Lee Eun Sol, Ha Yujeong, Ko Young-Mi, Park Subin
Division of Mental Health Research, Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea.
Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea.
Psychiatry Investig. 2025 Jan;22(1):1-9. doi: 10.30773/pi.2024.0148. Epub 2025 Jan 15.
The treatment rate for alcohol use disorder (AUD) in Korea is significantly lower than its prevalence rate. Because untreated AUD can have harmful consequences, it is important to identify the factors that contribute to individuals with AUD seeking mental health services.
We collected nationally representative data from the National Mental Health Survey of Korea 2021 and analyzed responses from 643 individuals with AUD, of which 76.8% were male. Factors related to mental health service utilization among individuals with AUD were classified into three categories: sociodemographic (such as sex, age, marital status, education, and monthly household income), clinical (including symptom severity, psychiatric comorbidity, suicidality, and physical illness), and psychological characteristics (like perceived stigma, loneliness and social isolation, and resilience). We used multiple logistic regression analyses to examine each characteristic separately and combined in a single model to determine the most significant factors.
The three logistic regression models revealed that sex, psychiatric comorbidity, physical illness, and perceived stigma are significantly linked to the utilization of mental health services among individuals with AUD. Results from the comprehensive model indicated that only physical illness and perceived stigma have significant associations with mental health service utilization.
These findings can assist in developing targeted interventions for individuals with AUD.
韩国酒精使用障碍（AUD）的治疗率显著低于其患病率。由于未经治疗的AUD会产生有害后果，因此识别促使AUD患者寻求心理健康服务的因素非常重要。
我们从2021年韩国全国心理健康调查中收集了具有全国代表性的数据，并分析了643名AUD患者的回答，其中76.8%为男性。AUD患者中与心理健康服务利用相关的因素分为三类：社会人口学因素（如性别、年龄、婚姻状况、教育程度和家庭月收入）、临床因素（包括症状严重程度、精神共病、自杀倾向和身体疾病）和心理特征（如感知到的耻辱感、孤独和社会隔离以及心理韧性）。我们使用多元逻辑回归分析分别检验每个特征，并将其组合在一个单一模型中，以确定最显著的因素。
三个逻辑回归模型显示，性别、精神共病、身体疾病和感知到的耻辱感与AUD患者的心理健康服务利用显著相关。综合模型的结果表明，只有身体疾病和感知到的耻辱感与心理健康服务利用有显著关联。
这些发现有助于为AUD患者制定有针对性的干预措施。
