中国大城市精神障碍首次发病后初始治疗接触的延迟情况。
Delay in initial treatment contact after first onset of mental disorders in metropolitan China.
作者信息
Lee S, Fung S C, Tsang A, Zhang M Y, Huang Y Q, He Y L, Liu Z R, Shen Y C, Kessler R C
机构信息
Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.
出版信息
Acta Psychiatr Scand. 2007 Jul;116(1):10-6. doi: 10.1111/j.1600-0447.2006.00933.x.
OBJECTIVE
There has been no community-based research on treatment delay among people with mental disorders in China. This study examines lifetime treatment and treatment delay in metropolitan China.
METHOD
A multi-stage probability survey of 5201 respondents was administered in Beijing and Shanghai. Age of first treatment contact after onset of each of the three lifetime DSM-IV/CIDI disorder classes was compared with retrospective information on age of disorder onset. Length and predictors of treatment delay were examined using survival analysis.
RESULTS
Survival curves estimate that 44.7%, 25.7%, and 7.9% of people with anxiety, substance, and mood disorders, respectively, will ever make treatment contact. Delays in first treatment contact of anxiety (21 years) and substance (17 years) disorders are longer than that of mood disorders (1 year). These delays are largely unrelated to sociodemographic variables.
CONCLUSION
Failure to receive treatment is a pervasive phenomenon among people with mental disorders in metropolitan China.
目的
中国尚无关于精神障碍患者治疗延迟的社区研究。本研究调查了中国大城市中终生治疗情况及治疗延迟情况。
方法
在北京和上海对5201名受访者进行了多阶段概率调查。将终生患有的三种《精神疾病诊断与统计手册》第四版/复合性国际诊断交谈检查表（DSM-IV/CIDI）障碍类型中每种障碍发作后首次治疗接触的年龄与关于障碍发作年龄的回顾性信息进行比较。使用生存分析检查治疗延迟的时长及预测因素。
结果
生存曲线估计，焦虑症、物质使用障碍和情绪障碍患者中，分别有44.7%、25.7%和7.9%的人会进行治疗接触。焦虑症（21年）和物质使用障碍（17年）首次治疗接触的延迟时间长于情绪障碍（1年）。这些延迟在很大程度上与社会人口统计学变量无关。
结论
在中国大城市中，精神障碍患者未能接受治疗是一种普遍现象。
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