Rose Park Psychology, 30 Kensington Road, Rose Park, SA 5067, Australia.
Community Ment Health J. 2012 Aug;48(4):511-21. doi: 10.1007/s10597-011-9439-0. Epub 2011 Oct 13.
This study sought to replicate Parslow and Jorm's (Aust N Z J Psychiatry 34(6): 997-1008, 2000) research on need, enabling and predisposing factors as predictors of mental health service use, with the addition of childhood trauma as a predisposing factor. It utilised a non-treatment seeking epidemiological sample of Australian adults (N = 822) to examine 25 variables covering psychiatric disorder, socio-demographics, physical health problems, and childhood trauma as predictors of mental health visits to general practitioners (GP's), mental health specialists and non-mental health specialists. A consistent multivariate predictor of mental health visits to all types of professionals was psychological distress. Presence of an affective disorder, age, and number of health problems were additional predictors of visiting a GP. Being female, divorced, and exposure to childhood trauma predicted use of a mental health specialist, while rural living was associated with lower use of these services. Results highlight the importance of general psychological distress and need factors in seeking help for mental health, and reinforce the lifelong disadvantage arising from adverse childhood experiences and the need to address these issues in adult mental health services.
本研究旨在复制帕斯洛和乔姆（Aust N Z J Psychiatry 34(6): 997-1008, 2000）的研究，将需求、使能和倾向因素作为心理健康服务使用的预测因素，同时增加儿童创伤作为倾向因素。它利用澳大利亚成年人（N=822）的非治疗寻求的流行病学样本，检查了 25 个变量，涵盖精神障碍、社会人口统计学、身体健康问题以及儿童创伤，作为预测普通医生（GP）、心理健康专家和非心理健康专家心理健康就诊的因素。心理困扰是所有类型专业人员心理健康就诊的一致多变量预测因素。存在情感障碍、年龄和健康问题数量是就诊 GP 的额外预测因素。女性、离婚和暴露于儿童创伤预示着使用心理健康专家，而农村生活与这些服务的使用减少有关。结果强调了一般心理困扰和寻求心理健康帮助的需求因素的重要性，并强化了从不利的儿童经历中产生的终身劣势，以及在成人心理健康服务中解决这些问题的必要性。
