1 Department of Social Work, Fudan University, Shanghai, China.
2 Silver School of Social Work, New York University, New York, NY, USA.
J Geriatr Psychiatry Neurol. 2019 Nov;32(6):291-297. doi: 10.1177/0891988719862622.
This study was performed to compare the treatment status between older (≥65 years) and younger adults (18-64 years) with severe mental illness (SMI) and explore factors associated with treatment status in rural China. Persons with SMI were identified in one mental health survey in 2015 in 6 townships of Xinjin County, Chengdu, China. Logistic regressions were conducted to explore factors associated with treatment status. Older adults with SMI, especially major depressive disorder, reported significantly lower rates of treatment than younger group. Older age, longer duration of illness, and poor mental status were risk factors for never-treated status in these patients. Never-treated status (46.3%) and poor treatment status in these older patients are serious issues. Different treatment statuses in these patients had various influencing factors. It is crucial to develop culture-specific, community-based mental health services to improve early identification, diagnosis, treatment, and recovery of older adults with SMI in rural China.
本研究旨在比较中国农村地区严重精神障碍（SMI）老年（≥65 岁）和年轻成人（18-64 岁）患者的治疗状况，并探讨与治疗状况相关的因素。2015 年，在中国成都新津县的 6 个乡镇进行了一项心理健康调查，以确定 SMI 患者。采用 logistic 回归分析探讨与治疗状况相关的因素。患有 SMI 的老年患者，尤其是患有重度抑郁症的患者，其治疗率明显低于年轻组。老年、较长的发病时间和较差的精神状态是这些患者从未接受治疗的危险因素。这些老年患者中从未接受治疗的比例（46.3%）和较差的治疗状况是严重的问题。这些患者的不同治疗状况有不同的影响因素。在中国农村地区，为了提高对老年 SMI 患者的早期识别、诊断、治疗和康复，开发具有文化特色的社区为基础的精神卫生服务至关重要。
