精神科門診憂鬱症病人之處遇模式與治療配合度

Treatment Modality and Compliance in Depressive Outpatients

周勵志(Lih-Chin Jou) ； 鄭舒方(Shu-Fang Cheng)

《台灣精神醫學》 21卷2期 (2007/06) Pp. 107-116

https://doi.org/10.29478/TJP.200706.0005

摘要

Objective: The aim of this study was to discuss the influence and interaction between treatment modality and compliance, and depression severity. Method: Forty-nine depressive outpatients completed at least 6-month follow up among initial 123 patients recruited for this study. Purposive sampling was used to divide the subjects into two groups based on medication as follows: treat as usual (TAU) and combined therapy (CT). The investigative instruments were the Beck Depress-ion Inventory, the Brief Symptom Rating Scale and a questionnaire exploring clinical characteristics and patient compliance during follow up. Scheduled follow up was at least 6 months in each case. Results: Forty percent of the patient completed follow up with completion rates of 67% and 23% for the CT and TAU groups, respectively. After the 6-month follow up, symptom improvement of the former group was more significant compared to the latter despite the greater dosing regularity in the TAU group (X^2=4.07, df=1, p＜.05), with the difference already evident after the first month of treatment (T=3.23, df=30, p＜.05). There was an inverse relationship between treatment regularity and depression severity. (X^2=9.27, df=3, p＜.05) Treatment regularity (F=6.30, df=1, p＜.05) and the interaction between the stability of OPD revisiting and depression severity (F=5.54, df=1, p＜.05). Conclusion: In this study, the combined treatment was associated with greater willingness for OPD revisiting at the beginning of follow up, with depression severity and the compliance also subsequently improved. Moreover, depression severity and the treatment regularity also directly influenced symptom improvement.

關鍵字

憂鬱症 ； 治療配合度 ； 回診穩定度 ； 服藥規則度

並列摘要

Objective: The aim of this study was to discuss the influence and interaction between treatment modality and compliance, and depression severity. Method: Forty-nine depressive outpatients completed at least 6-month follow up among initial 123 patients recruited for this study. Purposive sampling was used to divide the subjects into two groups based on medication as follows: treat as usual (TAU) and combined therapy (CT). The investigative instruments were the Beck Depress-ion Inventory, the Brief Symptom Rating Scale and a questionnaire exploring clinical characteristics and patient compliance during follow up. Scheduled follow up was at least 6 months in each case. Results: Forty percent of the patient completed follow up with completion rates of 67% and 23% for the CT and TAU groups, respectively. After the 6-month follow up, symptom improvement of the former group was more significant compared to the latter despite the greater dosing regularity in the TAU group (X^2=4.07, df=1, p＜.05), with the difference already evident after the first month of treatment (T=3.23, df=30, p＜.05). There was an inverse relationship between treatment regularity and depression severity. (X^2=9.27, df=3, p＜.05) Treatment regularity (F=6.30, df=1, p＜.05) and the interaction between the stability of OPD revisiting and depression severity (F=5.54, df=1, p＜.05). Conclusion: In this study, the combined treatment was associated with greater willingness for OPD revisiting at the beginning of follow up, with depression severity and the compliance also subsequently improved. Moreover, depression severity and the treatment regularity also directly influenced symptom improvement.

並列關鍵字

depressive disorder ； medical compliance ； stability of revisiting ； treatment regularity

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