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首页> 外文期刊>The British journal of psychiatry : >Trends in service use and treatment for mental disorders in adults throughout Great Britain
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Trends in service use and treatment for mental disorders in adults throughout Great Britain

机译：全英国成年人对精神障碍的服务使用和治疗趋势

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Background Trends in health treatments and outcomes in the general population may be used to monitor achievement of health targets. Aims To investigate changes in mental health services and treatment in Britain over a 7-year period. Method National surveys of psychiatric morbidity were completed in 1993 and 2000 in households throughout Great Britain. Standardised interviews were used to establish psychiatric case status and service and treatment utilisation in adults aged 16a€“64 years. Results Use of psychotropic medication doubled in those designated as psychiatric cases. In the non-case-status population antidepressant use rose from 0.16% in 1993 (95% CI 0.07a€“0.25) to 2.02% in 2000 (95% CI 1.69a€“2.35). However, the overall prevalence of neurotic and psychotic disorder hardly changed from 1993 to 2000. Use of specialised a€?talking treatmentsa€?did not increase significantly, except in the non-case group. Conclusions Treatment with psychotropic medication alone is unlikely to improve the overall mental health of the nation. A policy based almost exclusively on treatment of identified cases should be augmented by preventive approaches.
机译：背景技术普通人群的健康治疗趋势和结果可用于监测健康目标的实现情况。目的调查7年内英国精神卫生服务和治疗的变化。方法1993年和2000年在英国各地的家庭中完成了全国精神病发病率调查。标准化访谈用于确定16岁至64岁成年人的精神病病例状况以及服务和治疗利用情况。结果在指定为精神病患者中，精神药物的使用量增加了一倍。在无病例的人群中，抗抑郁药的使用从1993年的0.16％（95％CI为0.07a？0.25）上升到2000年的2.02％（95％CI 1.69a？2.35）。但是，从1993年到2000年，神经病和精神病的总体患病率几乎没有变化。除了非病例组外，使用专门的交谈治疗并没有显着增加。结论单独使用精神药物治疗不可能改善该国的整体心理健康。几乎完全基于已查明病例的治疗的政策应通过预防方法加以加强。

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