Department of Family and Community Medicine, School of Medicine, University of Jordan, Sweifieh, Amman, Jordan.
School of Medicine, University of Jordan, Sweifieh, Amman, Jordan.
Psychol Health Med. 2023 Jul;28(6):1503-1512. doi: 10.1080/13548506.2022.2093927. Epub 2022 Jun 28.
Depression imposes a tremendous burden on the health-care systems. Many patients prefer informal (family & friends) over formal mental health services (MHS) provided by professionals. We aimed to investigate the prevalence of depression among primary care patients and to examine the factors predicting seeking MHS using the Andersen Health Care Utilization Model. We interviewed 300 primary care patients in Jordan. The mean age was 39.85 ± 14.45, and 80% were women. 35.7% had depression, and 28.7% had significant depression impairing daily function. The most commonly reported source of help was family members and less than one-third had the intention to seek formal MHS. The predisposing-factors domain was the only predictive of seeking MHS in depression and suicide, whereas the 'enabling' and 'need' domains were not. Knowledge, stigma and life satisfaction were predictive of seeking formal MHS. Raising awareness and empowering doctors to screen for depression is needed as less than a third would seek formal MHS.
抑郁症给医疗保健系统带来了巨大的负担。许多患者更倾向于选择非正式的（家庭和朋友）心理健康服务，而不是专业人士提供的正式心理健康服务。我们旨在调查初级保健患者中抑郁症的患病率，并使用安德森医疗保健利用模型研究预测寻求心理健康服务的因素。我们在约旦采访了 300 名初级保健患者。平均年龄为 39.85±14.45 岁，80%为女性。35.7%的人患有抑郁症，28.7%的人患有严重抑郁症，影响了日常功能。最常求助的来源是家庭成员，不到三分之一的人有寻求正式心理健康服务的意愿。在抑郁和自杀方面，倾向因素领域是寻求心理健康服务的唯一预测因素，而“使能”和“需求”领域则不是。知识、耻辱感和生活满意度是寻求正式心理健康服务的预测因素。需要提高认识并赋予医生筛查抑郁症的能力，因为只有不到三分之一的人会寻求正式的心理健康服务。
