Perceived stigma and mental health care seeking
Perceived stigma and mental health care seeking
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DOI：
10.1176/ps.2008.59.4.392
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发表时间：
2008-04-01
影响因子：
3.8
通讯作者：
Gollust, Sarah E.
中科院分区：
文献类型：
--
作者：
Golberstein, Ezra;Eisenberg, Daniel;Gollust, Sarah E.
目的：尽管最近的政策对这一问题有很大的兴趣，但关于公众耻辱在多大程度上阻止个人使用心理健康服务，经验证据有限。这项研究调查了公众耻辱感和寻求心理健康护理之间的关系。方法：本研究使用了一所大学具有代表性的本科生和研究生(N=2,782)的横断面调查数据。五个项目的量表被用来评估公众对精神卫生服务使用的耻辱感知。还评估了过去12个月感觉到的帮助需求以及目前存在的抑郁和焦虑障碍。结果：男性、年龄较大的学生、亚太岛民、国际学生、社会经济地位较低的学生以及目前有心理健康问题的学生感受到的污名较高。那些没有任何家人或朋友使用过心理健康服务的人，以及那些认为治疗或药物帮助不大的人，感觉到的耻辱感也更高。感觉到的耻辱与感觉到需要心理健康服务的可能性呈负相关，但仅在较年轻的学生中如此。在那些可能患有抑郁症或焦虑症的人中，没有证据表明感知到的耻辱与服务使用有关。结论：这些结果表明，至少在这一人群中，感觉到的耻辱可能不像目前精神卫生政策话语所假定的那样对精神卫生保健来说是一个重要的障碍。
Objective: There is limited empirical evidence on the extent to which perceived public stigma prevents individuals from using mental health services, despite substantial recent policy interest in this issue. This study investigated associations between perceived public stigma and mental health care seeking. Methods: This study used cross- sectional survey data from a representative sample of undergraduate and graduate students ( N= 2,782) at one university. A five- item scale was used to assess perceived public stigma toward mental health service use. Perceived need for help in the past 12 months and current presence of depressive and anxiety disorders were also assessed. Results: Perceived stigma was higher among males, older students, Asian and Pacific Islanders, international students, students with lower socioeconomic status backgrounds, and students with current mental health problems. Perceived stigma was also higher among those without any family members or friends who had used mental health services and among those who believed that therapy or medication is not very helpful. Perceived stigma was negatively associated with the likelihood of perceiving a need for mental health services, but only among younger students. Among those with probable depressive or anxiety disorders, there was no evidence that perceived stigma was associated with service use. Conclusions: These results suggest that, at least in this population, perceived stigma may not be as important a barrier to mental health care as the mental health policy discourse currently assumes.