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有和没有边缘智力功能的父母的心理健康和服务利用情况。

Mental health and service use of parents with and without borderline intellectual functioning.

机构信息

UCL Division of Psychiatry, London, UK.

City University and NatCen Associate; NatCen Social Research, London, UK.

出版信息

Psychol Med. 2024 May;54(7):1294-1308. doi: 10.1017/S0033291723003136. Epub 2023 Oct 25.

DOI:10.1017/S0033291723003136
Abstract

BACKGROUND

People with borderline intellectual functioning (BIF) encounter greater social adversities than the general population and have an increased prevalence of mental illness. However, little is known about the socio-demographic characteristics and mental health of parents with BIF.

METHODS

A secondary data analysis of the Adult Psychiatric Morbidity Survey 2014 was conducted. Logistic regression models were fitted to compare differences in socio-demographic, mental health and service-use characteristics between parents and non-parents with and without BIF, and to investigate if the relationship between parent status and mental health outcomes was modified by BIF status, sex, and employment.

RESULTS

Data from 6872 participants was analyzed; 69.1% were parents. BIF parents had higher odds of common mental disorder, severe mental illness, post-traumatic stress disorder, self-harm/suicide and were more likely to see their General Practitioner (GP) and to receive mental health treatment than non-BIF parents. BIF parents did not have a higher prevalence of mental health problems than BIF non-parents. Being a parent, after adjusting for BIF status and other confounders, was associated with increased odds of having a common mental disorder, visits to see a GP and treatment for mental health. Female parents had higher odds of treatment for mental health problems.

CONCLUSIONS

Being a parent is associated with elevated rates of common mental disorders. There is a higher burden of mental health problems and service use in people with BIF. A greater provision of specialist support services including ascertainment is indicated for this group.

摘要

背景

边缘智力功能(BIF)人群比普通人群遭遇更大的社会逆境,并且精神疾病的患病率更高。然而,对于 BIF 父母的社会人口统计学特征和心理健康知之甚少。

方法

对 2014 年成人精神疾病发病率调查的二级数据分析。使用逻辑回归模型比较了 BIF 和非 BIF 父母与非父母在社会人口统计学、心理健康和服务使用特征方面的差异,并调查了父母身份与心理健康结果之间的关系是否因 BIF 状态、性别和就业而改变。

结果

对 6872 名参与者的数据进行了分析;69.1%是父母。BIF 父母患常见精神障碍、严重精神疾病、创伤后应激障碍、自残/自杀的可能性更高,并且更有可能去看全科医生(GP)并接受心理健康治疗,而非 BIF 父母。BIF 父母的心理健康问题患病率并不高于非 BIF 父母。在调整了 BIF 状态和其他混杂因素后,作为父母与常见精神障碍、看 GP 和心理健康治疗的几率增加有关。女性父母接受心理健康问题治疗的几率更高。

结论

作为父母与常见精神障碍的发病率升高有关。BIF 人群的心理健康问题和服务使用负担更高。该群体需要更多的专业支持服务,包括确定。

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