Padmavathi R, Rajkumar S, Srinivasan T N
Schizophrenia Research Foundation, Chennai, India.
Psychol Med. 1998 Sep;28(5):1113-7. doi: 10.1017/s0033291798007077.
A significant number of patients with severe psychiatric disorders remain untreated in the community although health services are available. The factors related to non-treatment are not well understood.
A door-to-door survey was conducted on an Indian urban population of 100,000 using standardized screening and clinical instruments as a part of a larger epidemiological study. Treatment status was determined from multiple sources of information.
Nearly one-third of 261 schizophrenia patients were found never to have received treatment. They were older in age and ill for a longer duration than those who had been treated and were more symptomatic and severely disabled. They were more often uneducated and divorced and lived with larger extended/joint families. This last factor was considered as being the important factor in determining whether the patient received treatment.
The larger extended/joint family, which was able to compensate and cope with the dysfunctional member, seemed to be the crucial factor related to non-treatment of the schizophrenic patient.
尽管有卫生服务可利用，但社区中仍有相当数量的重症精神障碍患者未得到治疗。与未治疗相关的因素尚未得到充分了解。
作为一项更大规模流行病学研究的一部分，使用标准化筛查和临床工具对印度城市中10万人口进行了挨家挨户的调查。治疗状况由多种信息来源确定。
在261名精神分裂症患者中，近三分之一的人从未接受过治疗。他们比接受过治疗的患者年龄更大、患病时间更长，症状更明显且残疾更严重。他们往往受教育程度较低、离异，且与规模更大的大家庭/联合家庭生活在一起。最后这个因素被认为是决定患者是否接受治疗的重要因素。
能够补偿并应对功能失调成员的规模更大的大家庭/联合家庭，似乎是与精神分裂症患者未接受治疗相关的关键因素。
