从世界卫生组织世界心理健康调查倡议的门诊精神卫生保健中辍学。

Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative.

机构信息

Department of Public Health and General Practice, University of Otago, Christchurch, New Zealand.

出版信息

Br J Psychiatry. 2013 Jan;202(1):42-9. doi: 10.1192/bjp.bp.112.113134. Epub 2012 Nov 22.

DOI:10.1192/bjp.bp.112.113134

PMID:23174514

Abstract

BACKGROUND

Previous community surveys of the drop out from mental health treatment have been carried out only in the USA and Canada.

AIMS

To explore mental health treatment drop out in the World Health Organization World Mental Health Surveys.

METHOD

Representative face-to-face household surveys were conducted among adults in 24 countries. People who reported mental health treatment in the 12 months before interview (n = 8482) were asked about drop out, defined as stopping treatment before the provider wanted.

RESULTS

Overall, drop out was 31.7%: 26.3% in high-income countries, 45.1% in upper-middle-income countries, and 37.6% in low/lower-middle-income countries. Drop out from psychiatrists was 21.3% overall and similar across country income groups (high 20.3%, upper-middle 23.6%, low/lower-middle 23.8%) but the pattern of drop out across other sectors differed by country income group. Drop out was more likely early in treatment, particularly after the second visit.

CONCLUSIONS

Drop out needs to be reduced to ensure effective treatment.

摘要

背景

先前对精神卫生治疗脱落的社区调查仅在美国和加拿大进行过。

目的

探索世界卫生组织世界精神卫生调查中的精神卫生治疗脱落情况。

方法

在 24 个国家中进行了代表性的面对面家庭调查。在访谈前的 12 个月内报告接受过精神卫生治疗的人（n=8482）被问及脱落情况，定义为在提供者希望之前停止治疗。

结果

总体而言，脱落率为 31.7%：高收入国家为 26.3%，中上收入国家为 45.1%，低/低收入国家为 37.6%。总体而言，精神科医生的脱落率为 21.3%，在不同国家收入组中相似（高收入组为 20.3%，中上收入组为 23.6%，低/低收入组为 23.8%），但其他部门的脱落模式因国家收入组而异。脱落更可能发生在治疗早期，尤其是在第二次就诊后。