Aljhani Sumayah, Aldughayim Sultan, Alsweed Ziyad, Alherbish Sulaiman, Alhumaid Faris, Alismail Rayan, Alkhalaf Saleh, AlBahouth Ibrahim
Department of Psychiatry, College of Medicine, Qassim University, Buraydah, Qassim, Saudi Arabia.
Medical Student, Qassim University, Buraydah, Qassim, Saudi Arabia.
Psychiatr Q. 2025 Mar;96(1):75-89. doi: 10.1007/s11126-024-10104-8. Epub 2024 Nov 30.
Mental disorders are a global health issue affecting millions of individuals. People with mental disorders often face barriers to treatment, including stigma and discrimination, social, religious, and familial barriers, and a lack of knowledge about available treatment options. These barriers can lead to delayed or untreated mental illnesses, with serious consequences for the individuals, their families, and communities. This cross-sectional study explores the treatment barriers for different mental disorders as they significantly impact people's lives. It includes patients diagnosed with mental disorders. The data were collected from the patients or their companions attending Qassim Mental Health Hospital's outpatient clinic. We used a self-administered online questionnaire, sociodemographic variables, and the barrier to access to care evaluation (BACE) scale. Our sample included 332 adult patients with mental disorders (men, 63.9%; women, 36.1%). The mean percentage scores for stigma-, attitude-, and instrument-related barriers were 26.7%, 33.0%, and 18.7%, respectively. Younger age was associated with higher scores in all three BACE domains. Patients with psychotic disorders faced stigma- and attitude-related barriers, but not instrument-related barriers. Patients with multiple mental conditions faced increased stigma- and instrument-related barriers but not attitude-related barriers. Further longitudinal studies are required to better understand these barriers to help patients with mental conditions.
精神障碍是一个全球性的健康问题，影响着数百万人。患有精神障碍的人往往面临治疗障碍，包括污名和歧视、社会、宗教和家庭障碍，以及对现有治疗选择缺乏了解。这些障碍可能导致精神疾病的延迟治疗或得不到治疗，给个人、其家庭和社区带来严重后果。这项横断面研究探讨了不同精神障碍的治疗障碍，因为它们对人们的生活有重大影响。研究对象包括被诊断患有精神障碍的患者。数据是从卡西姆心理健康医院门诊就诊的患者或其陪同人员那里收集的。我们使用了一份自行填写的在线问卷、社会人口统计学变量以及获得护理障碍评估（BACE）量表。我们的样本包括332名成年精神障碍患者（男性占63.9%；女性占36.1%）。污名、态度和工具相关障碍的平均得分百分比分别为26.7%、33.0%和18.7%。年龄较小与BACE所有三个领域的得分较高相关。患有精神分裂症的患者面临污名和态度相关障碍，但不存在工具相关障碍。患有多种精神疾病的患者面临的污名和工具相关障碍增加，但不存在态度相关障碍。需要进一步进行纵向研究，以更好地了解这些障碍，从而帮助患有精神疾病的患者。
