Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample
Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample
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DOI：
10.1177/070674370505001011
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发表时间：
2005-09-01
影响因子：
4
通讯作者：
Yu, Bo Nancy
中科院分区：
文献类型：
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作者：
Sareen, Jitender;Cox, Brian J.;Yu, Bo Nancy
目的：确定一般人群中有多少人因情绪问题需要帮助的最佳方法尚不清楚。本研究旨在探讨心理健康服务的自我感知需求(即求助和感知需求)的患病率及其相关性。方法：数据来自加拿大社区健康调查1.2(n=36 816，被调查者年龄在15岁及以上，应答率为77%)。受访者被问及在过去的一年里，他们是否曾因情绪问题寻求过专业人士的帮助，以及他们是否觉得自己的情绪症状需要帮助，但没有寻求治疗。采用综合国际诊断访谈(CIDI)对DSM-IV精神障碍进行诊断。结果：过去一年中求助和感知需要的患病率分别为8.7%和2.9%。在对调查中评估的DSM-IV障碍的存在进行调整后，社会人口因素、疾病严重性、社会支持和身体健康状况的存在与寻求帮助和感知需求有关。独立于DSM诊断、社会人口学和社会支持，知觉到的需要和寻求帮助与增加的痛苦、残疾、自杀意念和企图有关。结论：本研究表明，除了DSM诊断的存在外，被调查者对心理健康治疗的自我感觉需求在评估社区对精神卫生服务的需求时也是重要的。
Objective: The optimal method of determining how many people in the general population need help for emotional problems remains unclear. This study aimed to examine the prevalence and correlates of self-perceived need for mental health services (that is, help seeking and perceived need) in a large, population-based sample.Methods: Data came from the Canadian Community Health Survey 1.2 (n = 36 816, respondent age 15 years and over, and response rate 77%). Respondents were asked whether they had sought help in the past year from any professional for emotional problems and whether they felt they needed help for emotional symptoms but had not sought treatment. The Composite International Diagnostic Interview (CIDI) was used to make DSM-IV mental disorder diagnoses.Results: The past-year prevalences of help seeking and perceived need were 8.7% and 2.9%, respectively. After adjusting for the presence of DSM-IV disorders assessed in the survey, sociodemographic factors, illness severity, social supports, and the presence of physical health conditions were associated with help seeking and perceived need. Independent of DSM diagnoses, sociodemographics, and social supports, perceived need and help seeking were associated with increased levels of distress, disability, and suicidal ideation and attempts.Conclusions: This study illustrates that, in addition to the presence of a DSM diagnosis, the respondent's self-perceived need for mental health treatment is important in the assessment of need for mental health services in the community.