Bonabi Herdis, Müller Mario, Ajdacic-Gross Vladeta, Eisele Jochen, Rodgers Stephanie, Seifritz Erich, Rössler Wulf, Rüsch Nicolas
*Department of Psychiatry, Psychotherapy and Psychosomatics, Hospital of Psychiatry, University of Zürich, Switzerland; †Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Brazil; and ‡Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany.
J Nerv Ment Dis. 2016 Apr;204(4):321-4. doi: 10.1097/NMD.0000000000000488.
Many people with mental health problems do not use mental health care, resulting in poorer clinical and social outcomes. Reasons for low service use rates are still incompletely understood. In this longitudinal, population-based study, we investigated the influence of mental health literacy, attitudes toward mental health services, and perceived need for treatment at baseline on actual service use during a 6-month follow-up period, controlling for sociodemographic variables, symptom level, and a history of lifetime mental health service use. Positive attitudes to mental health care, higher mental health literacy, and more perceived need at baseline significantly predicted use of psychotherapy during the follow-up period. Greater perceived need for treatment and better literacy at baseline were predictive of taking psychiatric medication during the following 6 months. Our findings suggest that mental health literacy, attitudes to treatment, and perceived need may be targets for interventions to increase mental health service use.
许多有心理健康问题的人不使用心理健康服务，导致临床和社会结果较差。服务使用率低的原因仍未完全了解。在这项基于人群的纵向研究中，我们调查了基线时心理健康素养、对心理健康服务的态度以及感知到的治疗需求对6个月随访期内实际服务使用情况的影响，同时控制了社会人口统计学变量、症状水平和终身心理健康服务使用史。对心理健康护理的积极态度、较高的心理健康素养以及基线时更多的感知需求显著预测了随访期内心理治疗的使用情况。基线时更大的治疗需求感知和更好的素养可预测在接下来的6个月内服用精神科药物。我们的研究结果表明，心理健康素养、治疗态度和感知需求可能是增加心理健康服务使用的干预目标。
