Outcomes for depression and anxiety in primary care and details of treatment a naturalistic longitudinal study 英文参考文献.docVIP
- 1、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。。
- 2、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
- 4、该文档为VIP文档,如果想要下载,成为VIP会员后,下载免费。
- 5、成为VIP后,下载本文档将扣除1次下载权益。下载后,不支持退款、换文档。如有疑问请联系我们。
- 6、成为VIP后,您将拥有八大权益,权益包括:VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
- 7、VIP文档为合作方或网友上传,每下载1次, 网站将根据用户上传文档的质量评分、类型等,对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档
查看更多
Outcomes for depression and anxiety in primary care and details of treatment a naturalistic longitudinal study 英文参考文献
Prinsetal.BMCPsychiatry2011,11:180
/1471-244X/11/180
RESEARCH ARTICLE
OpenAccess
Outcomesfordepressionandanxietyinprimary
careanddetailsoftreatment:anaturalistic
longitudinalstudy
MarijnAPrins1,PeterFMVerhaak1,2*,MirrianHilbink-Smolders3,PeterSpreeuwenberg1,MirandaGHLaurant3,
KlaasvanderMeer2,HarmWJvanMarwijk4,BrendaWJHPenninx5,6,7 andJozienMBensing1,8
Abstract
Background:Thereislittleevidenceastowhetherornotguidelineconcordantcareingeneralpracticeresultsin
betterclinicaloutcomesforpeoplewithanxietyanddepression.Thisstudyaimstodeterminepossibleassociations
betweenguidelineconcordantcareandclinicaloutcomesingeneralpracticepatientswithdepressionandanxiety,
andidentifypatientandtreatmentcharacteristicsassociatedwithclinicalimprovement.
Methods:ThisstudyformspartoftheNetherlandsStudyofDepressionandAnxiety(NESDA).
Adultpatients,recruitedingeneralpractice(67GPs),wereinterviewedtoassessDSM-IVdiagnosesduringbaseline
assessmentofNESDA,andalsocompletedquestionnairesmeasuringsymptomseverity,receivedcare,socio-
demographicvariablesandsocialsupportbothatbaselineand12monthslater.Thedefinitionofguideline
adherencewasbasedonanalgorithmoncarereceived.Informationonguidelineadherencewasobtainedfrom
GPmedicalrecords.
Results:721patientswithacurrent(6-monthrecency)anxietyordepressivedisorderparticipated.Whilepatients
whoreceivedguidelineconcordantcare(N=281)sufferedfrommoreseveresymptomsthanpatientswho
receivednon-guidelineconcordantcare(N=440),bothgroupsshowedequalimprovementintheirdepressiveor
anxietysymptomsafter12months.Patientswho(still)hadmoderateorseveresymptomsatfollow-up,weremore
oftenunemployed,hadsmallerpersonalnetworksandmoreseveredepressivesymptomsatbaselinethanpatients
withmildsymptomsatfollow-up.Theparticulartypeoftreatmentfollowedmadenodifferencetoclinical
outcomes.
Conclusion:Theaddedvalueofguidelineconcordantcarecouldnotbedemonstratedinthisstudy.Symptom
severity,employmentstatus,socialsupportandcomorbidityofanxietyanddepressionallplayaroleinpoor
clinicaloutcomes.
您可能关注的文档
- Oscillatory Cortical Network Involved in Auditory Verbal Hallucinations in Schizophrenia 英文参考文献.doc
- Oscillatory Protein Expression Dynamics Endows Stem Cells with Robust Differentiation Potential 英文参考文献.doc
- Oseltamivir Is Adequately Absorbed Following Nasogastric Administration to Adult Patients with Severe H5N1 Influenza 英文参考文献.doc
- Oscillatory Dynamics of Cell Cycle Proteins in Single Yeast Cells Analyzed by Imaging Cytometry 英文参考文献.doc
- OSD1 Promotes Meiotic Progression via APCC Inhibition and Forms a Regulatory Network with TDM and CYCA1;2TAM 英文参考文献.doc
- Osmolytes Contribute to pH Homeostasis of Escherichia coli 英文参考文献.doc
- OsLEA3-2, an Abiotic Stress Induced Gene of Rice Plays a Key Role in Salt and Drought Tolerance 英文参考文献.doc
- OsELF3-1, an Ortholog of Arabidopsis EARLY FLOWERING 3, Regulates Rice Circadian Rhythm and Photoperiodic Flowering 英文参考文献.doc
- Oscillatory Threshold Logic 英文参考文献.doc
- Osprey a network visualization system 英文参考文献.doc
- Outcome following patent ductus arteriosus ligation in premature infants a retrospective cohort analysis 英文参考文献.doc
- Outcomes of highly active antiretroviral therapy in the context of universal access to healthcare the U.S. Military HIV Natural History Study 英文参考文献.doc
- Outcomes after Chemotherapy with WHO Category II Regimen in a Population with High Prevalence of Drug Resistant Tuberculosis 英文参考文献.doc
- Outcome Prediction in Pneumonia Induced ALIARDS by Clinical Features and Peptide Patterns of BALF Determined by Mass Spectrometry 英文参考文献.doc
- Outcomes in Registered, Ongoing Randomized Controlled Trials of Patient Education 英文参考文献.doc
- Outcomes of Patients with Benign Liver Diseases Undergoing Living Donor versus Deceased Donor Liver Transplantation 英文参考文献.doc
- Outcomes of Brood Parasite–Host Interactions Mediated by Egg Matching Common Cuckoos Cuculus canorus versus Fringilla Finches 英文参考文献.doc
- Outcomes of interfacility critical care adult patient transport a systematic review 英文参考文献.doc
- Outdoor particulate matter and childhood asthma admissions in Athens, Greece a time-series study 英文参考文献.doc
- Outdoor air pollution and emergency department visits for asthma among children and adults A case-crossover study in northern Alberta, Canada 英文参考文献.doc
文档评论(0)