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Indicators to facilitate the early identification of patients with major depressive disorder in need of highly specialized care: A concept mapping study

机译：促进需要高度专业护理的主要抑郁症患者的早期鉴定的指标：概念映射研究

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Background >Early identification of the subgroup of patients with major depressive disorder (MDD) in need of highly specialized care could enhance personalized intervention. This, in turn, may reduce the number of treatment steps needed to achieve and sustain an adequate treatment response. The aim of this study was to identify patient‐related indicators that could facilitate the early identification of the subgroup of patients with MDD in need of highly specialized care. </section> <section xml:id="da22741-sec-0020"> <title type="main">Methods >Initial patient indicators were derived from a systematic review. Subsequently, a structured conceptualization methodology known as concept mapping was employed to complement the initial list of indicators by clinical expertise and develop a consensus‐based conceptual framework. Subject‐matter experts were invited to participate in the subsequent steps (brainstorming, sorting, and rating) of the concept mapping process. A final concept map solution was generated using nonmetric multidimensional scaling and agglomerative hierarchical cluster analyses. </section> <section xml:id="da22741-sec-0030"> <title type="main">Results >In total, 67 subject‐matter experts participated in the concept mapping process. The final concept map revealed the following 10 major clusters of indicators: 1‐depression severity, 2‐onset and (treatment) course, 3‐comorbid personality disorder, 4‐comorbid substance use disorder, 5‐other psychiatric comorbidity, 6‐somatic comorbidity, 7‐maladaptive coping, 8‐childhood trauma, 9‐social factors, and 10‐psychosocial dysfunction. </section> <section xml:id="da22741-sec-0040"> <title type="main">Conclusions >The study findings highlig </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract Type =“main”XML：lang =“en”> <第XML：ID =“da22741-sec-0010”> <标题类型=“main”>背景</ title> >子组的早期识别需要高度专业护理的主要抑郁症（MDD）患者可以提高个性化干预。反过来，这可以减少实现和维持足够治疗响应所需的治疗步骤的数量。本研究的目的是识别有关患者相关指标，可以促进需要高度专业护理的MDD患者的早期鉴定。</ p> </段> <第XML：ID =“DA22741-SEC -0020“> <标题类型=”main“>方法</ title> >初始患者指标源自系统审查。随后，采用称为概念映射的结构化概念化方法，以通过临床专业知识补充指标初始列表，并制定基于共识的概念框架。邀请主题专家参与概念映射过程的后续步骤（头脑风暴，分类和评级）。使用非单模多维缩放和附分分层群集分析生成最终概念地图解决方案。</ p> </部分> <部分XML：ID =“da22741-ex-0030”> <标题类型=“main”>结果</标题> >总共，67名主题专家参加了概念映射过程。最终的概念图揭示了以下10个主要指标群：1-抑郁严重程度，2次衰退和（治疗）课程，3-同型人格障碍，4-同经药物使用障碍，5级精神病合并症，6-体细胞合并症，7 - 适应应对，8儿童创伤，9个社会因素和10次心理社会功能障碍。</ p> </ section> <section XML：ID =“DA22741-SEC-0040”> <标题类型=“MAIN “>结论</ title> >研究发现Highlig </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-32884/'>《Depression and anxiety》</a> <b style="margin: 0 2px;">|</b><span>2018年第4期</span><b style="margin: 0 2px;">|</b><span>共7页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Krugten F. C. W.&option=202" target="_blank" rel="nofollow">Krugten F. C. W.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Goorden M.&option=202" target="_blank" rel="nofollow">Goorden M.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Balkom A. J. L. M.&option=202" target="_blank" rel="nofollow">Balkom A. J. L. M.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Spijker J.&option=202" target="_blank" rel="nofollow">Spijker J.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Brouwer W. B. F.&option=202" target="_blank" rel="nofollow">Brouwer W. B. F.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Hakkaart‐van Roijen L.&option=202" target="_blank" rel="nofollow">Hakkaart‐van Roijen L.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=on behalf of the Decision Tool Unipolar Depression Consortium&option=202" target="_blank" rel="nofollow">on behalf of the Decision Tool Unipolar Depression Consortium;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Erasmus School of Health Policy &</p> <p>ManagementErasmus University RotterdamRotterdam The Netherlands;</p> <p>Erasmus School of Health Policy &</p> <p>ManagementErasmus University RotterdamRotterdam The Netherlands;</p> <p>Department of PsychiatryVU University Medical CenterAmsterdam The Netherlands;</p> <p>Behavioural Science InstituteRadboud University Medical CenterNijmegen The Netherlands;</p> <p>Erasmus School of Health Policy &</p> <p>ManagementErasmus University RotterdamRotterdam The Netherlands;</p> <p>Erasmus School of Health Policy &</p> <p>ManagementErasmus University RotterdamRotterdam The Netherlands;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span>R749.72; </span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=depressive disorder&option=203" rel="nofollow">depressive disorder;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=disease management&option=203" rel="nofollow">disease management;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=major&option=203" rel="nofollow">major;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=precision medicine&option=203" rel="nofollow">precision medicine;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=tertiary healthcare&option=203" rel="nofollow">tertiary healthcare;</a> </p> <div class="translation"> 机译：抑郁症;疾病管理;专业;精密医学;三级医疗保健; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> <li >专利</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704025195512.html">Indicators to facilitate the early identification of patients with major depressive disorder in need of highly specialized care: A concept mapping study</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Krugten F. 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2011-02-16</span> </div> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/patent-detail/06130407871515.html">MARKERS, METHOD FOR INSPECTION, AND INSPECTION KIT FOR MAJOR DEPRESSIVE DISORDER AND BIPOLAR DISORDER, AND METHOD FOR SCREENING THERAPEUTIC MEDICINES FOR MAJOR DEPRESSIVE DISORDER AND BIPOLAR DISORDER</a> <b>[P]</b> . <span> 外国专利：  JP2018132526A </span> <span> . 2018-08-23</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：主要抑郁障碍和双歧疾病的标志物，检查方法和检查工具包，以及针对重大抑郁障碍和双歧疾病的治疗药物的筛选方法 </span> </p> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/patent-detail/06130500757771.html">METHOD FOR PROVIDING INFORMATION OF MAJOR DEPRESSIVE DISORDERS AND DEVICE FOR PROVIDING INFORMATION OF MAJOR DEPRESSIVE DISORDERS USING THE SAME</a> <b>[P]</b> . <span> 外国专利：  KR20210119081A </span> <span> . 2021-10-05</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：提供主要抑郁障碍和装置的信息的方法，用于使用相同的主要抑郁症的信息 </span> </p> </li> <li> <div> <b>5. </b><a class="enjiyixqcontent" href="/patent-detail/06130500742705.html">METHOD FOR PROVIDING INFORMATION ON MAJOR DEPRESSIVE DISORDERS AND DEVICE FOR PROVIDING INFORMATION ON MAJOR DEPRESSIVE DISORDERS BY USING SAME</a> <b>[P]</b> . <span> 外国专利：  WO2021194197A1 </span> <span> . 2021-09-30</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：提供关于主要抑郁障碍和装置的信息的方法，用于通过使用相同提供关于主要抑郁症的信息 </span> </p> </li> </ul> </div> </div> </div> <div class="theme cardcommon" style="overflow: auto;display:none"> <h3 class="all_title" id="enpatent55">相关主题</h3> <ul id="subject"> </ul> </div> </div> </div> </div> <div class="right rightcon"> <div class="details_img cardcommon 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