Psychiatr Serv. 2014 Jun 1;65(6):774-80. doi: 10.1176/appi.ps.201300254.
Psychosis-like experiences may be clinically significant given their demonstrated associations with concurrent psychological distress and the later development of diagnosable psychotic disorders. Prior studies of treatment for psychosis-like experiences have yielded conflicting results. The aims of this study were to investigate help seeking and need for care among individuals with psychosis-like experiences in a large general population sample.
Data from the Collaborative Psychiatric Epidemiology Surveys (N=10,541) were used to examine help-seeking behaviors among survey respondents who reported psychosis-like symptoms over a 12-month period. Adjusted odds ratios were calculated for a variety of help-seeking variables, with control for demographic factors and co-occurring psychiatric conditions.
Among the 10,541 respondents, 3.4% reported a psychosis-like experience in the past 12 months. Respondents who reported psychosis-like experiences were more than twice as likely as those who did not to seek treatment. Those who reported such experiences but who did not seek treatment were more likely to have felt the need for or to have been encouraged by others to seek treatment and less likely to have felt that they had no psychiatric problem. Associations with unmet need for care were largely attributable to co-occurring psychiatric disorders.
Respondents with psychosis-like experiences had elevated rates of help seeking, as well as significant unmet clinical need among those not in treatment.
鉴于精神病样体验与当前心理困扰以及后来出现可诊断的精神病障碍有明显关联，因此可能具有临床意义。先前关于精神病样体验治疗的研究结果相互矛盾。本研究旨在调查大量一般人群样本中具有精神病样体验个体的求助和护理需求。
本研究使用合作性精神流行病学调查（N=10541）的数据，调查了在过去 12 个月内报告有精神病样症状的调查对象的求助行为。针对各种求助变量进行了调整后的优势比计算，同时控制了人口统计学因素和共患的精神疾病状况。
在 10541 名受访者中，有 3.4%的人在过去 12 个月中报告有精神病样体验。报告有精神病样体验的受访者寻求治疗的可能性是未报告者的两倍多。那些报告有此类体验但未寻求治疗的人更有可能感到需要或被他人鼓励寻求治疗，而不太可能感到自己没有精神问题。与未满足的护理需求相关的因素主要归因于共患的精神疾病。
有精神病样体验的受访者寻求帮助的比率较高，而未接受治疗的患者存在显著的未满足的临床需求。
