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沙特阿拉伯精神疾病治疗的障碍:一项基于人群的横断面研究。

Barriers to Mental Illness Treatment in Saudi Arabia: A Population-Based Cross-Sectional Study.

作者信息

Mohamed Ahmed A, Alomair Sufyan M, Alnijadi Abdulrahman A, Abd Aziz Fatimatuzzahra, Almulhim Abdulaziz S, Hammad Mohamed A, Emeka Promise M

机构信息

Clinical Pharmacy, College of Clinical Pharmacy, King Faisal University, Al-Ahsa, SAU.

Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, MYS.

出版信息

Cureus. 2024 Feb 7;16(2):e53797. doi: 10.7759/cureus.53797. eCollection 2024 Feb.

Abstract

BACKGROUND

Mental illness is a disorder that can cause impairment and disability, affecting mood, thinking, and behavior; therefore, early intervention will reduce morbidity. This study aims to evaluate all the personal, family, societal, and medical barriers that prevent mental health patients from seeking consultation and treatment.

METHODS

In Saudi Arabia, a cross-sectional study was conducted on 463 individuals aged 18 and above. Data were collected by face-to-face interviews using a validated questionnaire, which consisted of two parts. The first part included sociodemographic data, while the second part contained subsections of society/family, personal, and medical barriers.

RESULTS

The results showed that 379 (81.9%) indicated that society and family barriers impacted them, whereas 325 (70.3%) believed that personal barriers hindered seeking help. However, 294 (63.5%) opted for medical barriers as a hindrance. Regarding the highest barriers, 120 of the total respondents (25.9%) saw psychiatric illness as a source of shame and stigma, 166 respondents (35.9%) said that the psychiatric patient is seen as crazy, 159 of them (34.3%) believed it is tough for anyone to talk about their feelings and emotions and 183 respondent (39.5%) feared that psychiatric illness would decrease the chance of marriage to the appropriate person. Our findings also indicated a low trust in hospital treatment, hence a loss of confidence in using medications.

CONCLUSION

The findings of this study indicate that societal stigma is the most common barrier preventing people from seeking mental health consultation. Many barriers differ significantly between males and females.

摘要

背景

精神疾病是一种可导致损伤和残疾的病症,会影响情绪、思维和行为;因此,早期干预将降低发病率。本研究旨在评估所有阻碍心理健康患者寻求咨询和治疗的个人、家庭、社会及医疗障碍。

方法

在沙特阿拉伯,对463名18岁及以上的个体进行了一项横断面研究。通过使用经过验证的问卷进行面对面访谈收集数据,问卷由两部分组成。第一部分包括社会人口统计学数据,而第二部分包含社会/家庭、个人及医疗障碍的子部分。

结果

结果显示,379人(81.9%)表示社会和家庭障碍对他们有影响,而325人(70.3%)认为个人障碍阻碍了寻求帮助。然而,294人(63.5%)选择医疗障碍作为阻碍因素。关于最高的障碍,在所有受访者中,120人(25.9%)将精神疾病视为羞耻和污名的来源,166名受访者(35.9%)表示精神科患者被视为疯子,其中159人(34.3%)认为任何人都很难谈论自己的感受和情绪,183名受访者(39.5%)担心精神疾病会降低与合适人选结婚的机会。我们的研究结果还表明对医院治疗的信任度较低,因此对使用药物缺乏信心。

结论

本研究结果表明,社会污名是阻碍人们寻求心理健康咨询的最常见障碍。许多障碍在男性和女性之间存在显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8dc/10924077/e6c9a4438951/cureus-0016-00000053797-i01.jpg

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