Service utilisation for anxiety in an Australian community sample
Service utilisation for anxiety in an Australian community sample
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DOI：
10.1007/s001270200009
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发表时间：
2002-04-01
影响因子：
4.4
通讯作者：
Andrews, G
中科院分区：
文献类型：
--
作者：
Issakidis, C;Andrews, G
背景焦虑是很常见的。符合焦虑症标准的症状也很常见，使人残疾，而且是可以治疗的，但大多数出现症状的人并不寻求治疗。这项研究的目的是调查在社区中经历焦虑症状的个人寻求治疗的比率和相关性，以及感知到的护理障碍。方法从澳大利亚国家心理健康和幸福调查(N=10641)中确定报告焦虑为其主要主诉的人(N=10641)。采用多因素Logistic回归分析服务利用、有效干预和感知护理需求与临床和社会人口学的相关性。结果就诊率、专科就诊率和对护理需求的知晓率较低。残疾、神经质和精神障碍的存在是咨询和感知需求的更强决定因素，而不是社会人口统计学特征。恐慌症是唯一与咨询、专家咨询和有效治疗相关的焦虑症。咨询心理健康专家而不是其他健康专业人员与有效治疗焦虑有关。不咨询的最常见原因是“我更喜欢管理自己”。结论虽然症状较严重的患者寻求治疗焦虑症，但仍有相当数量的残疾人不咨询。虽然恐慌症的治疗覆盖率比其他焦虑症的覆盖率要好，但所有焦虑症的覆盖率都可以提高。鉴于专家咨询和有效治疗之间的关系，全科医生能够胜任地治疗轻度至中度焦虑的人，并将更多的残疾人转介给精神健康专家，这一点很重要。这些发现呼吁继续努力教育卫生专业人员和公众关于焦虑的管理。
Background Anxiety is common. Symptoms that meet criteria for an anxiety disorder are also common, disabling and treatable, yet the majority of people who experience symptoms do not seek treatment. This study aimed to examine the rates and correlates of treatment seeking, and the perceived barriers to care among individuals experiencing symptoms of anxiety in the community. Methods The study identified persons who reported anxiety as their principal complaint from the Australian National Survey of Mental Health and Wellbeing (N = 10641). Multivariate logistic regression was used to examine clinical and sociodemographic correlates of service utilisation, effective intervention and perceived need for care. Results Rates of consultation, specialist consultation and perceived need for care were low. Disability, neuroticism and presence of mental disorders were stronger determinants of consultation and perceived need than sociodemographics. Panic disorder was the only anxiety disorder associated with consultation, specialist consultation and effective treatment. Consultation with a mental health specialist as opposed to another health professional was associated with effective treatment for anxiety. The most common reason for not consulting was "I preferred to manage myself". Conclusions Although the more severely symptomatic and comorbid individuals seek treatment for anxiety, a significant number of disabled individuals do not consult. While treatment coverage for panic disorder was better than for the other anxiety disorders, coverage could be improved across all the anxiety disorders. Given the relationship between specialist consultation and effective treatment, it is important that general practitioners are able to treat persons with mild to moderate anxiety competently and refer more disabled individuals to mental health specialists. The findings call for continued efforts to educate both health professionals and the public about the management of anxiety.