Perceived Need for Mental Health Care and Service Use Among Adults in Western Europe: Results of the ESEMeD Project
Perceived Need for Mental Health Care and Service Use Among Adults in Western Europe: Results of the ESEMeD Project
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DOI：
10.1176/appi.ps.60.8.1051
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发表时间：
2009-08-01
影响因子：
3.8
通讯作者：
Kessler, Ronald C.
中科院分区：
文献类型：
--
作者：
Codony, Miquel;Alonso, Jordi;Kessler, Ronald C.
目的：本研究评估了心理健康护理感知需求的患病率和相关性及其在寻求帮助中的作用。方法：数据来自欧洲精神障碍流行病学研究进行的一般人群调查。样本由在比利时、法国、德国、意大利、荷兰和西班牙进行的调查中筛查出特定情绪和焦虑症状呈阳性的成年人组成（N=8,796）。通过综合国际诊断访谈 3.0 对这些人的精神障碍进行了进一步评估。报告自愿使用卫生服务来解决“情绪或心理健康”问题或报告因心理健康原因需要服务的受访者被视为有感知需求。结果：总样本中 9% 的人认为在过去 12 个月内需要进行心理保健。在过去 12 个月内患有精神障碍的人中，33% 的人感到有需要。精神疾病发病率是感知需求的主要决定因素。在那些有感知需求的人中，年龄较大、居住在非城市以及居住在德国与服务的使用呈正相关。结论：只有三分之一患有 12 个月精神障碍的人认为需要心理保健。精神疾病发病率是感知需求的主要决定因素；然而，其他因素（女性和年龄较大）与那些认为有需要的人使用卫生服务有关。在那些有需要的人中，重要的是要增加最年轻的人和居住在城市地区的人获得护理的机会。 （精神科服务 60：1051-1058，2009 年）
Objective: This study assessed prevalence and correlates of perceived need for mental health care and its role in help seeking. Methods: Data were from general population surveys conducted for the European Study of the Epidemiology of Mental Disorders. The sample consisted of adults who screened positive for specific mood and anxiety symptoms in surveys conducted in Belgium, France, Germany, Italy, the Netherlands, and Spain (N=8,796). These individuals were further assessed for mental disorders with the Composite International Diagnostic Interview 3.0. Respondents who reported voluntary use of health services to address concerns with their "emotions or mental health" or who reported a need for services for mental health reasons were considered to have perceived need. Results: Nine percent of the total sample perceived some need for mental health care in the past 12 months. Among those who had a mental disorder in the past 12 months, 33% had perceived need. Psychiatric morbidity was the major determinant of perceived need. Among those with perceived need, older age, nonurban residence, and residence in Germany were positively associated with use of services. Conclusions: Only a third of those with a 12-month mental disorder perceived need for mental health care. Psychiatric morbidity was the main determinant of perceived need; however, other factors (being female and being older) were associated with use of health services among those with perceived need. Among those with perceived need, it is important to increase access to care for the youngest and those living in urban areas. (Psychiatric Services 60: 1051-1058, 2009)