Department of Research Planning, Mental Health Research Institute, National Center for Mental Health, Seoul, South Korea.
Department of Research Planning, Mental Health Research Institute, National Center for Mental Health, Seoul, South Korea.
Psychiatry Res. 2018 Feb;260:219-226. doi: 10.1016/j.psychres.2017.11.050. Epub 2017 Nov 21.
Public beliefs about psychiatric disorders are important for understanding help-seeking behaviours. We investigated factors that affect South Koreans' beliefs about the causes and treatment of depression and bipolar disorder. We recruited 654 participants aged 15-54 years using an online panel survey. Participants completed two questionnaires: 34 possible causes of and 33 possible treatments for depression and bipolar disorder. For both disorders, the questionnaires about causes revealed four factors: social-environmental, God/fate, heath/lifestyle, and biological; the questionnaires about treatments revealed five factors: self-help/stress management, physical treatment/health management, seeking mental health services, religious help, and resting. Causes of depression were more recognized as social-environmental, religious, and health/lifestyle compared to bipolar disorder. Participants expressed more beliefs in self-help/stress management, physical treatment/health management, seeking mental health services, and resting for depression, compared to bipolar disorder. Participants' beliefs about the causes of the disorders and their demographic and psychiatric characteristics were closely associated with beliefs about treatment validity. Participants' beliefs about the causes of depression and bipolar disorder significantly affected their beliefs about treatment. Therefore, strategies to improve mental health literacy should provide the aetiology of specific mental disorders. Further research using a representative community sample is needed to generalize our findings.
公众对精神障碍的看法对于理解寻求帮助的行为很重要。我们调查了影响韩国人对抑郁症和双相情感障碍的病因和治疗看法的因素。我们使用在线小组调查招募了 654 名 15-54 岁的参与者。参与者完成了两份问卷：关于抑郁症和双相情感障碍的 34 种可能病因和 33 种可能治疗方法。对于这两种疾病，病因问卷揭示了四个因素：社会环境、上帝/命运、健康/生活方式和生物；治疗问卷揭示了五个因素：自助/压力管理、身体治疗/健康管理、寻求心理健康服务、宗教帮助和休息。与双相情感障碍相比，抑郁症的病因更被认为是社会环境、宗教和健康/生活方式。与双相情感障碍相比，参与者更相信抑郁症的自助/压力管理、身体治疗/健康管理、寻求心理健康服务和休息。参与者对疾病病因的看法及其人口统计学和精神科特征与对治疗有效性的看法密切相关。参与者对抑郁症和双相情感障碍病因的看法显著影响了他们对治疗的看法。因此，提高心理健康素养的策略应该提供特定精神障碍的病因。需要使用代表性的社区样本进行进一步研究，以推广我们的发现。
