Dew M A, Dunn L O, Bromet E J, Schulberg H C
Department of Psychiatry, University of Pittsburgh, PA 15213.
J Affect Disord. 1988 May-Jun;14(3):223-34. doi: 10.1016/0165-0327(88)90038-9.
Little is known about factors that influence community residents to seek professional help while experiencing diagnosable episodes of depression. The present study utilized longitudinal data from 96 female subjects to examine whether clinical and psychosocial features of a recent depressive episode, as well as preexisting psychiatric and psychosocial characteristics, could distinguish between individuals who (a) did and did not seek help during their episode and (b) chose to consult one professional source rather than another. Results showed that less than half of the sample sought professional help. Few variables could distinguish subjects who sought help from those who did not. Instead, subjects consulting mental health specialists were more clinically impaired and had fewer psychosocial assets than both those consulting nonpsychiatric physicians and those seeking no help. Subjects in the latter two groups were indistinguishable from one another on the assessed variables. Results were cross-validated with a smaller sample of male community residents.
关于影响社区居民在经历可诊断的抑郁发作时寻求专业帮助的因素，我们所知甚少。本研究利用来自96名女性受试者的纵向数据，来检验近期抑郁发作的临床和心理社会特征，以及先前存在的精神和心理社会特征，是否能够区分以下两类个体：(a) 在发作期间寻求和未寻求帮助的个体；(b) 选择咨询某一种专业资源而非另一种的个体。结果显示，样本中不到一半的人寻求了专业帮助。几乎没有变量能够区分寻求帮助的受试者和未寻求帮助的受试者。相反，咨询心理健康专家的受试者在临床上受损更严重，并且与咨询非精神科医生的受试者和未寻求帮助的受试者相比，其心理社会资产更少。后两组受试者在评估变量上没有差异。研究结果在一小部分男性社区居民样本中得到了交叉验证。
