Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
Psychiatr Serv. 2011 Apr;62(4):396-403. doi: 10.1176/ps.62.4.pss6204_0396.
Although effective mental health treatments exist, few population data are available on treatment receipt by persons with psychological distress. This study aimed to understand the association between symptoms and treatment receipt with data from the U.S Behavioral Risk Factor Surveillance System (BRFSS) survey.
In the 2007 survey, psychological distress was assessed with the Kessler-6 scale, and respondents were asked about receipt of mental health treatment. Data from 197,914 respondents were analyzed.
In the overall population 87.5% of respondents reported no psychological distress, 8.5% mild to moderate psychological distress, and 3.9% serious psychological distress. Those with serious distress were nearly ten times as likely to receive treatment (adjusted odds ratio=9.58, 95% confidence interval=8.53-10.75) as those with no distress. One in ten persons (10.7%) in the study population reported receiving treatment.
Distinct U.S. subpopulations exist by treatment and symptom status. Better understanding of all these groups is essential for improving population-based mental health care.
尽管存在有效的心理健康治疗方法，但关于有心理困扰的人群接受治疗的人数，目前仅有少量人群数据。本研究旨在利用来自美国行为风险因素监测系统（BRFSS）调查的数据，了解症状与治疗之间的关系。
在 2007 年的调查中，使用 Kessler-6 量表评估心理困扰，询问受访者是否接受过心理健康治疗。分析了来自 197914 名受访者的数据。
在总体人群中，87.5%的受访者报告没有心理困扰，8.5%的受访者有轻度至中度心理困扰，3.9%的受访者有严重心理困扰。严重困扰的受访者接受治疗的可能性几乎是没有困扰的受访者的十倍（调整后的优势比=9.58，95%置信区间=8.53-10.75）。研究人群中有十分之一（10.7%）的人报告接受过治疗。
根据治疗和症状状况，美国存在不同的亚人群。更好地了解所有这些群体对于改善基于人群的心理健康护理至关重要。
