Twelve-month use of mental health services in four areas in Japan: Findings from the World Mental Health Japan Survey 2002-2003
Twelve-month use of mental health services in four areas in Japan: Findings from the World Mental Health Japan Survey 2002-2003
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DOI：
10.1111/j.1440-1819.2006.01492.x
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发表时间：
2006-04-01
影响因子：
11.9
通讯作者：
Kikkawa, T
中科院分区：
文献类型：
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作者：
Naganuma, Y;Tachimori, H;Kikkawa, T
本研究的目的是提供基本的描述性数据，利用12个月的精神卫生服务，在日本社区人口。在四个地区（两个城市和两个农村城市）进行了面对面的家庭调查，共有1 663人参加（总回答率：56.4%）。对于数据收集，使用了结构化精神病学访谈，世界卫生组织复合国际诊断访谈（WMH-CIDI）的世界精神卫生版本，允许DSM-IV诊断，严重程度和服务利用。结果发现，7.3%的受访者在过去12个月内接受过任何专业或非专业服务，其中20.0%的人患有12个月的DSM-IV疾病，6.2%的人没有。33%的情绪障碍患者使用任何服务，26.8%的人使用某种类型的医疗保健。受过13-15年教育的人接受心理健康治疗的概率是受过≥ 16年教育的人的四倍。性别、年龄或收入对心理健康服务的利用率没有影响。结果证实，大多数最近患有精神疾病的人没有使用精神卫生保健或其他支持系统。日本的精神卫生保健系统在过去十年中有所改善，但对患有精神障碍的人来说还不够。
The aim of the present study was to provide basic descriptive data regarding utilization of 12-month mental health services in the Japanese community population. Face-to-face household surveys were carried out in four areas (two urban cities and two rural municipalities), and a total of 1663 persons participated (overall response rate: 56.4%). For data collection, the structured psychiatric interview, World Mental Health version of the World Health Organization Composite International Diagnostic Interview (WMH-CIDI) was used, allowing DSM-IV diagnoses, severity, and service utilization. It was found that 7.3% of total respondents had received any service, either professional or non-professional, in the past 12 months, including 20.0% of those with 12-month DSM-IV disorders and 6.2% of those without. Thirty-three percent of those with any mood disorder used any service, and 26.8% of those used some type of health care. The probability of people with 13-15 years of education receiving mental health treatment was fourfold higher than those with >= 16 years of education. Gender, age, or income were not found to contribute to utilization of mental health services. The results confirm that the majority of people with a recent psychiatric disorder have not used mental health care or other support systems. The mental health care system in Japan has improved over the past decade, but not enough for people suffering from mental disturbances.