Websites as a mode of delivering mental health information: perceptions from the Australian public
Websites as a mode of delivering mental health information: perceptions from the Australian public
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DOI：
10.1007/s00127-006-0138-z
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发表时间：
2007-02-01
影响因子：
4.4
通讯作者：
Mackinnon, Andrew J.
中科院分区：
文献类型：
--
作者：
Leach, Liana S.;Christensen, Helen;Mackinnon, Andrew J.
背景 许多患有精神障碍的人无法获得心理健康服务的帮助。互联网网站可能是向那些仍未得到治疗的人传播心理健康信息的有用工具，但人们对网站作为心理健康信息来源的看法知之甚少。当前的研究调查了可能影响人们对网站作为传递心理健康信息的方式的有用性的信念的特征。该研究将人们对帮助网站的信念与两种传统来源（阅读疗法和健康教育者）进行了比较。方法 总共对 3,998 名 18 岁及以上的澳大利亚人进行了调查。逻辑回归用于探索与将网站、书籍和健康教育者评级为抑郁症、有自杀念头的抑郁症、早期精神分裂症或慢性精神分裂症患者的有用心理健康信息来源相关的因素。调查的因素包括人口统计数据、接触精神疾病的情况、单独处理精神疾病的信念以及个人和感知到的侮辱态度。结果 与网站相比，更多的参与者认为阅读疗法和健康教育者有帮助。将网站和书籍评为有帮助的预测因子是相同的；年龄较小，相信单独应对精神疾病有帮助，并且与慢性精神分裂症相比，出现抑郁症和早期精神分裂症症状。与慢性精神分裂症相比，将健康教育者评为有帮助的预测因素是年龄更小、个人耻辱感更少以及出现抑郁症（没有自杀念头）的症状。结论 这些发现表明需要多种方式来传递心理健康信息。虽然许多人认为面对面提供的信息可能会有所帮助，但那些选择或发现自己独自应对精神疾病的人可能更喜欢保持匿名的网站和其他工具。
Background Many people with a mental disorder do not access help from mental health services. Internet websites may be a useful tool for disseminating mental health information to those who remain untreated, however little is known about people's perceptions of websites as mental health information sources. The current study examined characteristics that may influence belief in the helpfulness of websites as modes of delivering information about mental health. The study compared belief in the helpfulness websites to two traditional sources (bibliotherapy and health educators). Methods A total of 3,998 Australians aged 18 and above were surveyed. Logistic regression was used to explore the factors associated with rating a website, book and health educator as helpful sources of mental health information for a person described as having either depression, depression with suicidal thoughts, early schizophrenia or chronic schizophrenia. Factors investigated were demographics, exposure to mental illness, beliefs about dealing with mental illness alone, and personal and perceived stigmatising attitudes. Results Considerably more participants rated bibliotherapy and health educators as helpful in comparison to websites. Predictors of rating a website and book as helpful were identical; younger age, belief that it is helpful to deal with mental illness alone and being presented with depression and early schizophrenia vignettes in comparison to chronic schizophrenia. Predictors of rating a health educator as helpful were younger age, less personal stigma and being presented with a depression (without suicidal thoughts) vignette in comparison to chronic schizophrenia. Conclusions These findings suggest the need for multiple modes of delivering mental health information. While many people feel that information delivered face-to-face is likely to be helpful, websites and other tools that maintain anonymity may be preferred by those who choose to or find themselves dealing with mental illness alone.