Dew M A, Bromet E J, Schulberg H C, Parkinson D K, Curtis E C
Department of Psychiatry, University of Pittsburgh, School of Medicine.
Soc Psychiatry Psychiatr Epidemiol. 1991 Sep;26(5):230-7. doi: 10.1007/BF00788971.
The present study examines rates of mental health service utilization among depressed individuals in a large white collar cohort. Clinical and psychosocial features of a recent depressive episode, as well as preexisting psychiatric and psychosocial characteristics, are examined for their ability to distinguish between individuals who (a) did and did not seek help during their episode and (b) chose to consult one professional source rather than another. Results showed that approximately one-third of the sample sought professional help. Respondents consulting mental health specialists were more clinically impaired and had poorer work performance and fewer psychosocial assets than both those consulting nonpsychiatric physicians and those seeking no help. Respondents in the latter two groups were indistinguishable from one another on many of the assessed variables.
本研究调查了一个大型白领群体中抑郁症患者的心理健康服务利用率。研究考察了近期抑郁发作的临床和心理社会特征，以及既往的精神和心理社会特征，以了解它们区分以下两类人的能力：(a) 在发作期间寻求和未寻求帮助的人；(b) 选择咨询某一专业来源而非另一专业来源的人。结果显示，约三分之一的样本寻求了专业帮助。与咨询非精神科医生的人和未寻求帮助的人相比，咨询心理健康专家的受访者临床受损更严重，工作表现更差，心理社会资源更少。后两组受访者在许多评估变量上没有差异。
