IR@PKUHSC  > 北京大学精神卫生研究所
学科主题精神卫生
Guidelines Disconcordance in Acute Bipolar Depression: Data from the National Bipolar Mania Pathway Survey (BIPAS) in Mainland China
Wang, Zuowei1,2; Gao, Keming3; Hong, Wu1; Xing, Mengjuan1; Wu, Zhiguo1; Chen, Jun1; Zhang, Chen1; Yuan, Chengmei1; Huang, Jia1; Peng, Daihui1; Wang, Yong1; Lu, Weihong1; Yi, Zhenghui1; Yu, Xin4; Zhao, Jingping5; Fang, Yiru1
刊名PLOS ONE
2014-04-24
DOI10.1371/journal.pone.0096096
9期:4
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Multidisciplinary Sciences
研究领域[WOS]Science & Technology - Other Topics
关键词[WOS]PSYCHIATRY WFSBP GUIDELINES ; TREATMENT ENHANCEMENT PROGRAM ; BIOLOGICAL TREATMENT ; DISORDER PATIENTS ; WORLD FEDERATION ; STEP-BD ; SPECTRUM DISORDER ; CLINICAL-PRACTICE ; MOOD STABILIZERS ; COMORBIDITY
英文摘要

With the recent attention to the importance of evidence-based medicine in psychiatry, a number of treatment guidelines have been published. This survey investigated prescribing pattern and predictors for guideline disconcordance in the acute treatment of bipolar depression across mainland China. Pharmacological treatments of 1078 patients with bipolar depression were examined. Guidelines disconcordance was determined by comparing the medication(s) patients were prescribed with the recommendation(s) in the guidelines of the Canadian Network for Mood and Anxiety Treatments. Predictors for guidelines discordance were analyzed with logistic regression. Of the 1078 patients, 50.2% patients were treated against treatment guidelines recommendations. The patients who were treated in general hospitals (OR = 1.53, 95% CI 1.18-1.97), with a depressive episode (OR = 1.67, 95% CI 1.27-2.19) and an older age at first onset (OR = 1.62, 95% CI 1.15-2.28) were more likely to receive guideline-disconcordant treatment than their counterparts. In contrast, the patients with current mental comorbidity, an older age at study entry, a longer duration of disease, and more frequent episodes in past year were less likely to receive guideline-disconcordant treatments than their counterparts with an OR of 0.43 (95% CI 0.24-0.77), 0.52 (95CI% 0.36-0.75), 0.48 (95% CI 0.36-0.65), and 0.50 (95% CI 0.38-0.64), respectively. Our finding suggested the disconcordance with treatment guidelines in patients with an acute bipolar depression is common under naturalistic conditions in mainland China, and the predicting factors correlated with guidelines disconcordance include both psychiatrist-specific (clinicians from general hospitals) and patient-specific features (a depressive episode at first onset, no current co-morbidity with mental disorders, a younger age at study entry, an older age at first onset, shorter duration of disease, and non-frequent episodes in past year).

语种英语
WOS记录号WOS:000335505000059
项目编号81301159 ; 91232719 ; 2012BAI01B04 ; OMA-MH 2011-873 ; ZK2012A12 ; XBR2013087
资助机构National Natural Science Foundation of China ; "12th Five-year Plan" of National Key Technologies RD Program ; National Key Clinical Disciplines at Shanghai Mental Health Center ; Shanghai Key Medicine Specialties Program ; Training Plan for Excellent Academic Leaders of Shanghai Health System
引用统计
被引频次:5[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/62797
专题北京大学精神卫生研究所
北京大学基础医学院
北京大学临床肿瘤学院_淋巴肿瘤内科
作者单位1.Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R China
2.Shanghai Jiao Tong Univ, Sch Med, Shanghai Mental Hlth Ctr, Div Mood Disorders,Dept Psychiat, Shanghai 200030, Peoples R China
3.Hongkou Dist Mental Hlth Ctr Shanghai, Div Mood Disorders, Shanghai, Peoples R China
4.Case Western Reserve Univ, Sch Med, Univ Hosp Case Med Ctr,Dept Psychiat, Mood & Anxiety Clin,Mood Disorders Program, Cleveland, OH USA
5.Cent S Univ, Xiangya Hosp 2, Mental Hlth Inst, Changsha, Hunan, Peoples R China
推荐引用方式
GB/T 7714
Wang, Zuowei,Gao, Keming,Hong, Wu,et al. Guidelines Disconcordance in Acute Bipolar Depression: Data from the National Bipolar Mania Pathway Survey (BIPAS) in Mainland China[J]. PLOS ONE,2014,9(4).
APA Wang, Zuowei.,Gao, Keming.,Hong, Wu.,Xing, Mengjuan.,Wu, Zhiguo.,...&Fang, Yiru.(2014).Guidelines Disconcordance in Acute Bipolar Depression: Data from the National Bipolar Mania Pathway Survey (BIPAS) in Mainland China.PLOS ONE,9(4).
MLA Wang, Zuowei,et al."Guidelines Disconcordance in Acute Bipolar Depression: Data from the National Bipolar Mania Pathway Survey (BIPAS) in Mainland China".PLOS ONE 9.4(2014).
条目包含的文件
文件名称/大小 文献类型 版本类型 开放类型 使用许可
Guidelines Disconcor(144KB)期刊论文出版稿开放获取CC BY-NC-SA浏览 请求全文
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Wang, Zuowei]的文章
[Gao, Keming]的文章
[Hong, Wu]的文章
百度学术
百度学术中相似的文章
[Wang, Zuowei]的文章
[Gao, Keming]的文章
[Hong, Wu]的文章
必应学术
必应学术中相似的文章
[Wang, Zuowei]的文章
[Gao, Keming]的文章
[Hong, Wu]的文章
相关权益政策
暂无数据
收藏/分享
文件名: Guidelines Disconcordance in Acute Bipolar Depression_ Data from the National Bipolar Mania Pathway Survey (BIPAS) in Mainland China.pdf
格式: Adobe PDF
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。