Madianos M G, Madianou D, Stefanis C N
Department of Psychiatry Medical School, University of Athens, Greece.
Soc Psychiatry Psychiatr Epidemiol. 1993 Nov;28(6):285-91. doi: 10.1007/BF00795909.
A nationwide home survey on the identification of possible factors affecting help-seeking behaviour for psychiatric reasons and the prevalence of related psychosocial problems was carried out in a sample of 3754 adults in Greece. Of the total of 570 respondents who reported at the personal interview that they had a serious mental health problem, only 40.8% reported that they had attended a physician or a psychiatrist. A significant proportion of this population (42.5%) had sought the help of a physician. Multivariate analysis revealed two opposite groups of factors determining help-seeking behaviour. Respondents with a serious psychopathological profile (suicidal, depressive and a history of hospitalization) tended to be under psychiatric care. Respondents of lower socio-economic status expressing psychosomatic symptoms were usually the clientelle of physicians. The results are discussed in relation to the need for the development of strategies and techniques in reaching out to mentally ill patients by the appropriate specialists.
在希腊对3754名成年人进行了一项全国性的家庭调查,以确定可能影响因精神问题寻求帮助行为的因素以及相关心理社会问题的患病率。在个人访谈中报告有严重心理健康问题的570名受访者中,只有40.8%报告曾就诊于医生或精神科医生。这一人群中有很大一部分(42.5%)曾寻求过医生的帮助。多变量分析揭示了决定寻求帮助行为的两组相反因素。具有严重精神病理学特征(有自杀、抑郁和住院史)的受访者倾向于接受精神科护理。表现出心身症状的社会经济地位较低的受访者通常是医生的服务对象。结合适当的专业人员制定接触精神病患者的策略和技术的必要性,对研究结果进行了讨论。