Use of health services for major depressive and anxiety disorders in Finland
Use of health services for major depressive and anxiety disorders in Finland
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DOI：
10.1002/da.20256
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发表时间：
2008-01-01
影响因子：
7.4
通讯作者：
Kiviruusu, O.
中科院分区：
文献类型：
--
作者：
Haemaelaeinen, J.;Isometsae, E.;Kiviruusu, O.
与寻求或接受治疗的重度抑郁症 (MDD) 或焦虑症患者相关的因素尚不清楚。在 2000 年健康研究中，芬兰普通成年人（>= 30 岁）人口的代表性样本（n = 6005）接受了过去 12 个月内精神障碍和健康、精神问题服务使用情况的 M-CIDI 访谈。对 DSM-IV MDD (n = 298) 或焦虑症 (n = 242) 患者的服务使用预测因素进行了评估。在患有重度抑郁症、焦虑症或两者兼而有之的受试者中，分别有 34%、36% 和 59% 使用医疗服务。 MDD 受试者的严重程度和感知残疾、精神合并症和独居预测了医疗保健的使用，而焦虑症受试者的感知残疾、精神合并症、年龄较小和父母的精神问题更大。专家级心理健康服务的使用是根据精神合并症来预测的，而不是根据疾病本身的特征来预测。感知残疾和合并症是影响焦虑症和重度抑郁症受试者使用心理健康服务的因素。然而，在患有严重和合并症的患者中，仍然只有大约一半使用医疗服务。
Factors associated with people suffering from major depressive disorder (MDD) or anxiety disorders seeking or receiving treatment are not well known. In the Health, 2000 Study, a representative sample (n = 6005) of Finland's general adult (>= 30 years) population was interviewed with, the M-CIDI for mental disorders and health, service use for mental problems during the last 12 months. Predictors for service use among those with DSM-IV MDD (n = 298) or anxiety disorders (n = 242) were assessed. Of subjects with MDD, anxiety disorders, or both, 34%, 36%, and 59% used health services, respectively. Greater severity and perceived disability, psychiatric comorbidity, and living alone predicted health care use for MDD subjects, and greater perceived disability, psychiatric comorbidity, younger age, and parent's psychiatric problems for anxiety disorder subjects. The use of specialist-level mental health services was predicted by psychiatric comorbidity, but not characteristics of the disorders per se. Perceived disability and comorbidity are factors influencing the use of mental health services by both anxiety disorder and MDD subjects. However, still only approximately one-half of those suffering from even severe and comorbid disorders use health services for them.