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8
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社会人口因素对抑郁症寻求帮助的影响:基于 2017-2020 年韩国社区健康调查。

The effects of sociodemographic factors on help-seeking for depression: Based on the 2017-2020 Korean Community Health Survey.

机构信息

Department of Neuropsychiatry, Eulji University School of Medicine, Daejeon, Republic of Korea.

Department of Neuropsychiatry, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Republic of Korea.

出版信息

PLoS One. 2023 Jan 19;18(1):e0280642. doi: 10.1371/journal.pone.0280642. eCollection 2023.

DOI:10.1371/journal.pone.0280642
PMID:36656907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9851551/
Abstract

When individuals face psychological difficulties that exceed their resources, consulting professionals for mental health treatment can be an effective way to overcome these difficulties. However, in general, only a few patients receive treatment for depression. The goal of the present study was to explore the help-seeking behaviors of currently employed individuals with depression and the factors influencing their help-seeking behaviors. This study used raw data from the Korean Community Health Survey (KCHS) obtained from 2017 to 2020. A total of 6,505 employed individuals, who responded as having experiences of sadness or hopelessness that caused problems in their lives for more than two weeks and who scored more than nine points on the Patient Health Questionnaire-9, were included in our analysis. Help-seeking behavior was measured as receiving expert advice due to feelings of sadness or hopelessness. Of the 6,505 people with depression, only 1,781 (27.38%) received professional counseling for it. Male participants (adjusted odds ratio [aOR] = 1.31, 95% confidence interval [CI] = 1.157-1.487), those aged 45-64 years (aOR = 1.192, 95% CI = 1.022-1.389) and more than 75 years (aOR = 1.446, 95% CI = 1.059-1.973), those not having a Medical Aid program (aOR = 1.750, 95% CI = 1.375-2.226), and those having low educational levels (aOR = .896, 95% CI = .830-.968) were less likely to seek professional help for depression. Our study found that help-seeking behaviors for depression in the Korean population were low. Furthermore, we identified the characteristics associated with individuals with depressive symptoms who chose not to receive help from mental health professionals. The results of this study provide insights to guide national interventions to increase help-seeking behaviors for depression.

摘要

当个人面临超出自身资源的心理困难时,向心理健康专业人士咨询治疗可能是克服这些困难的有效方法。然而,一般来说,只有少数抑郁症患者接受治疗。本研究旨在探讨目前在职抑郁症患者的求助行为以及影响其求助行为的因素。本研究使用了 2017 年至 2020 年期间韩国社区健康调查(KCHS)的原始数据。共有 6505 名在职人员被纳入分析,这些人回答说自己经历过持续两周以上导致生活问题的悲伤或绝望感,且 PHQ-9 得分超过 9 分。求助行为的衡量标准是因悲伤或绝望感而寻求专家建议。在 6505 名抑郁症患者中,只有 1781 人(27.38%)因此接受了专业咨询。男性参与者(调整后的优势比[aOR] = 1.31,95%置信区间[CI] = 1.157-1.487)、45-64 岁(aOR = 1.192,95%CI = 1.022-1.389)和 75 岁以上(aOR = 1.446,95%CI = 1.059-1.973)、没有医疗补助计划(aOR = 1.750,95%CI = 1.375-2.226)和教育程度较低的参与者(aOR =.896,95%CI =.830-.968)更不可能寻求专业的抑郁症治疗。本研究发现,韩国人群的抑郁症求助行为较低。此外,我们确定了与选择不寻求心理健康专业人员帮助的抑郁症状个体相关的特征。本研究结果为指导旨在增加抑郁症求助行为的国家干预措施提供了依据。