Department of Psychiatry, University of Saskatchewan, Saskatoon, Saskatchewan.
Can J Psychiatry. 2010 May;55(5):295-304. doi: 10.1177/070674371005500505.
To compare 12-month and lifetime service use for common mental disorders in 4 francophone subsamples using data from national mental health surveys in Canada, Quebec, France, and Belgium. This is the second article in a 2-part series comparing mental disorders and service use prevalence of French-speaking populations.
Comparable World Mental Health-Composite International Diagnostic Interviews (WMH-CIDI) were administered to representative samples of adults (aged 18 years and older) in Canada during 2002 and in France and Belgium from 2001 to 2003. Two groups of francophone adults in Canada, in Quebec (n = 7571) and outside Quebec (n = 500), and respondents in Belgium (n = 389) and France (n = 1436) completed the French version of the population survey. Prevalence rates of common mental health service use were examined for major depressive episodes and specific anxiety disorders (that is, agoraphobia, social phobia, and panic disorder).
Overall, most francophones with mental disorders do not seek treatment. Canadians consulted more mental health professionals than their European counterparts, with the exception of psychiatrists.
Patterns of service use are similar among francophone populations. Variations that exist may be accounted for by differences in health care resources, health care systems, and health insurance coverage.
利用加拿大、魁北克、法国和比利时的国家心理健康调查数据，比较 4 个法语亚组常见精神障碍的 12 个月和终生服务使用情况。这是比较法语人群精神障碍和服务使用流行率的两部分系列文章中的第二篇。
对加拿大（2002 年）、法国（2001 年至 2003 年）和比利时的代表性成年人群（18 岁及以上）进行了可比较的世界心理健康-复合国际诊断访谈（WMH-CIDI）。加拿大有两组讲法语的成年人，一组在魁北克（n=7571），另一组不在魁北克（n=500），比利时（n=389）和法国（n=1436）的受访者完成了人口调查的法语版本。检查了主要抑郁发作和特定焦虑障碍（即广场恐怖症、社交恐惧症和惊恐障碍）的常见心理健康服务使用的患病率。
总体而言，大多数有精神障碍的法语者都不寻求治疗。与欧洲同行相比，加拿大的精神卫生专业人员咨询量更多，除了精神病医生。
法语人群的服务使用模式相似。存在的差异可能归因于卫生保健资源、卫生保健系统和健康保险覆盖范围的差异。
