/appi.ps.20230644

Chuan Mei Lee, Carol P Wei, Charles E McCulloch, John C Fortney, Naomi S Bardach, Christina Mangurian

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引用次数: 0

摘要

目的：本研究旨在评估与青少年抑郁症治疗充分利用相关的需求因素。方法：采用logistic回归分析2008-2019年全国代表性医疗费用小组调查数据。抑郁症治疗充分利用的预测因子包括青少年心理健康、功能损害和一般医疗健康的家庭报告。充分的治疗利用被定义为在12个月内使用有效抗抑郁药物进行4次或以上门诊或办公室就诊，或8次或以上门诊或办公室心理治疗就诊。结果：在确定的887名患有抑郁症的青少年（12-17岁）中，276名（34%加权）接受了适当的治疗。充分的治疗利用与青少年不良心理健康和功能障碍的报告呈正相关（OR=1.69）。结论：未来的干预措施应包括对照顾者进行心理教育，以提高对青少年心理健康状况和功能障碍的认识。

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The Need Factors Associated With Adequate Depression Treatment Utilization Among U.S. Adolescents.

Objective: This study aimed to assess need factors associated with adequate treatment utilization among adolescents experiencing depression.

Methods: Nationally representative data from the Medical Expenditure Panel Survey (2008-2019) were analyzed via logistic regression. Predictors of adequate depression treatment utilization included household reporting of adolescents' mental health, functional impairment, and general medical health. Adequate treatment utilization was defined as four or more outpatient or office-based visits with an active antidepressant prescription or eight or more outpatient or office-based psychotherapy visits across 12 months.

Results: Of the 887 adolescents (ages 12-17) with depression identified, 276 (34% weighted) utilized adequate treatment. Adequate treatment utilization was positively associated with reports of adolescents' poor mental health and functional impairment (OR=1.69, p<0.001 and OR=1.43, p=0.004, respectively) and negatively associated with reports of adolescents' general medical health (OR=0.55, p<0.001).

Conclusions: Future interventions should include psychoeducation for caregivers in order to increase recognition of adolescents' mental health status and impairments.

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.