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与产后寻求心理健康治疗态度相关的因素。

Factors associated with attitudes toward seeking mental health treatment postpartum.

作者信息

Bina Rena, Glasser Saralee

机构信息

a School of Social Work , Bar Ilan University , Ramat Gan , Israel.

b Gertner Institute for Epidemiology and Health Policy Research , Ramat Gan , Israel.

出版信息

Women Health. 2019 Jan;59(1):1-12. doi: 10.1080/03630242.2017.1421286. Epub 2018 Jan 24.

DOI:10.1080/03630242.2017.1421286
PMID:29281589
Abstract

Attitudes toward seeking mental health treatment are a major predictor of seeking such treatment. Rates of seeking mental health treatment for postpartum depression are low despite contacts with health-care providers and available treatment. This study examined factors associated with four dimensions of attitude toward seeking mental health treatment among Israeli women in the postpartum period. Women (N = 1,059) were recruited (June 2008-February 2009) from a medical center's maternity department within the first two days following delivery and completed a sociodemographic survey and the Attitudes Toward Seeking Professional Psychological Help Scale. Low recognition of need for mental health treatment was associated with having a below average income and no personal and family depression history; low stigma tolerance was associated with being younger, having more children, and defining oneself as ultra-orthodox; low interpersonal openness was associated with having a below average income. Moreover, low confidence in mental health practitioners was associated with being younger and non-ultra-orthodox. Understanding which women are likely to score low on various dimensions of attitude can help target interventions for improving these factors, reducing barriers to receiving mental health treatment among specific groups of women. Research should continue to explore specific attitude dimensions among various populations.

摘要

对寻求心理健康治疗的态度是寻求此类治疗的一个主要预测因素。尽管与医疗服务提供者有接触且有可用的治疗方法,但产后抑郁症患者寻求心理健康治疗的比例仍然很低。本研究调查了以色列产后女性对寻求心理健康治疗态度的四个维度相关的因素。在分娩后的前两天内,从一家医疗中心的产科招募了1059名女性(2008年6月至2009年2月),她们完成了一项社会人口学调查以及《寻求专业心理帮助态度量表》。对心理健康治疗需求的低认知与收入低于平均水平且无个人和家族抑郁病史有关;低耻辱感容忍度与年轻、子女较多以及将自己定义为极端正统派有关;低人际开放性与收入低于平均水平有关。此外,对心理健康从业者的低信心与年轻和非极端正统派有关。了解哪些女性在态度的各个维度上可能得分较低,有助于针对改善这些因素进行干预,减少特定女性群体接受心理健康治疗的障碍。研究应继续探索不同人群中特定的态度维度。

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