Berkout Olga V, Barena Emily
Department of Psychology and Counseling, University of Texas at Tyler, 3900 University Blvd, Tyler, TX, 75799, USA.
Adm Policy Ment Health. 2025 Mar 28. doi: 10.1007/s10488-025-01438-x.
Understanding the perspectives of individuals with mental health concerns and the influence of barriers and facilitators on treatment access can help mental health professionals ensure that those they serve receive needed care. The current study examined these factors in an online survey among 295 adults self-identifying as diagnosed with a mental health condition, which they felt was uncontrolled by intervention or psychiatric medication and impacted their daily lives. Most participants were not receiving psychotherapy or psychiatric medication, although some were accessing care and indicating unmet needs. A majority expressed a desire for more specialized care. Positive perception of providers, higher distress, and greater stigma tolerance were related to greater openness towards receiving psychotherapy and greater openness to psychotherapy, higher distress, and lower perceived barriers were associated with psychotherapy receipt. The relationship between openness towards psychotherapy and receipt was also stronger for those who perceived lower barriers to care. Advocacy and efforts to promote positive attitudes and reduce barriers by mental health practitioners and professional organizations may help support treatment access.
了解有心理健康问题的个体的观点以及障碍和促进因素对获得治疗的影响，有助于心理健康专业人员确保他们所服务的人得到所需的护理。当前的研究在一项在线调查中对295名自我认定患有心理健康疾病的成年人进行了调查，他们认为这种疾病不受干预或精神药物控制，并影响了他们的日常生活。大多数参与者没有接受心理治疗或精神药物治疗，尽管有些人正在接受护理并表示有未满足的需求。大多数人表示希望获得更专业的护理。对提供者的积极看法、更高的痛苦程度和更强的耻辱感容忍度与更愿意接受心理治疗有关，而更愿意接受心理治疗、更高的痛苦程度和更低的感知障碍与接受心理治疗有关。对于那些认为获得护理的障碍较低的人来说，对心理治疗的接受意愿与实际接受治疗之间的关系也更强。心理健康从业者和专业组织的宣传以及促进积极态度和减少障碍的努力可能有助于支持治疗的获得。
