دورية أكاديمية
أعرض في EDS

Identifying mismatch and match between clinical needs and mental healthcare use trajectories in people with anxiety and depression: Results of a longitudinal study.

التفاصيل البيبلوغرافية
العنوان: Identifying mismatch and match between clinical needs and mental healthcare use trajectories in people with anxiety and depression: Results of a longitudinal study.
المؤلفون: Wijekoon Mudiyanselage KW; Leibniz Institute for Prevention Research and Epidemiology - BIPS. Department of Prevention and Evaluation, Achterstr. 30, 28359 Bremen, Germany; Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion regulation, University of Groningen, University Medical Center Groningen, the Netherlands. Electronic address: wijekoon@leibniz-bips.de., Bastiaansen JA; Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion regulation, University of Groningen, University Medical Center Groningen, the Netherlands; Department of Education and Research, Friesland Mental Health Care Services, Leeuwarden, the Netherlands. Electronic address: j.bastiaansen@umcg.nl., Stewart R; Department of Health Sciences, Community & Occupational Medicine, University of Groningen, University Medical Center Groningen, the Netherlands., Wardenaar KJ; Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion regulation, University of Groningen, University Medical Center Groningen, the Netherlands., Penninx BWJH; Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion regulation, University of Groningen, University Medical Center Groningen, the Netherlands; Department of Psychiatry/EMGO Institute/Institute for Neurosciences, VU University Medical Center, Amsterdam, the Netherlands; Department of Psychiatry, Leiden University Medical Center, Leiden, the Netherlands., Schoevers RA; Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion regulation, University of Groningen, University Medical Center Groningen, the Netherlands., van Hemert AM; Department of Psychiatry/EMGO Institute/Institute for Neurosciences, VU University Medical Center, Amsterdam, the Netherlands; Department of Psychiatry, Leiden University Medical Center, Leiden, the Netherlands., Jörg F; Leibniz Institute for Prevention Research and Epidemiology - BIPS. Department of Prevention and Evaluation, Achterstr. 30, 28359 Bremen, Germany; Department of Education and Research, Friesland Mental Health Care Services, Leeuwarden, the Netherlands. Electronic address: f.jorg@umcg.nl.
المصدر: Journal of affective disorders [J Affect Disord] 2022 Jan 15; Vol. 297, pp. 657-670. Date of Electronic Publication: 2021 Sep 29.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier/North-Holland Biomedical Press Country of Publication: Netherlands NLM ID: 7906073 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2517 (Electronic) Linking ISSN: 01650327 NLM ISO Abbreviation: J Affect Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press.
مواضيع طبية MeSH: Depression*/epidemiology , Mental Health Services*, Anxiety/epidemiology ; Anxiety Disorders/epidemiology ; Cross-Sectional Studies ; Humans ; Longitudinal Studies
مستخلص: Background: Mismatch between need and mental healthcare (MHC) use (under-and overuse) has mainly been studied with cross-sectional designs, not accurately capturing patterns of persistence or change in clinical burden and MHC-use among persons with depressive and/or anxiety disorders.
Aims: Determining and describing [mis]match of longitudinal trajectories of clinical burden and MHC-use.
Methods: Six-year longitudinal burden and MHC-use data came from the Netherlands Study of Depression and Anxiety (n=2981). The sample was split into four subgroups: I) no clinical burden but constant MHC use, II) constant clinical burden but no MHC-use, III) changing clinical burden and MHC-use, and IV) healthy non-users. Within subgroups I)-III), specific clinical burden and MHC trajectories were identified (growth mixture modeling). The resulting classes' associations with predisposing, enabling, and need factors were investigated (regression analysis).
Results: Subgroups I-III revealed different trajectories. I) increasing MHC without burden (4.1%). II) slightly increasing (1.9%), strongly increasing (2.4%), and decreasing (9.5%) burden without MHC. III) increasing (41.4%) or decreasing (19.4%) burden and concurrently increasing MHC use (first underuse, then matched care), thus revealing delayed MHC-use. Only having suicidal ideation (p<.001, Cohen's d= .6-1.5) was a significant determinant of being in latter classes compared to underusers (strongly increasing burden without MHC-use).
Limitations: More explanatory factors are needed to explain [mis]match.
Conclusion: Mismatch occurred as constant underuse or as delayed MHC-use in a high-income country (Netherlands). Additionally, no meaningful class revealed constantly matched care on average. Presence of suicidal ideation could influence the probability of symptomatic individuals receiving matched MHC or not.
(Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.)
التعليقات: Erratum in: J Affect Disord. 2022 Feb 15;299:715. (PMID: 34852942)
فهرسة مساهمة: Keywords: Anxiety; Clinical burden; Depression; Developed countries; Healthcare use; Longitudinal study; Mental health services
تواريخ الأحداث: Date Created: 20211111 Date Completed: 20220125 Latest Revision: 20220125
رمز التحديث: 20240628
DOI: 10.1016/j.jad.2021.09.054
PMID: 34763294
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-2517
DOI:10.1016/j.jad.2021.09.054