Barriers to mental health care utilization in Parkinson's disease.
Barriers to mental health care utilization in Parkinson's disease.
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DOI：
10.1177/0891988713481269
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发表时间：
2013-06
影响因子：
2.6
通讯作者：
Menza M
中科院分区：
文献类型：
--
作者：
Dobkin RD;Rubino JT;Friedman J;Allen LA;Gara MA;Menza M
帕金森病（PD）经常并发精神问题，如抑郁和焦虑，对疾病的病程和管理产生负面影响。然而，在大多数情况下，这些精神病合并症既没有得到承认，也没有得到缓解。本研究的主要目的是识别和描述PD患者使用精神卫生保健的障碍。次要目标包括评估的态度和偏好，需要在PD社区的精神卫生服务和远程保健干预措施的可接受性，作为一种方法，以改善获得和护理质量。七百六十九人PD完成了一个匿名的横断面问卷调查，评估障碍，精神卫生保健利用这一医疗人口。答卷人是从全国抽样中抽取的。PD中精神卫生保健利用的普遍认可障碍反映了患者对精神健康问题，访问问题和疾病特定问题的不完全理解，以及医疗提供者对精神并发症的筛查和检测不足，以及需要在这一医疗人群中进行更有效的治疗。一些人口统计学、医学和精神病学变量也影响了获得精神卫生保健的可能性。人们对采用远程保健方法进行心理健康治疗的兴趣很高，在一些情况下，这与人们认为的利用心理保健的障碍有关。PD患者可能会遇到许多障碍，阻碍他们寻求心理健康护理。临床意义进行了讨论，需要进一步的研究来复制和扩展这些发现。
Parkinson’s disease (PD) is frequently complicated by co-occurring psychiatric problems, such as depression and anxiety, that negatively affect the course and management of the illness. Yet, in the majority of cases, these psychiatric comorbidities are neither recognized nor treated to remission. The primary purpose of this study was to identify and describe barriers to mental health care utilization for people with PD. Secondary objectives included the assessment of attitudes and preferences regarding the need for mental health services in the PD community and the acceptability of tele-health interventions as a method for improving access and quality of care. Seven hundred sixty-nine people with PD completed an anonymous cross-sectional questionnaire assessing barriers to mental health care utilization in this medical population. Respondents were drawn from a national sample. Commonly endorsed barriers to mental health care utilization in PD reflect the patients’ incomplete understanding of mental health problems, access issues, and illness-specific concerns, as well as the inadequate screening and detection of psychiatric complications by medical providers, and the need for more effective treatments in this medical population. Several demographic, medical, and psychiatric variables also influenced the likelihood of accessing mental health care. Interest in tele-health approaches to mental health treatment was high and, in several instances, correlated with perceived barriers to mental health care utilization. People with PD may encounter a multitude of barriers that impede their pursuit of mental health care. Clinical implications are discussed and further research is needed to replicate and extend these findings.
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影响因子：
120.7
作者：
Mohr, David C.;Ho, Joyce;Siddique, Juned
通讯作者：
Siddique, Juned
影响因子：
2.6
作者：
Dobkin, Roseanne D.;Menza, Matthew;Mark, Margery H.
通讯作者：
Mark, Margery H.
影响因子：
8.6
作者：
Dorsey, E. Ray;Deuel, Lisa M.;Biglan, Kevin M.
通讯作者：
Biglan, Kevin M.
影响因子：
11
作者：
STARKSTEIN, SE;MAYBERG, HS;ROBINSON, RG
通讯作者：
ROBINSON, RG
影响因子：
2.8
作者：
Lin, Jin-Mann S.;Brimmer, Dana J.;Reeves, William C.
通讯作者：
Reeves, William C.