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精神障碍的识别以及对治疗和预后的看法:澳大利亚心理健康知识和污名全国调查的结果。

Recognition of mental disorders and beliefs about treatment and outcome: findings from an Australian national survey of mental health literacy and stigma.

机构信息

Orygen Youth Health Research Centre, University of Melbourne, Parkville, Victoria, Australia.

出版信息

Aust N Z J Psychiatry. 2011 Nov;45(11):947-56. doi: 10.3109/00048674.2011.621060. Epub 2011 Oct 13.

Abstract

OBJECTIVE

The aim of the study was to carry out a national survey in order to assess recognition and beliefs about treatment for affective disorders, anxiety disorders and schizophrenia/psychosis.

METHOD

In 2011, telephone interviews were carried out with 6019 Australians aged 15 or over. Participants were presented with a case vignette describing either depression, depression with suicidal thoughts, early schizophrenia, chronic schizophrenia, social phobia or post-traumatic stress disorder (PTSD). Questions were asked about what was wrong with the person, the likely helpfulness of a broad range of interventions and the likely outcomes for the person with and without appropriate treatment.

RESULTS

Rates of recognition of depression were relatively high, with almost 75% of respondents using the correct label. Rates of recognition for the schizophrenia vignettes and PTSD were similar, with around one third of respondents using the correct labels. Only 9.2% of respondents were able to correctly label social phobia. Respondents gave the highest helpfulness ratings to GPs, counsellors, antidepressants, antipsychotics (for schizophrenia) and lifestyle interventions such as physical activity, relaxation and getting out more. Respondents were generally optimistic about recovery following treatment, although relapse was seen as likely.

CONCLUSIONS

While Australians' beliefs about effective medications and interventions for mental disorders have moved closer to those of health professionals since surveys conducted in 1995 and 2003/4, there is still potential for mental health literacy gains in the areas of recognition and treatment beliefs for mental disorders. This is particularly the case for schizophrenia and anxiety disorders, which are less well recognized and, in the case of social phobia, generally perceived as having less need for professional help.

摘要

目的

本研究旨在开展一项全国性调查,以评估人们对情感障碍、焦虑障碍和精神分裂症/精神病治疗的认识和信念。

方法

2011 年,对 6019 名年龄在 15 岁及以上的澳大利亚人进行了电话访谈。参与者被呈现一个病例描述,描述的内容为抑郁症、有自杀念头的抑郁症、早期精神分裂症、慢性精神分裂症、社交恐惧症或创伤后应激障碍(PTSD)。问题涉及到这个人的问题是什么,广泛的干预措施可能会有多大帮助,以及在接受和不接受适当治疗的情况下,这个人的结果可能会如何。

结果

识别抑郁症的比率相对较高,近 75%的受访者使用了正确的标签。识别精神分裂症病例和 PTSD 的比率相似,约有三分之一的受访者使用了正确的标签。只有 9.2%的受访者能够正确识别社交恐惧症。受访者对全科医生、顾问、抗抑郁药、抗精神病药(用于精神分裂症)和生活方式干预(如体育活动、放松和更多外出)给予了最高的帮助评价。受访者普遍对治疗后的康复持乐观态度,尽管复发被认为是可能的。

结论

虽然自 1995 年和 2003/4 年进行调查以来,澳大利亚人对有效药物和精神障碍干预措施的信念已经更接近卫生专业人员的信念,但在精神障碍的识别和治疗信念方面,仍有可能提高心理健康素养。这在精神分裂症和焦虑障碍方面尤其如此,这些疾病的识别率较低,而在社交恐惧症方面,一般认为不需要专业帮助。

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