一项针对抑郁非裔美国母亲及其子女中精神卫生服务利用率的速率和预测因素的初步调查。
A pilot investigation of the rates and predictors of mental health services utilization among depressed African American mothers and their children.
机构信息
Department of Psychiatry, Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
出版信息
J Natl Med Assoc. 2009 Nov;101(11):1096-103. doi: 10.1016/s0027-9684(15)31104-4.
OBJECTIVE
Depressed mothers, especially those who are African American, are likely to underutilize mental health services. Children of depressed mothers are an at-risk population with mental health needs that are often unmet. This prospective pilot study examined 3-month frequency rates and predictors of mental health utilization for a sample of African American depressed mothers and their children.
METHODS
Mothers and 1 of their children completed assessment interviews. Three months later, mothers completed a telephone interview of maternal and child mental health utilization.
RESULTS
Overall, 65.3% of depressed mothers and 36.7% of their children had utilized mental health services. Logistic regression analyses indicated that initial mental health treatment significantly predicted maternal mental health utilization. Maternal reports of child behavioral problems significantly predicted child mental health utilization.
CONCLUSIONS
The findings were consistent with other research and showed evidence of mental health use among African Americans who are in need of such services.
目的
抑郁的母亲，尤其是非裔美国母亲，可能会较少利用心理健康服务。患有抑郁症的母亲的孩子是一个存在心理健康需求的高风险人群，但这些需求往往得不到满足。本前瞻性试点研究调查了一个非裔美国抑郁母亲及其孩子的样本，以了解其心理健康服务利用的 3 个月频率和预测因素。
方法
母亲及其 1 名孩子完成评估访谈。3 个月后，母亲通过电话完成了母亲和孩子心理健康利用情况的访谈。
结果
总体而言，65.3%的抑郁母亲和 36.7%的孩子使用了心理健康服务。逻辑回归分析表明，初始心理健康治疗显著预测了母亲的心理健康利用情况。母亲对孩子行为问题的报告显著预测了孩子的心理健康利用情况。
结论
这些发现与其他研究一致，表明需要此类服务的非裔美国人有使用心理健康服务的证据。
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