Henderson J G, Pollard C A, Jacobi K A, Merkel W T
Department of Psychiatry and Human Behavior, St. Louis University School of Medicine, Missouri 63104.
J Affect Disord. 1992 Nov;26(3):157-62. doi: 10.1016/0165-0327(92)90011-t.
From a community sample, fifty-five individuals identified as having three or more symptoms of depression were asked if and where they had sought help and how they found or would find treatment. Only 20 subjects (33.9%) reported having sought professional help. No demographic differences were found between help-seekers and non-help-seekers. Eighty percent of the help-seekers had seen a mental health professional while 20% had seen a non-psychiatric physician. However, non-psychiatric physicians and friends or personal acquaintances were most frequently cited as the first point of contact for locating treatment. Results suggest that most individuals with a moderate number of depressive symptoms do not seek professional assistance but that, among those who do, a majority is eventually seen by a mental health professional. Virtually all utilize intermediaries other than mental health professionals, however, to locate assistance. The non-psychiatric physician plays a prominent role in locating help for depressed individuals, which suggests the need to educate physicians about appropriate treatment referral.
从一个社区样本中，55名被确定有三种或更多抑郁症状的个体被询问是否寻求过帮助以及在何处寻求帮助，以及他们如何找到或将会如何找到治疗方法。只有20名受试者（33.9%）报告寻求过专业帮助。寻求帮助者和未寻求帮助者之间未发现人口统计学差异。80%的寻求帮助者看过心理健康专业人员，而20%看过非精神科医生。然而，非精神科医生以及朋友或个人熟人最常被提及为寻找治疗的第一接触点。结果表明，大多数有中度抑郁症状的个体不寻求专业帮助，但在那些寻求帮助的人中，大多数最终会看心理健康专业人员。然而，几乎所有人在寻找帮助时都会利用心理健康专业人员以外的中介。非精神科医生在为抑郁个体寻找帮助方面发挥着重要作用，这表明有必要对医生进行关于适当治疗转诊的教育。
