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首页> 外文期刊>Nordic journal of psychiatry. >What made me feel better? Patients' own explanations for the improvement of their depression
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What made me feel better? Patients' own explanations for the improvement of their depression

机译：是什么让我感觉好些？患者对改善抑郁症的解释

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Background: Depression is common among primary care patients and the usual treatment often consists of antidepressant medication and supportive counselling/follow-ups. Previous studies have shown that patients and professionals have different beliefs about treatment, which in turn can decrease acceptance of the diagnosis, compliance and treatment outcome. Aims: The purpose of this study was to investigate previously depressed patients' beliefs about the cause of their improvement. Methods: Depressed primary care patients (n 184) who considered themselves improved at follow-up answered an open-ended question about what they believed had made them better. Among these 117 patients had, in addition to treatment as usual, participated in an intervention with patient education and group counselling (the Contactus programme), whereas 67 were controls. The groups were comparable at baseline and 82% were on antidepressants. Results: In total, the patients mentioned 14 separate improving factors, which could be organized to the larger themes external factors, self-management, passing spontaneously and professional help. The most frequently mentioned factors for improvement were the Contactus programme (53.0%), antidepressants (40.2%) and personal development (27.2%). Few gender and age differences were seen. The controls who mentioned professional help were more likely to have a better outcome. Conclusions: The patients were generally positive to professional help such as antidepressants and the Contactus programme. Patient education and group counselling seems to be a valuable supplement to treatment of depressed patients in primary care.
机译：背景：抑郁症在初级保健患者中很常见，通常的治疗方法通常包括抗抑郁药和支持性咨询/随访。先前的研究表明，患者和专业人员对治疗的看法不同，这反过来会降低对诊断，依从性和治疗结果的接受度。目的：本研究的目的是调查先前抑郁症患者对其病因的看法。方法：抑郁症的初级保健患者（n 184）在随访中认为自己有所改善，回答了一个开放性问题，即他们认为是什么使他们变得更好。在这117名患者中，除照常治疗外，还参加了患者教育和团体咨询（Contactus计划）干预，而对照组则为67名。这些组在基线时是可比的，而82％的人使用抗抑郁药。结果：患者总共提到了14个独立的改善因素，这些因素可以组织为更大的主题，包括外部因素，自我管理，自发通过和专业帮助。最常提及的改善因素是Contactus计划（53.0％），抗抑郁药（40.2％）和个人发展（27.2％）。几乎没有性别和年龄差异。提到专业帮助的控制者更有可能取得更好的结果。结论：患者通常对专业帮助如抗抑郁药和Contactus计划积极。患者教育和团体咨询似乎是对初级保健中抑郁症患者进行治疗的宝贵补充。

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