Jorm A F, Korten A E, Jacomb P A, Rodgers B, Pollitt P, Christensen H, Henderson S
Psychiatric Epidemiology Research Centre, Australian National University, Canberra, Australia.
Br J Psychiatry. 1997 Sep;171:233-7. doi: 10.1192/bjp.171.3.233.
The study aimed to compare the beliefs of health professionals about the potential helpfulness of various mental health interventions with those of the general public.
Surveys were carried out in Australia of 872 general practitioners, 1128 psychiatrists, 454 clinical psychologists and 2031 members of the public. Respondents were presented with a case vignette describing either a person with depression or one with schizophrenia. Respondents were asked to rate the likely helpfulness of various types of professional and non-professional help and of pharmacological and non-pharmacological interventions.
The professionals gave much high ratings than the public to the helpfulness of antidepressants for depression, and of antipsychotics and admission to a psychiatric ward for schizophrenia. Conversely, the public tended to give much more favourable ratings to vitamins and minerals and special diets for both depression and schizophrenia, and to reading self-help books for schizophrenia.
The beliefs that health practitioners hold about mental disorders differ greatly from those of the general public. There is a need for mental health education campaigns to help close the gap between professional and public beliefs.
本研究旨在比较卫生专业人员与普通公众对于各种心理健康干预措施潜在帮助作用的看法。
在澳大利亚对872名全科医生、1128名精神科医生、454名临床心理学家和2031名公众进行了调查。向受访者展示了一个病例 vignette,描述的要么是一名抑郁症患者,要么是一名精神分裂症患者。要求受访者对各类专业和非专业帮助以及药物和非药物干预措施的可能帮助程度进行评分。
专业人员对治疗抑郁症的抗抑郁药以及治疗精神分裂症的抗精神病药和入住精神科病房的帮助程度评分比公众高得多。相反,公众对治疗抑郁症和精神分裂症的维生素、矿物质和特殊饮食,以及治疗精神分裂症的阅读自助书籍往往给予更为积极的评分。
卫生从业者对精神障碍的看法与普通公众有很大差异。需要开展心理健康教育活动,以帮助缩小专业人员和公众看法之间的差距。