Schomerus Georg, Angermeyer Matthias C, Matschinger Herbert, Riedel-Heller Steffi G
Department of Psychiatry, Leipzig University, Johannissallee 20, 04317 Leipzig, Germany.
J Affect Disord. 2008 Mar;106(3):257-63. doi: 10.1016/j.jad.2007.06.013. Epub 2007 Jul 27.
Various programs for depression prevention have been shown to be effective, but preventive efforts population wide are only beginning. We examine public attitudes towards prevention of depression and beliefs about helpful preventive measures.
Fully structured telephone interview with a representative population sample including people of German nationality older than 14 years (n=1016).
75.4% of the sample agreed on the possibility to prevent depression. Of those, 403 (52.6%) stated that they would take part in prevention programs, and in this group 234 (58.1%) indicated readiness to pay out of their pocket for such programs. Out of a catalogue of 37 proposed actions, psychosocial and lifestyle related measures were preferred. Exploratory factor analysis revealed three factors--proactive lifestyle, relying on medicine, and relaxing--inherent in public beliefs about helpfulness of preventive measures. Higher education reduced willingness, high perceived personal risk of depression and previous contact to the disease increased willingness to take part in preventive programs.
The public entertains favourable attitudes and beliefs about prevention of depression that do not conflict with evidence-based programs. Our study thus encourages implementation of population based prevention programs.
各种预防抑郁症的项目已被证明是有效的，但针对全体人群的预防工作才刚刚起步。我们研究了公众对抑郁症预防的态度以及对有效预防措施的看法。
对包括14岁以上德国籍人群在内的具有代表性的人群样本进行全面结构化电话访谈（n = 1016）。
75.4%的样本认同抑郁症可以预防。其中，403人（52.6%）表示愿意参加预防项目，在这一组中，234人（58.1%）表示愿意自掏腰包参加此类项目。在列出的37项建议行动中，与心理社会和生活方式相关的措施更受青睐。探索性因素分析揭示了公众对预防措施有效性的看法中存在的三个因素——积极的生活方式、依赖药物和放松。高等教育降低了参与意愿，而较高的个人抑郁症患病风险认知以及之前与该疾病的接触则增加了参与预防项目的意愿。
公众对抑郁症预防持积极态度和看法，这与循证项目并不冲突。因此，我们的研究鼓励实施基于人群的预防项目。
