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Prevalence and Factors Associated With Psychiatric Medication Use in Bariatric Surgery Candidates

机译:嗜睡手术候选人的精神疗法用途患病率和因素

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Objective: We aimed to describe the rates of psychiatric medication use in bariatric surgery candidates and factors associated with psychiatric medication use. Methods: Patients from the Toronto Western Hospital Bariatric Surgery Program were recruited from 2011 to 2014. Data extracted included demographics, clinical factors (e.g., mood disorder, anxiety disorder, eating disorder, Patient Health Questionnaire-9, Generalized Anxiety Disorder 7), and psychiatric medication use. Logistic regression analyses were used to examine the relationship between demographic variables, clinical factors, and psychiatric medication use. Multiple logistic regression was conducted to determine the predictors of clinical factors from demographic variables with psychiatric medication use. Results: A total of 262 (35.1%) patients were taking at least 1 psychiatric medication and 105 patients (14.1%) were taking more than 1 psychiatric medication. Antidepressants were the most common psychiatric medication reported. The majority of patients taking a psychiatric medication had a psychiatric illness, with 16.0% not having a lifetime diagnosis of a mental illness. Being male and being employed significantly predicted lower odds of being on a psychiatric medication. Older age significantly predicted higher odds of being on a psychiatric medication. Psychiatric disorders were significantly associated with psychiatric medication use independent of demographic variables. Conclusion: Our study provides insights into clinical and demographic factors related to psychiatric medication use in bariatric surgery patients. The findings support careful screening and clarification of psychiatric medications, especially in patients without a formal psychiatric diagnosis.
机译:目的:我们旨在描述牛肝外科候选人的精神病药物用途和与精神疗养药物相关的因素。方法:来自2011年至2014年多伦多西医院牛肝外科手术计划的患者。提取的数据包括人口统计数据,临床因素(例如,情绪障碍,焦虑症,饮食障碍,患者健康问卷-9,广义焦虑症7),以及精神病药物使用。物流回归分析用于检查人口统计变量,临床因素和精神病药物的关系。进行了多元逻辑回归,以确定具有精神疗养药物的人口变量的临床因素的预测因子。结果:共有262例(35.1%)患者服用至少1种精神病药物,105名患者(14.1%)服用超过1个精神疗养药物。抗抑郁药是报告的最常见的精神病药物。患有精神病药物的大多数患者有精神病疾病,16.0%没有终生诊断精神疾病。男性和被雇用的人显着预测了在精神病药物上的几率较低。年龄较大的年龄显着预测了在精神病药物上的几率。精神病疾病与独立于人口变量的精神病药物有关。结论:我们的研究提供了对父亲手术患者的精神科药物用途相关的临床和人口因子的见解。调查结果支持仔细筛查和澄清精神病药物,特别是在没有正式精神病诊断的患者中。

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