Rosemarie Kobau and Matthew M. Zack are with the Centers for Disease Control and Prevention, Division of Population Health, Arthritis, Epilepsy, and Well-Being Branch, Atlanta, GA.
Am J Public Health. 2013 Nov;103(11):2078-89. doi: 10.2105/AJPH.2013.301321. Epub 2013 Sep 12.
We examined how attitudes toward mental illness treatment and its course differ by serious psychological distress, mental illness treatment, chronic disease, and sociodemographic factors using representative state-based data.
Using data from jurisdictions supporting the Behavioral Risk Factor Surveillance System's Mental Illness and Stigma Module (35 states, the District of Columbia, and Puerto Rico), we compared adjusted proportions of adults agreeing that "Treatment can help people with mental illness lead normal lives" (treatment effectiveness) and that "People are generally caring and sympathetic to people with mental illness" (supportive environment), by demographic characteristics, serious psychological distress, chronic disease status, and mental illness treatment.
Attitudes regarding treatment effectiveness and a supportive environment for people with mental illness varied within and between groups. Most adults receiving mental illness treatment agreed that treatment is effective. Fewer adults with serious psychological distress than those without such distress agreed that treatment is effective. Fewer of those receiving treatment, those with psychological distress, and those with chronic disease perceived the environment as supportive.
These data can be used to target interventions for population subgroups with less favorable attitudes and for surveillance.
我们使用具有代表性的州级数据,研究了严重心理困扰、精神疾病治疗、慢性疾病和社会人口因素对精神疾病治疗态度及其过程的影响。
利用支持行为风险因素监测系统精神疾病和耻辱感模块的司法管辖区的数据(35 个州、哥伦比亚特区和波多黎各),我们比较了在人口统计学特征、严重心理困扰、慢性疾病状况和精神疾病治疗方面,同意“治疗可以帮助精神病患者过上正常生活”(治疗效果)和“人们普遍关心和同情精神病患者”(支持性环境)的成年人的调整比例。
针对精神疾病患者的治疗效果和支持环境的态度在不同群体和群体内部存在差异。大多数接受精神疾病治疗的成年人都认为治疗有效。与没有这种困扰的人相比,有严重心理困扰的成年人认为治疗有效的比例较低。接受治疗的人、有心理困扰的人和患有慢性疾病的人对环境的支持程度较低。
这些数据可用于针对态度不太积极的人群亚组和进行监测的干预措施。