心理健康素养：社区中重度抑郁症最佳治疗的一个障碍。
Mental health literacy: an impediment to the optimum treatment of major depression in the community.
作者信息
Goldney R D, Fisher L J, Wilson D H
机构信息
Department of Psychiatry, University of Adelaide, The Adelaide Clinic, 33 Park Terrace, SA 5081, Gilberton, Australia.
出版信息
J Affect Disord. 2001 May;64(2-3):277-84. doi: 10.1016/s0165-0327(00)00227-5.
BACKGROUND
Mental health literacy refers to the knowledge and beliefs about mental disorders which aid their recognition, management and prevention. This study examined the mental health literacy and experience of depression in a random and representative community population.
METHODS
The experience of depression and mental health literacy of 3010 subjects from a random and representative population were determined on the basis of responses to the mood module of the PRIME-MD and questions about a vignette of a person with features of major depression.
RESULTS
Those with major depression had significantly more personal experience of depression than those with other depressions and those who were not depressed, but there were few significant differences between the groups in terms of mental health literacy. Of those with major depression, 40% considered anti-depressants helpful, but 40% also considered they were harmful.
CONCLUSIONS
There is a considerable impediment to the recognition and management of major depression and a need for further community education programs.
背景
心理健康素养是指关于精神障碍的知识和信念，有助于对其进行识别、管理和预防。本研究调查了一个随机且具有代表性的社区人群的心理健康素养及抑郁症经历。
方法
基于对PRIME-MD情绪模块的回答以及关于一名具有重度抑郁症特征者的病例描述问题，确定了来自随机且具有代表性人群的3010名受试者的抑郁症经历和心理健康素养。
结果
重度抑郁症患者比其他抑郁症患者及非抑郁症患者有更多的个人抑郁症经历，但在心理健康素养方面，各组之间几乎没有显著差异。在重度抑郁症患者中，40%认为抗抑郁药有帮助，但40%也认为它们有害。
结论
对重度抑郁症的识别和管理存在相当大的障碍，需要进一步开展社区教育项目。
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