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精神障碍或高度心理困扰个体咨询的医护专业人员数量的预测因素。

Predictors of Number of Healthcare Professionals Consulted by Individuals with Mental Disorders or High Psychological Distress.

机构信息

École de santé publique, Université de Montréal, 7101 av. du Parc, Montréal, QC H3X1X9, Canada.

Research Centre, Douglas MH University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada.

出版信息

Int J Environ Res Public Health. 2019 Aug 21;16(17):3010. doi: 10.3390/ijerph16173010.

Abstract

This study assesses the contribution of predisposing, enabling, and needs factors and related variables that predicted the number of healthcare professionals consulted for mental health reasons among 746 individuals with mental disorders and high psychological distress. The data were drawn from the third (T3) and fourth data collection periods (T4) of a longitudinal study conducted in a Quebec/Canada epidemiological catchment area. Hierarchical linear regression was performed on the number of types of healthcare professionals consulted in the 12 months prior to T4. Predictors were identified at T3, classified as predisposing, enabling, and needs factors (i.e., clinical and related variables) according to the Andersen Behavioral Model. Three needs factors were associated with the number of types of healthcare professionals consulted: Post-traumatic stress disorder, stressful events, and marginally suicide ideation. Three enabling factors: Having a family physician, previous use of mental health services, and employment status were also related to the dependent variable. Poor self-perception of mental health status was the only predisposing factor retained. While needs factors were the main predictors of the number of types of healthcare professionals consulted, enabling factors may reduce the influence of needs factors, by the deployment of various strategies that facilitate continuous and appropriate care.

摘要

本研究评估了在 746 名患有精神障碍和高心理困扰的个体中,倾向因素、促成因素和需要因素以及相关变量对因心理健康原因而咨询的医护人员数量的预测作用。数据来自在魁北克/加拿大一个流行病学抽样区域进行的一项纵向研究的第三(T3)和第四次数据收集期(T4)。对 T4 前 12 个月内咨询的医护人员类型数量进行了分层线性回归。在 T3 时确定了预测因子,根据安德森行为模型将其分类为倾向因素、促成因素和需要因素(即临床和相关变量)。三个需要因素与咨询的医护人员类型数量有关:创伤后应激障碍、压力事件和自杀意念边缘状态。三个促成因素:有家庭医生、以前使用过心理健康服务和就业状况也与因变量有关。心理健康状况自我感知较差是唯一保留的倾向因素。虽然需要因素是咨询医护人员类型数量的主要预测因素,但促成因素可以通过实施各种策略来减少需要因素的影响,从而促进持续和适当的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ff4/6747361/69da2af727d6/ijerph-16-03010-g001.jpg

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