Tang Tao-Ran, Wang Mi, Li Hong, Yang Song-Chun, Zhang Cheng-Cheng, Lin Wen-Rui, Ke Xin-Chen, Zhang Han-Yi, Su Juan, Zhu Shi-Lin
School of Nursing, Hunan University of Chinese Medicine, Hunan, Changsha, China.
Department of Dermatology, Xiangya Hospital, Central South University, Hunan, Changsha, China.
Front Psychol. 2023 May 16;14:1150998. doi: 10.3389/fpsyg.2023.1150998. eCollection 2023.
The study aimed to analyze the current status and reasons for the neglect of the psychological need of patients with common skin diseases.
This cross-sectional study was conducted in China using an online self-assessment questionnaire distributed via social media. Demographic, clinical and psychological data were collected, and the main outcomes, i.e., depression (evaluated using the 9-item Patient Health Questionnaire, PHQ-9) and anxiety (evaluated using Generalized Anxiety Disorder-7, GAD-7). Multivariate regression analysis was used for the prediction of variates of mental health service seeking behaviors.
A total of 1,010 patients participated in the survey, and 273 (27.0%) patients met the "with need" criteria, i.e., having the need for mental health intervention but not being treated. In the multivariate regression model, income (OR = 0.80, 95%CI: 0.65-0.99), duration of disease (OR = 0.68, 95%CI: 0.49-0.95) and suicide ideation (OR = 2.10, 95%CI: 1.14-3.87) were significant factors. For patients who did not receive mental health care, the lack of knowledge about the availability of mental health services, lack of knowledge of where to seek help, concerns about the side effects of treatment, failure to seek treatment for severe skin diseases, and absence of current psychological distress were associated with their need for psychological intervention.
This study examined the current status of the need for psychological intervention and the reasons why the need was unmet in patients with skin diseases. Due to the confusion and a lack of knowledge about their mental health issues, mental health services are often underutilized.
本研究旨在分析常见皮肤病患者心理需求被忽视的现状及原因。
本横断面研究在中国进行，通过社交媒体分发在线自我评估问卷。收集人口统计学、临床和心理数据，主要结局指标为抑郁（使用9项患者健康问卷，PHQ - 9评估）和焦虑（使用广泛性焦虑障碍 - 7，GAD - 7评估）。采用多因素回归分析预测寻求心理健康服务行为的变量。
共有1010名患者参与调查，273名（27.0%）患者符合“有需求”标准，即有心理健康干预需求但未接受治疗。在多因素回归模型中，收入（OR = 0.80，95%CI：0.65 - 0.99）、病程（OR = 0.68，95%CI：0.49 - 0.95）和自杀意念（OR = 2.10，95%CI：1.14 - 3.87）是显著因素。对于未接受心理健康护理的患者，对心理健康服务可及性的知识缺乏、不知何处寻求帮助、对治疗副作用的担忧、严重皮肤病未寻求治疗以及当前无心理困扰与他们对心理干预的需求相关。
本研究调查了皮肤病患者心理干预需求的现状以及需求未得到满足的原因。由于对自身心理健康问题的困惑和知识缺乏，心理健康服务常常未得到充分利用。
