Wang JianLi, Adair Carol, Fick Gordon, Lai Daniel, Evans Beth, Perry Brenda Waye, Jorm Anthony, Addington Donald
Department of Psychiatry, Faculty of Medicine, University of Calgary, Alberta.
Can J Psychiatry. 2007 Jul;52(7):442-9. doi: 10.1177/070674370705200706.
To assess the public's knowledge about depression, attitudes toward treatments for depression, perceived causal factors for depression, and reported prognoses of depression, overall and by sex.
We conducted a cross-sectional telephone survey in Alberta between February and June 2006. We used a random phone number selection procedure to identify a sample of adults in the community (n = 3047). Participants were presented with a vignette describing an individual with depression and then asked questions to assess recognition of depression, attitudes toward mental health treatments, possible causal factors for depression, and prognosis of depression.
The response rate was 75.2 %. Among the final participants, 75.6% could correctly recognize depression described in a case vignette. General practitioners or family doctors were considered as being the best help for depression. Of the participants, 35% were in complete agreement with health professionals about appropriate interventions for depression, 28% believed in dealing with depression alone, and 43% thought that "weakness of character" was a likely cause of depression. Men had poorer mental health literacy than women and were more likely to endorse the use of alcohol to cope.
Mental health promotion and education efforts are needed to improve the general public's mental health literacy and to clarify misunderstanding about depression. Men need to be a particular target of these efforts.
评估公众对抑郁症的了解、对抑郁症治疗的态度、对抑郁症病因的认知以及所报告的抑郁症预后情况,总体情况及按性别分类的情况。
2006年2月至6月期间,我们在艾伯塔省进行了一项横断面电话调查。我们采用随机电话号码选择程序来确定社区中的成年人样本(n = 3047)。向参与者展示了一个描述抑郁症患者的案例 vignette,然后询问问题以评估对抑郁症的认知、对心理健康治疗的态度、抑郁症可能的病因以及抑郁症的预后。
回复率为75.2%。在最终参与者中,75.6%能够正确识别案例 vignette 中描述的抑郁症。全科医生或家庭医生被认为是对抑郁症最有帮助的。在参与者中,35%完全同意健康专业人员对抑郁症的适当干预措施,28%认为应独自应对抑郁症,43%认为“性格软弱”是抑郁症的可能原因。男性的心理健康素养低于女性,且更有可能认可饮酒来应对。
需要开展心理健康促进和教育工作,以提高公众的心理健康素养并澄清对抑郁症的误解。男性需要成为这些工作的特定目标对象。