Changing Perceptions of Depression: Ten-Year Trends From the General Social Survey
Changing Perceptions of Depression: Ten-Year Trends From the General Social Survey
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DOI：
10.1176/appi.ps.60.3.306
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发表时间：
2009-03-01
影响因子：
3.8
通讯作者：
Marcus, Steven C.
中科院分区：
文献类型：
--
作者：
Blumner, Kate H.;Marcus, Steven C.
目的：作者调查了1996年至2006年间，在美国有代表性的样本中，人们对抑郁症的病因和适当治疗方法的看法的变化。S.成年人了研究方法：作者比较了1996年（300名受访者）和2006年（397名受访者）综合社会调查心理健康模块中有关抑郁症的数据，这些数据通过使用小插曲来衡量对精神疾病的看法。结果如下：认为抑郁症可归因于生物学原因的比例从1996年的77%增加到2006年的88%（风险比[RR]= 1.14，95%置信区间[CI]= 1.04-1.23）。对抑郁症治疗的态度也发生了变化，2006年60%的受访者优先考虑生物学治疗，而1996年为48%（RR=1.29，CI=1.04-1.59）。这些变化因社会人口变量而略有不同，在男性、白色和老年人群中最为明显。结论：在过去的十年里，美国公众对抑郁症的原因和治疗方法的态度发生了变化，转向了生物学框架。更好地理解抑郁症的信念可能会导致更有效的宣传和教育工作。（精神病学服务60：306-312，2009）
Objective: The authors examined the changes in beliefs about the causes of and appropriate treatments for major depression between 1996 and 2006 in a representative sampling of U. S. adults. Methods: The authors compared data about depression from the mental health modules of the General Social Survey from 1996 ( 300 respondents) and 2006 ( 397 respondents), which measured perceptions of mental illness through use of vignettes. Results: There was an increase in the belief that depression is attributable to biological causes, from 77% in 1996 to 88% in 2006 (risk ratio [RR]= 1.14, 95% confidence interval [CI]= 1.04-1.23). Attitudes toward the treatment of depression changed as well, with 60% of respondents prioritizing a biological focus for treatment in 2006 compared with 48% in 1996 (RR=1.29, CI=1.04-1.59). These changes varied modestly by sociodemographic variables and were most pronounced among male, white, and elderly populations. Conclusions: There have been changes in attitudes about the causes and treatments of depression among the American public in the past decade, with a shift toward a biological framework. A greater understanding of beliefs about depression may lead to more effective outreach and education efforts. (Psychiatric Services 60: 306-312, 2009)