Hämäläinen Juha, Isometsä Erkki, Laukkala Tanja, Kaprio Jaakko, Poikolainen Kari, Heikkinen Martti, Lindeman Sari, Aro Hillevi
National Public Health Institute, Department of Mental Health and Alcohol Research, Helsinki, Finland.
J Affect Disord. 2004 Apr;79(1-3):105-12. doi: 10.1016/S0165-0327(02)00342-7.
A universal finding in psychiatric epidemiology is that only a minority of currently depressed people seek or receive treatment.
To investigate the predictors of use of health care services for depression.
A representative random sample of 5993 non-institutionalised Finnish individuals aged 15-75 years was interviewed in 1996. Major depressive episode during the last 12 months was assessed using the Short Form of the University of Michigan version of the Composite International Diagnostic Interview (the UM-CIDI Short Form). Characteristics and health service use of the 557 depressed individuals were assessed.
The proportion of people classified as having a major depressive episode who used any health services for their depression during the past 12 months was only 31% for men and 25% for women. Use of services was not predicted by sociodemographic factors. Longer duration, and greater severity and perceived disability predicted overall health service use for depression, but not significantly whether treatment was sought from primary or psychiatric care.
The probability of use of health services for major depression increases with duration, severity and perceived disability related to depression. Only 59% of those suffering from even the most severe major depressive episodes use health services for depression. Use appears to be unrelated to sociodemographic factors in Finland.
精神疾病流行病学的一个普遍发现是，目前只有少数抑郁症患者寻求或接受治疗。
调查抑郁症患者使用医疗服务的预测因素。
1996年，对5993名年龄在15 - 75岁的非机构化芬兰人进行了代表性随机抽样访谈。使用密歇根大学版综合国际诊断访谈简表（UM - CIDI简表）评估过去12个月内的重度抑郁发作情况。对557名抑郁症患者的特征和医疗服务使用情况进行了评估。
在过去12个月内，被归类为患有重度抑郁发作的男性中，因抑郁症使用任何医疗服务的比例仅为31%，女性为25%。社会人口学因素并不能预测医疗服务的使用情况。病程较长、病情较重以及感知到的残疾程度较高可预测抑郁症患者对整体医疗服务的使用，但对于是否寻求初级或精神科护理治疗并无显著预测作用。
因重度抑郁症使用医疗服务的可能性会随着病程、病情严重程度以及与抑郁症相关的感知残疾程度的增加而增加。即使是患有最严重重度抑郁发作的患者，也只有59%会因抑郁症使用医疗服务。在芬兰，医疗服务的使用似乎与社会人口学因素无关。
