患有严重心理困扰的未治疗人群的患病率及特征在不同州之间的差异。
State-based differences in the prevalence and characteristics of untreated persons with serious psychological distress.
作者信息
Strine Tara W, Dhingra Satvinder S, Okoro Catherine A, Zack Matthew M, Balluz Lina S, Berry Joyce T, Mokdad Ali H
机构信息
Centers for Disease Control and Prevention, 4770 Buford Highway N.E., Atlanta, GA 30341, USA.
出版信息
Int J Public Health. 2009 Jun;54 Suppl 1:9-15. doi: 10.1007/s00038-009-0001-6.
OBJECTIVES
To examine the state-based prevalence of serious psychological distress (SPD) and its treatment using the Kessler-6 scale.
METHODS
SPD and treatment data were obtained from 202,114 respondents in the 2007 Behavioral Risk Factor Surveillance System Mental Illness and Stigma Module in 35 states, the District of Columbia, and Puerto Rico.
RESULTS
Approximately 4.0 % of persons in the 35 states, the District of Columbia, and Puerto Rico had SPD. The prevalence estimates ranged from 2.3 % in Iowa to 6.6 % in Mississippi. Among persons with SPD, 53.4 % were currently untreated, ranging from 33.3 % in Alaska to 67.0 % in Hawaii.
CONCLUSIONS
Mental health parity and a multidimensional approach to healthcare with extensive referrals between mental and physical healthcare is warranted.
目的
使用凯斯勒6项心理困扰量表（Kessler-6）来调查基于州的严重心理困扰（SPD）患病率及其治疗情况。
方法
SPD及治疗数据来自2007年行为危险因素监测系统中35个州、哥伦比亚特区和波多黎各的精神疾病与耻辱感模块的202,114名受访者。
结果
在35个州、哥伦比亚特区和波多黎各，约4.0%的人有严重心理困扰。患病率估计值从爱荷华州的2.3%到密西西比州的6.6%不等。在有严重心理困扰的人群中，53.4%的人目前未接受治疗，范围从阿拉斯加州的33.3%到夏威夷州的67.0%。
结论
心理健康平权以及采用多维度医疗保健方法并在精神和身体医疗保健之间进行广泛转诊是必要的。
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