Attitudes and illness factors associated with low perceived need for depression treatment among young adults
Attitudes and illness factors associated with low perceived need for depression treatment among young adults
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DOI：
10.1007/s00127-006-0091-x
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发表时间：
2006-09-01
影响因子：
4.4
通讯作者：
Ford, Daniel E.
中科院分区：
文献类型：
--
作者：
Van Voorhees, Benjamin W.;Fogel, Joshua;Ford, Daniel E.
背景我们还没有完全理解为什么对治疗的低需求会导致许多年轻人不去寻求治疗。方法.一项对10，962名访问抑郁症筛查/教育互联网网站的抑郁症年轻人（16-29岁）的横断面研究。基于理性行为理论，我们开发了一个多变量模型来确定信念和态度，社会规范，过去的治疗行为和症状严重程度对低感知抑郁症治疗需要的影响（即，不同意一个人需要抑郁症治疗）。结果消极的信念和态度，社会规范，和过去的治疗行为预测低感知抑郁症的治疗需要，并解释了一半以上的模型方差。即使在调整了抑郁症的严重程度和其他精神障碍的症状后，对基于生物学或咨询的抑郁症解释或治疗方法缺乏信心，预测抑郁症治疗需求较低。结论缺乏有用的治疗经验和/或对当前实践的抑郁症治疗模式缺乏信心可能会阻止许多年轻人寻求抑郁症治疗。
Background. We do not yet fully understand how low perceived need for treatment leads many young adults to not seek care for their depression. Methods. A cross-sectional study of 10,962 depressed young adults (ages 16-29) who visited a depression screening/education Internet website. Based on the Theory of Reasoned Action, we developed a multivariate model to determine the effects of beliefs and attitudes, social norms, past treatment behavior, and symptom severity on low perceived depression treatment need (i.e., not agreeing that one needs depression treatment). Results. Negative beliefs and attitudes, social norms, and past treatment behavior predicted low perceived depression treatment need and explained more than half the model variance. Even after adjusting for depression severity and symptoms of other mental disorders, lacking confidence in either a biological or counseling based explanation or treatment approach for depression predicted low perceived depression treatment need. Conclusion. Lack of helpful treatment experiences and/or confidence in either of the currently practiced depression treatment models may prevent many young adults from seeking depression treatment.