Department of Psychology, George Mason University, Fairfax, VA, USA.
Women and Gender Studies Program, George Mason University, Fairfax, VA, USA.
Psychiatr Q. 2021 Sep;92(3):1271-1281. doi: 10.1007/s11126-021-09913-y. Epub 2021 Mar 24.
Depression, a leading cause of disability and mortality world-wide that one in five U.S. adults are estimated to experience in their lifetime, presents special complications in treatment. While it is well-recognized that there are several barriers to even obtaining treatment for depression, once an individual obtains treatment they may not receive the type of care that they need. In order to examine common factors of those who experienced an unmet treatment need for depression despite seeking mental health treatment, we examined data from the 2018 National Survey of Drug Use and Health (NSDUH). We cross-sectionally compared two groups of individuals who both met criteria for a past year Major Depressive Episode (MDE) and sought mental health treatment, however one group reported an unmet treatment need and the other did not. Results indicate a variety of personal identity and social factors associated with perceiving an unmet treatment need, including age, race/ethnicity, sexual attraction, marital status, poverty level, health insurance, substance misuse, global health, and role impairment. This study contributes to the literature by providing further support for disparities in depression treatment at the consumer, provider, and systemic levels that have downstream effects for health equity policy and public health promotion.
抑郁症是全球范围内导致残疾和死亡的主要原因之一，据估计，五分之一的美国成年人在其一生中会经历抑郁症。抑郁症的治疗存在特殊的复杂性。尽管人们已经认识到，即使寻求抑郁症的治疗也存在多种障碍，但一旦个体接受治疗，他们可能无法获得所需的护理类型。为了研究那些尽管寻求心理健康治疗但仍未满足抑郁症治疗需求的人的常见因素，我们检查了 2018 年全国药物使用和健康调查（NSDUH）的数据。我们横向比较了两组均符合过去一年重性抑郁发作（MDE）标准并寻求心理健康治疗的个体，但一组报告存在未满足的治疗需求，而另一组则没有。结果表明，各种个人身份和社会因素与感知未满足的治疗需求有关，包括年龄、种族/族裔、性吸引力、婚姻状况、贫困水平、健康保险、物质滥用、全球健康和角色障碍。这项研究通过提供进一步证据，支持了消费者、提供者和系统层面上的抑郁症治疗差异，这些差异对健康公平政策和公共卫生促进有下游影响，为相关文献做出了贡献。
