Underutilization of Mental Health Services Among Bereaved Caregivers With Prolonged Grief Disorder
Underutilization of Mental Health Services Among Bereaved Caregivers With Prolonged Grief Disorder
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DOI：
10.1176/ps.62.10.pss6210_1225
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发表时间：
2011-10-01
影响因子：
3.8
通讯作者：
Prigerson, Holly G.
中科院分区：
文献类型：
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作者：
Lichtenthal, Wendy G.;Nilsson, Matthew;Prigerson, Holly G.
目的：本研究调查了 86 名晚期癌症患者失去亲人的照顾者的悲伤和心理健康服务的使用情况。方法：在患者死亡之前（中位 = 3.1 个月）和之后（中位 = 6.6 个月）评估护理人员的长期悲伤障碍、I 轴精神障碍、心理健康服务使用、自杀倾向和健康相关生活质量。结果：16% 的丧亲者样本符合长期悲伤障碍的标准，这种障碍与自杀倾向和较差的健康相关生活质量显着相关，但与心理健康服务的使用无关。大多数患有长期悲伤障碍的失去亲人的照顾者无法获得心理健康服务。在多变量分析中，在患者生病时与医疗保健专业人员讨论心理问题是丧亲期间使用心理健康服务的唯一显着预测因素。结论：由于患有长期悲伤障碍的失去亲人的照顾者没有充分利用心理健康服务，因此在患者还活着的时候将他们与服务联系起来可能是有益的。 (精神科服务 62:1225-1229, 2011)
Objective: This study examined grief and mental health service use among 86 bereaved caregivers of advanced cancer patients. Methods: Caregivers were assessed before (median=3.1 months) and after (median=6.6 months) patients' deaths for prolonged grief disorder, axis I psychiatric disorders, mental health service use, suicidality, and health-related quality of life. Results: Sixteen percent of the bereaved sample met criteria for prolonged grief disorder, which was significantly associated with suicidality and poorer health-related quality of life, but not with mental health service use. The majority of bereaved caregivers with prolonged grief disorder did not access men-tal health services. In multivariable analyses, having discussed psychological concerns with a health care professional when the patient was ill was the only significant predictor of mental health service use during bereavement. Conclusions: Because bereaved caregivers with prolonged grief disorder underutilize mental health services, connecting them with services while the patient is still alive may be beneficial. (Psychiatric Services 62:1225-1229, 2011)