Department of Clinical Psychology, VU University Amsterdam, Amsterdam, The Netherlands EMGO institute for Health Care and Research, VU University Medical Centre, Amsterdam, The Netherlands
Department of Clinical Psychology, VU University Amsterdam, Amsterdam, The Netherlands EMGO institute for Health Care and Research, VU University Medical Centre, Amsterdam, The Netherlands.
Int J Soc Psychiatry. 2016 Feb;62(1):84-93. doi: 10.1177/0020764015597014. Epub 2015 Aug 4.
Although little is known about which people with subclinical depression should receive care to prevent the onset of depression, it is clear that remediating symptoms of depression is important. However, depending on the beliefs people hold about help, some people will seek professional help, while others seek informal help or solve problems on their own.
This study examined associations between attitudes about help and socio-demographic variables, mastery, severity of depressive symptoms, accessibility to care, and health care utilization at baseline and 4-year follow-up.
Data were derived from a large cohort study, the Netherlands Study of Depression and Anxiety (NESDA). A total of 235 respondents with subclinical depression completed questionnaires at baseline and follow-up. Attitude was assessed using a short version of the 'Trust in mental health care' questionnaire.
Positive attitude towards professional care was associated with being male, younger age, higher mastery and easy accessibility to care. Positive attitude towards informal help was associated with higher mastery and unemployment. Older age, less accessibility to care and lower mastery were associated with positive attitude towards self-reliance. A change in care utilization was associated with positive attitudes towards professional care at follow-up.
People differ in the way they cope with symptoms which may influence their preferred care. Higher levels of mastery were positively associated with professional and informal care, but negatively associated with self-reliance. Both age and mastery showed relatively large effect sizes.
虽然对于哪些有亚临床抑郁症的人应该接受治疗以预防抑郁症的发作知之甚少，但显然缓解抑郁症状很重要。然而，取决于人们对帮助的看法，有些人会寻求专业帮助，而有些人会寻求非正式帮助或自行解决问题。
本研究考察了求助态度与社会人口学变量、掌控感、抑郁症状严重程度、获得护理的便利性以及基线和 4 年随访时的医疗保健利用之间的关联。
数据来自一项大型队列研究，即荷兰抑郁和焦虑研究（NESDA）。共有 235 名有亚临床抑郁症的受访者在基线和随访时完成了问卷调查。态度使用“信任心理健康护理”问卷的简短版本进行评估。
对专业护理的积极态度与男性、年轻、较高的掌控感和较容易获得护理有关。对非正式帮助的积极态度与较高的掌控感和失业有关。年龄较大、获得护理的便利性较低以及掌控感较低与自力更生的积极态度有关。随访时对专业护理的态度变化与护理利用的变化有关。
人们应对症状的方式不同，这可能会影响他们对首选护理的偏好。较高的掌控感与专业和非正式护理呈正相关，但与自力更生呈负相关。年龄和掌控感的相对影响较大。
