Kessler R C, Olfson M, Berglund P A
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA.
Am J Psychiatry. 1998 Jan;155(1):62-9. doi: 10.1176/ajp.155.1.62.
The authors used self-report data to study patterns and predictors of treatment contact after the first onset of DSM-III-R mood, anxiety, and addictive disorders.
Data from the National Comorbidity Survey, a general population survey of 8,098 respondents, were used. Disorders were assessed by using a modified version of the Composite International Diagnostic Interview. Age at onset and age at first treatment contact were assessed retrospectively.
There was great variation across disorders in lifetime probability of treatment contact. Most treatment contact was delayed; the median delay time was between 6 and 14 years across the disorders considered here. Probability of treatment contact was inversely related to age at onset and increased in younger cohorts. The effects of sociodemographic variables were modest and inconsistent across disorders.
The majority of people with the disorders considered here eventually make treatment contact. However, delay was pervasive. Further research is needed on the determinants of delay and on the low probability of lifetime treatment contact among people with early-onset psychiatric disorders.
作者使用自我报告数据研究DSM-III-R情绪、焦虑和成瘾性障碍首次发作后的治疗接触模式及预测因素。
采用全国共病调查的数据，该调查是对8098名受访者进行的普通人群调查。使用综合国际诊断访谈的修改版对疾病进行评估。回顾性评估发病年龄和首次治疗接触年龄。
各疾病在终生治疗接触概率上存在很大差异。大多数治疗接触被延迟；在此处考虑的各疾病中，中位延迟时间在6至14年之间。治疗接触概率与发病年龄呈负相关，且在较年轻队列中有所增加。社会人口统计学变量的影响较小且在各疾病间不一致。
此处所考虑疾病的大多数患者最终会进行治疗接触。然而，延迟现象普遍存在。需要进一步研究延迟的决定因素以及早发性精神疾病患者终生治疗接触概率较低的情况。
