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围产期焦虑症状女性的求助和治疗提供偏好。

Help-seeking and treatment delivery preferences for women experiencing perinatal anxiety symptoms.

机构信息

School of Psychology, University of New England, Australia.

Discipline of Psychology, Edith Cowan University, Australia.

出版信息

Behav Cogn Psychother. 2023 Jul;51(4):271-285. doi: 10.1017/S1352465823000012. Epub 2023 Apr 3.

Abstract

BACKGROUND

Anxiety is common during the perinatal period and despite effective treatments being available, many women with perinatal anxiety disorders experience barriers when accessing treatment.

AIMS

The aims of the current study were to explore women's perceived barriers to treatment uptake; cognitive behavioural therapy (CBT) treatment delivery preferences; and the utility of the Health Belief Model (HBM) in predicting intention to seek psychological help for women with perinatal anxiety symptoms.

METHOD

This study employed a cross-sectional design consisting of women with self-reported anxiety in the perinatal period. A total of 216 women (=28.53 years; =4.97) participated in the study by completing a battery of online self-report measures.

RESULTS

The results indicated that the most salient barriers to accessing care were: (1) the cost of treatment, (2) wanting to solve the problem on their own, and (3) thinking the problem would go away without treatment. Group-delivered CBT was the least acceptable treatment method, while face-to-face individual CBT was the most acceptable treatment method. The HBM variables predicted approximately 35% of the variance in help-seeking intention.

DISCUSSION

This study has important implications for the delivery of psychological care in the perinatal period and may be used to improve treatment uptake.

摘要

背景

焦虑在围产期很常见,尽管有有效的治疗方法,但许多患有围产期焦虑障碍的女性在接受治疗时会遇到障碍。

目的

本研究旨在探讨女性对治疗接受度的认知障碍;认知行为疗法(CBT)治疗的选择偏好;以及健康信念模型(HBM)在预测有围产期焦虑症状的女性寻求心理帮助的意愿中的作用。

方法

本研究采用横断面设计,包括自我报告有围产期焦虑的女性。共有 216 名女性(=28.53 岁;=4.97)参加了这项研究,通过完成一系列在线自我报告测量。

结果

结果表明,接受治疗的最主要障碍是:(1)治疗费用,(2)想要自行解决问题,以及(3)认为无需治疗问题就会消失。小组提供的 CBT 是最不可接受的治疗方法,而面对面的个体 CBT 是最可接受的治疗方法。HBM 变量预测了寻求帮助意愿的约 35%的差异。

讨论

本研究对围产期心理护理的提供具有重要意义,可能有助于提高治疗接受度。

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