High burden of mental illness and low utilization of care among school-going youth in Central Haiti: A window into the youth mental health treatment gap in a low-income country.
High burden of mental illness and low utilization of care among school-going youth in Central Haiti: A window into the youth mental health treatment gap in a low-income country.
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DOI：
10.1177/0020764017700174
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发表时间：
2017-05
期刊：
影响因子：
--
通讯作者：
Becker AE
中科院分区：
文献类型：
--
作者：
Eustache E;Gerbasi ME;Smith Fawzi MC;Fils-Aimé JR;Severe J;Raviola GJ;Legha R;Darghouth S;Grelotti DJ;Thérosmé T;Pierre EL;Affricot E;Alcindor Y;Becker AE
低收入和中等收入国家青年的精神健康治疗差距很大;迫切需要采取补救战略，以减轻青年未经治疗的精神疾病造成的严重健康和社会后果。估计海地青年中重度抑郁发作（MDE）和创伤后应激障碍（PTSD）的负担以及护理利用率，以描述LMIC环境中的心理健康治疗差距。我们估计点患病率MDE，创伤后应激障碍，和阈下变异在以学校为基础的样本的青年（n=120，年龄18-22）使用一个修改后的SCID为基础的采访，并检查治疗利用这些诊断之一。我们用自我报告的方法评估了额外的精神病理学，以检查研究诊断任务的有效性。全综合征或阈下MDE或PTSD的合并患病率较高（36.7%）。绝大多数受影响的个人（88.6%）在过去一年中没有在卫生部门获得任何精神卫生服务，36.4%的人在卫生或民间部门没有获得任何形式的护理。调查结果表明，海地青年的心理健康负担很高，许多患有MDE和PTSD的青年没有获得心理健康护理。
The mental health treatment gap for youth in low- and middle-income countries (LMICs) is substantial; strategies for redress are urgently needed to mitigate the serious health and social consequences of untreated mental illness in youth. To estimate the burden of major depressive episode (MDE) and posttraumatic stress disorder (PTSD) as well as utilization of care among Haitian youth in order to describe the mental health treatment gap in a LMIC setting. We estimated the point prevalence of MDE, PTSD, and subthreshold variants in a school-based sample of youth (n=120, ages 18–22) using a modified SCID-based interview and examined treatment utilization among those receiving one of these diagnoses. We assessed additional psychopathology with self-report measures to examine validity of study diagnostic assignments. The combined prevalence of full-syndrome or subthreshold MDE or PTSD was high (36.7%). A large majority of affected individuals (88.6%) had accessed no mental health services in the health sector and 36.4% had accessed no care of any kind in either the health or folk sectors in the past year. Findings demonstrate a high mental health burden among Haiti’s youth and that many youth with MDE and PTSD are not accessing mental health care.
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影响因子：
6.6
作者：
Cenat, Jude Mary;Derivois, Daniel
通讯作者：
Derivois, Daniel
影响因子：
3.3
作者：
Bean, T;Derluyn, I;Spinhoven, P
通讯作者：
Spinhoven, P
DOI：
10.1017/gmh.2016.29
发表时间：
2017
期刊：
Global mental health (Cambridge, England)
影响因子：
--
作者：
Eustache E;Gerbasi ME;Smith Fawzi MC;Fils-Aimé JR;Severe J;Raviola GJ;Legha R;Darghouth S;Grelotti DJ;Thérosmé T;Pierre EL;Affricot E;Alcindor Y;Stack MB;Becker AE
通讯作者：
Becker AE
影响因子：
120.7
作者：
Demyttenaere, K;Bruffaerts, R;Chatterji, S
通讯作者：
Chatterji, S
影响因子：
2.5
作者：
Bolton, Paul;Surkan, Pamela J.;Desmousseaux, Marine
通讯作者：
Desmousseaux, Marine