Duration between onset and time of obtaining initial treatment among people with anxiety and mood disorders: an international survey of members of mental health patient advocate groups
Duration between onset and time of obtaining initial treatment among people with anxiety and mood disorders: an international survey of members of mental health patient advocate groups
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DOI：
10.1017/s0033291799002093
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发表时间：
2000-05-01
影响因子：
6.9
通讯作者：
Kessler, RC
中科院分区：
文献类型：
--
作者：
Christiana, JM;Gilman, SE;Kessler, RC
背景。使用从 11 个国家的焦虑或情绪障碍患者倡导团体成员获得的自我报告数据来研究事件发生后首次寻求专业帮助的时间。方法。数据取自 GAMIAN（一个由心理健康患者倡导团体组成的国际联盟）成员填写的 3516 份自填问卷。回顾性地获得了有关发病年龄和首次就诊年龄的报告。结果。大约 40% 的受访者表示，他们在首次患病的同一年寻求治疗。其余受访者寻求帮助的平均延迟时间为 8 年。综合队列分析表明，最近队列中的延误有所减少。然而，发现所有队列和所有国家的初次寻求帮助的时间与发病年龄呈负相关。结论。尽管在将结果推广到患者倡导团体成员之外时需要谨慎，但这里发现的关键模式在之前对美国和加拿大进行的一般人口调查的分析中也发现了。所有这些研究的关键且一致的发现是，可能可以治愈的早发性疾病青少年实际上被这些国家的治疗系统忽视了。对早发病例进行积极的宣传和干预可能被证明是一种具有成本效益的方法，既可以预防继发性疾病的发生，又可以提高原发性疾病的治疗成功率。
Background. Self-report data obtained from members of advocate groups for patients with anxiety or mood disorders in 11 countries were used to study time to initial professional help-seeking after incident episodes.Method. Data were taken from 3516 self-administered questionnaires completed by members of GAMIAN, an international consortium of mental health patient advocate groups. Reports about age at onset and age at first seeking treatment were obtained retrospectively.Results. Approximately 40 % of respondents reported that they sought treatment in the same year as the first onset of their disorder. The median delay in help-seeking was 8 years for the remainder of respondents. Synthetic cohort analysis suggests that delays have decreased in recent cohorts. However, time to initial help-seeking in all cohorts and all countries was found to be inversely related to age at onset.Conclusions. Although caution is needed in generalizing the results beyond members of patient advocate groups, the key patterns found here were also found in previous analyses of general population surveys carried out in the US and Canada. The critical and consistent finding in all these studies is that presumably curable adolescents with early-onset disorders are, in effect, ignored by the treatment system in these countries. Aggressive outreach and intervention among early-onset cases might prove to be a cost-effective approach both to prevent the onset of secondary disorders and to improve success in treating primary disorders.