Palazzo M Carlotta, Dell'Osso Bernardo, Altamura A Carlo, Stein Dan J, Baldwin David S
University of Milan, Department of Psychiatry, Fondazione IRCSS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy.
Hum Psychopharmacol. 2014 May;29(3):211-5. doi: 10.1002/hup.2397. Epub 2014 Mar 27.
Anxiety disorders are treatable conditions, but many affected individuals neither seek professional help nor adhere to recommended pharmacological treatments. Increasing the health literacy of people with (or at risk of) anxiety disorders may encourage treatment-seeking and adherence to recommended interventions. Aims of this study were to review the literature relating to health literacy in the treatment of anxiety disorders, focusing on results on public opinion on psychotropic medications and its effectiveness in improving access to psychiatric health care and the actual use of medications.
A computerized literature search of the published literature on mental health literacy was undertaken, focusing on the question of whether increased mental health literacy led to increased treatment-seeking and pharmacotherapy adherence in individuals with anxiety disorders.
Twelve relevant articles were identified. All reported that improving mental health literacy leads to raised awareness, and in 10 out of 12 studies, increased help-seeking. However, there is currently no unequivocal evidence to show that increasing health literacy leads to increased use of medication in any psychiatric disorder, including anxiety disorders. Two studies show that knowledge of presumed biological mechanisms can predict use of psychotropic medication, including antidepressants, in psychiatric disorders, however, not specifically in anxiety disorders.
There have been few investigations of health literacy focused on psychotropic medications. Given the prevalence, burden and sub-optimal recognition, and treatment of anxiety disorders, further work is needed to determine whether increased mental health literacy is associated with treatment-seeking and medication adherence in patients with these disorders. Copyright © 2014 John Wiley & Sons, Ltd.
焦虑症是可治疗的疾病，但许多患者既不寻求专业帮助，也不坚持推荐的药物治疗。提高焦虑症患者（或有焦虑症风险的人）的健康素养可能会促使他们寻求治疗并坚持推荐的干预措施。本研究的目的是回顾与焦虑症治疗中健康素养相关的文献，重点关注公众对精神药物的看法及其在改善获得精神卫生保健和实际用药方面的有效性的研究结果。
对已发表的关于精神卫生素养的文献进行计算机检索，重点关注提高精神卫生素养是否会导致焦虑症患者寻求治疗和坚持药物治疗的问题。
共识别出12篇相关文章。所有文章都报告说，提高精神卫生素养会提高意识，在12项研究中有10项显示寻求帮助的行为增加。然而，目前尚无明确证据表明提高健康素养会导致包括焦虑症在内的任何精神疾病患者增加用药。两项研究表明，对假定生物学机制的了解可以预测精神疾病（包括抑郁症）中精神药物（包括抗抑郁药）的使用，但并非专门针对焦虑症。
针对精神药物的健康素养研究较少。鉴于焦虑症的患病率、负担以及识别和治疗不足的情况，需要进一步开展工作，以确定提高精神卫生素养是否与这些疾病患者的治疗寻求和药物依从性相关。版权所有©2014约翰威立父子有限公司。
