Van Voorhees Benjamin W, Fogel Joshua, Houston Thomas K, Cooper Lisa A, Wang Nae-Yuh, Ford Daniel E
Department of Medicine, Section of General Internal Medicine, The University of Chicago, 5841 South Maryland Avenue, MC 20007, Chicago, IL 60637, USA.
Soc Psychiatry Psychiatr Epidemiol. 2006 Sep;41(9):746-54. doi: 10.1007/s00127-006-0091-x. Epub 2006 Aug 1.
We do not yet fully understand how low perceived need for treatment leads many young adults to not seek care for their depression.
A cross-sectional study of 10,962 depressed young adults (ages 16-29) who visited a depression screening/education Internet website. Based on the Theory of Reasoned Action, we developed a multivariate model to determine the effects of beliefs and attitudes, social norms, past treatment behavior, and symptom severity on low perceived depression treatment need (i.e., not agreeing that one needs depression treatment).
Negative beliefs and attitudes, social norms, and past treatment behavior predicted low perceived depression treatment need and explained more than half the model variance. Even after adjusting for depression severity and symptoms of other mental disorders, lacking confidence in either a biological or counseling based explanation or treatment approach for depression predicted low perceived depression treatment need.
Lack of helpful treatment experiences and/or confidence in either of the currently practiced depression treatment models may prevent many young adults from seeking depression treatment.
我们尚未完全理解为何对治疗的低感知需求会导致许多年轻人不为自己的抑郁症寻求治疗。
对10962名访问抑郁症筛查/教育互联网网站的抑郁青年（年龄16 - 29岁）进行横断面研究。基于理性行动理论，我们构建了一个多变量模型，以确定信念与态度、社会规范、过去的治疗行为以及症状严重程度对低感知抑郁症治疗需求（即不认同自己需要抑郁症治疗）的影响。
消极的信念与态度、社会规范以及过去的治疗行为预示着低感知抑郁症治疗需求，并解释了超过一半的模型方差。即使在调整了抑郁症严重程度和其他精神障碍症状之后，对基于生物学或咨询的抑郁症解释或治疗方法缺乏信心仍预示着低感知抑郁症治疗需求。
缺乏有益的治疗经历和/或对当前所采用的两种抑郁症治疗模式缺乏信心，可能会阻碍许多年轻人寻求抑郁症治疗。
