Yang D
Mental Health Institute of Hunan Medical University, Changsha.
Zhonghua Shen Jing Jing Shen Ke Za Zhi. 1992 Aug;25(4):215-8, 253.
Three hundreds schizophrenic out-patients, from 6 different socioculture background psychiatric facilities in Hunan were investigated by structured interview with definite schedule. The results show that after the recognition of the problem by decision maker, 45% subjects were delayed at least one month for help-seeking, 61.3% subjects first visited the non-psychiatric agencies, and 74.3% subjects has counselled with non-psychiatric doctors or healers at least one time, especially to the healer providing superstitious or religious therapy. The help-seeking styles mainly attributes to the lower socioeconomic status of the family, inconvenient referral to the psychiatric facilities, especially if the decision maker is a female, rural resided under-educated person knowing nothing of modern psychiatry. Based on these findings, the authors urge to improve scientific psychiatric care knowledge in population, develop the resource of mental health service to facilitate the radical change of help seeking behavior of the population.
通过按明确时间表进行的结构化访谈,对来自湖南6个不同社会文化背景的精神科机构的300名精神分裂症门诊患者进行了调查。结果显示,在决策者认识到问题后,45%的患者至少延迟一个月寻求帮助,61.3%的患者首先就诊于非精神科机构,74.3%的患者至少咨询过非精神科医生或治疗师一次,尤其是寻求提供迷信或宗教疗法的治疗师帮助。寻求帮助的方式主要归因于家庭社会经济地位较低、转介到精神科机构不便,特别是当决策者是女性、居住在农村且受教育程度低且对现代精神病学一无所知时。基于这些发现,作者敦促提高人群的科学精神科护理知识,开发心理健康服务资源,以促进人群寻求帮助行为的根本改变。