Jorm Anthony F, Christensen Helen, Griffiths Kathleen M
ORYGEN Research Centre, Department of Psychiatry, University of Melbourne, Parkville, Australia.
J Affect Disord. 2005 Sep;88(1):47-53. doi: 10.1016/j.jad.2005.06.002.
Surveys of the public in several countries have found that negative attitudes towards antidepressants are common. However, there has been little research into the factors associated with these attitudes.
A national survey of 999 Australian adults assessed beliefs about the helpfulness or harmfulness of antidepressants for a person with depression and suicidal thoughts. Associated factors investigated were as follows: sociodemographic characteristics, exposure to depression, ability to recognize depression, beliefs about other depression interventions, beliefs about long-term outcomes with and without treatment, beliefs about causes, and stigmatizing attitudes.
Around a quarter of Australian adults believe that antidepressants would be harmful for a person who is depressed and suicidal. This group was less educated, had less exposure to depression, showed poorer recognition of depression, was less favorable about other standard interventions including psychological ones, was less pessimistic about the long-term outcome if the person did not have treatment, and was more likely to see depression as due to weakness and to be under the individual's control.
The survey did not directly ask about reasons for believing that antidepressants would be harmful.
Belief in the harmfulness of antidepressants is associated with a general lack of exposure to depression, leading to an underestimation of its seriousness and of the necessity for intervention.
对多个国家公众的调查发现，对抗抑郁药持负面态度很常见。然而，对于与这些态度相关的因素，研究甚少。
一项针对999名澳大利亚成年人的全国性调查，评估了对抗抑郁药对患有抑郁症和自杀念头的人的有益或有害性的看法。所调查的相关因素如下：社会人口学特征、接触抑郁症的经历、识别抑郁症的能力、对其他抑郁症干预措施的看法、对有无治疗的长期结果的看法、对病因的看法以及污名化态度。
约四分之一的澳大利亚成年人认为，抗抑郁药对患有抑郁症且有自杀倾向的人有害。这一群体受教育程度较低，接触抑郁症的经历较少，对抑郁症的识别能力较差，对包括心理治疗在内的其他标准干预措施不太认可，对未接受治疗的人的长期结果不太悲观，并且更倾向于认为抑郁症是由软弱导致且受个人控制。
该调查未直接询问认为抗抑郁药有害的原因。
认为抗抑郁药有害的观点与普遍缺乏接触抑郁症的经历有关，导致对其严重性和干预必要性的低估。
