Elhai Jon D, Patrick Sarah L, Anderson Susan, Simons Jeffrey S, Frueh B Christopher
Disaster Mental Health Institute, University of South Dakota, Vermillion 57069, USA.
Psychiatr Serv. 2006 Oct;57(10):1505-9. doi: 10.1176/ps.2006.57.10.1505.
Use of mental health care was investigated as a function of gender, traumatic event frequency, posttraumatic stress disorder (PTSD), and attitudes toward treatment among 194 primary care patients.
Patients were recruited from primary care clinics, administered the Stressful Life Events Screening Questionnaire, PTSD Symptom Scale, Attitudes Toward Seeking Professional Psychological Help-Short Form, and a survey on use of services.
Lifetime mental health treatment was related to increased frequency of traumatic events, positive attitudes toward treatment, and probable PTSD. Recent use of mental health care and intensity of use were related to female gender and greater frequency of trauma. Regression models yielded significant associations for trauma frequency, positive treatment attitudes, and female gender. Trauma and PTSD were associated with use more than gender and treatment attitudes were.
Use of and adherence to treatment may be improved by targeting attitudes toward treatment.
在194名初级保健患者中，研究心理健康护理的使用情况与性别、创伤事件频率、创伤后应激障碍（PTSD）以及对治疗的态度之间的关系。
从初级保健诊所招募患者，让他们填写应激性生活事件筛查问卷、PTSD症状量表、寻求专业心理帮助态度简表以及一项关于服务使用情况的调查。
终生心理健康治疗与创伤事件频率增加、对治疗的积极态度以及可能的PTSD有关。近期心理健康护理的使用和使用强度与女性性别以及更高的创伤频率有关。回归模型显示创伤频率、积极的治疗态度和女性性别之间存在显著关联。创伤和PTSD与使用的关联大于性别和治疗态度与使用的关联。
通过针对对治疗的态度，可能会改善治疗的使用和依从性。
