未能寻求精神健康障碍的治疗是一个严重的公共卫生问题。不幸的是,在过去的30年中,中国经历了快速的经济发展,并且精神障碍的患病率越来越高,因此对寻求帮助及其相关因素的了解很少。因此,这项研究旨在(1)调查医疗保健和非医疗保健机构中的求助率,(2)调查大型中国调查中求助行为的相关性.
数据来自天津市心理健康调查(TJMHS),中国天津市成年社区居民的代表性样本(n=11,748)。其中,根据诊断和统计手册-第四版(DSM-IV),1759名个体的I轴诊断≥1,并接受了帮助寻求问卷。
15.7%的患者报告说,他们在面试前的整个一生中都曾寻求过帮助,4.5%的人寻求精神保健方面的帮助,其他医疗保健领域为3.2%,非医疗保健领域为8.1%(例如,家庭,朋友,和精神顾问)。在寻求帮助的人中,第一批帮助主要是在非医疗机构寻求的(58.4%),其次是医疗保健(27.5%)和精神医疗保健(24.5%)。女性性别,年龄较小,有7-9年和0-6年的教育,低收入,精神病性障碍和≥2种疾病与寻求帮助增加相关.年纪大了,已婚并患有精神病或器质性疾病与医疗保健中寻求帮助的人数增加有关非医疗机构。
天津地区有一小部分精神障碍患者寻求帮助,求助类型的差异可能部分由人口统计学和临床特征解释.
Failure to seek treatment for mental health disorders is a serious public health concern. Unfortunately, there is little insight into help-seeking and its associated factors in
China which has undergone rapid economic development in the past 30 years and has an increasing prevalence of mental disorder. Therefore, this study aimed to (1) investigate help-seeking rates in healthcare and non-healthcare settings and (2) investigate the correlates of help-seeking behavior in a large Chinese survey.
Data came from the Tianjin Mental Health Survey (TJMHS), a representative sample of adult community residents in the Chinese municipality of Tianjin (n = 11,748). Of these, 1759 individuals had ≥1 axis-I diagnosis according to the Diagnostic and Statistical manual- fourth edition (DSM-IV) and were administered a Help-Seeking Questionnaire.
15.7% of patients reported that they had ever sought help during their entire lifetime before the interview, with 4.5% seeking help in mental healthcare, 3.2% in other healthcare and 8.1% in non-healthcare settings (e.g., family, friends, and spiritual advisor). Among help-seekers, the first help was mostly sought in non-healthcare settings (58.4%), followed by healthcare (27.5%) and mental healthcare settings (24.5%). Female gender, younger age, having 7-9 years vs 0-6 years of education, a low income, a psychotic disorder and having ≥2 disorders were associated with increased help-seeking. Older age, being married and having a psychotic or organic disorder were associated with increased help-seeking in healthcare vs. non-healthcare settings.
A small percentage of persons with mental disorders in the Tianjin region seek help and among those who do, variations in the types of help-seeking may be partially explained by demographic and clinical characteristics.