Goodwin Renee D, Hoven Christina W, Lyons John S, Stein Murray B
Department of Epidemiology, Columbia University and the New York State Psychiatric Institute, USA.
Soc Psychiatry Psychiatr Epidemiol. 2002 Dec;37(12):561-6. doi: 10.1007/s00127-002-0563-6.
The aim of this study was to determine the relationship between personality factors and the use of mental health services (past 12 months) among adults in the community.
Data were drawn from the Midlife Development in the United States Survey (MIDUS), a representative sample of 3,032 adults aged 25-74 in the United States population. Analyses of variance and logistic regression analyses were used to determine the relationship between personality factors and mental health service utilization, in the presence and absence of mental disorders, during the past 12 months.
Neuroticism [OR = 1.5 (1.2, 1.9)] was associated with significantly increased likelihood of mental health service utilization among adults in the community. Conscientiousness [OR = 0.7 (0.5, 0.9)] and extraversion [OR = 0.7 (0.5, 0.98)], in contrast, were associated with decreased likelihood of use of mental health services. Among adults with mental disorders, conscientiousness [OR = 0.5 (0.3, 0.8)] was associated with decreased odds of mental health service utilization. Neuroticism [OR = 1.8 (1.3, 2.4)] was associated with increased likelihood of service use among those who did not meet criteria for common mental disorders.
These findings are the first to document a significant association between personality factors and the use of mental health services among adults in the general population. Our results highlight new ways in which personality may influence mental health in the community. This information may be useful in identifying those with unmet need for mental health treatment and developing more effective interventions for those at risk for common mental disorders. Replication of these findings is needed.
本研究的目的是确定社区成年人的人格因素与心理健康服务使用情况（过去12个月）之间的关系。
数据取自美国中年发展调查（MIDUS），这是美国25 - 74岁3032名成年人的代表性样本。采用方差分析和逻辑回归分析来确定过去12个月中，在有无精神障碍的情况下人格因素与心理健康服务利用之间的关系。
神经质[比值比（OR）= 1.5（1.2，1.9）]与社区成年人心理健康服务利用可能性显著增加相关。相比之下，尽责性[OR = 0.7（0.5，0.9）]和外向性[OR = 0.7（0.5，0.98）]与心理健康服务使用可能性降低相关。在患有精神障碍的成年人中，尽责性[OR = 0.5（0.3，0.8）]与心理健康服务利用几率降低相关。神经质[OR = 1.8（1.3，2.4）]与未达到常见精神障碍标准者的服务使用可能性增加相关。
这些发现首次记录了一般人群中成年人的人格因素与心理健康服务使用之间的显著关联。我们的结果突出了人格可能影响社区心理健康的新方式。这些信息可能有助于识别那些有未满足心理健康治疗需求的人，并为有常见精神障碍风险的人制定更有效的干预措施。需要对这些发现进行重复验证。
