Parc Sanitari Sant Joan de Deu, Barcelona, Spain.
Soc Psychiatry Psychiatr Epidemiol. 2011 Apr;46(4):273-80. doi: 10.1007/s00127-010-0195-1. Epub 2010 Feb 26.
Dropping out from mental health treatment is a major problem because mental health treatments delivered for inadequate durations are ineffective. The aim of this study was to compare treatment dropout rates by type of provider, dropout risk by number of visit, and to ascertain factors associated with treatment dropout.
A cross-sectional household survey of a representative sample of 626 out of 21,425 non-institutionalized adults from the general population of six European countries was carried out. Dropout was defined as terminating treatment before recommendation.
Dropout from all treating providers during a 12-month period was 14%. Among psychiatrists, psychologists, and general practitioners figures were: 19.6, 20.3, and 20.3%, respectively. While the hazard risk for dropping out was higher during the first three visits to GPs and psychologists, it was stable for psychiatrists. Older age, female gender, and living in large or midsize urban areas were associated with a decreased risk of dropping out.
Efforts for increasing patients' proportion completing adequate courses of care for mental disorders in Europe should focus on the first visits, especially those made to the general medical care.
从心理健康治疗中退出是一个主要问题，因为治疗时间不足会导致心理健康治疗无效。本研究的目的是比较不同类型的提供者的治疗退出率、根据就诊次数的退出风险，并确定与治疗退出相关的因素。
在六个欧洲国家的一般人群中，对 21425 名非住院成年人中的 626 名进行了横断面家庭调查。退出被定义为在推荐前终止治疗。
在 12 个月的时间内，所有治疗提供者的退出率为 14%。在精神科医生、心理学家和全科医生中，这一数字分别为 19.6%、20.3%和 20.3%。虽然在全科医生和心理学家的前三次就诊中，退出的危险风险较高，但对于精神科医生来说，风险是稳定的。年龄较大、女性、居住在大型或中型城市地区与降低退出风险有关。
在欧洲增加完成精神障碍适当疗程的患者比例的努力应集中在首次就诊，尤其是在接受一般医疗护理时。
