匈牙利初级保健提供者的心理健康素养:一项基于小插曲的调查。

IF 3.6 3区 医学 Q1 PSYCHIATRY
Valerie S Swisher, Dorottya Őri, Zoltán Rihmer, Róbert Wernigg
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引用次数: 0

摘要

目的:本研究考察了匈牙利初级保健提供者(pcp)的心理健康素养和障碍识别的预测因素。方法:匈牙利的208名pcp完成了一项调查,评估人口统计学、心理健康污名和心理健康暴露(即个人经历和有心理健康状况的家庭成员/朋友)。参与者阅读了六个描述强迫症(OCD)伤害/攻击亚型(OCD- aggression)、强迫症秩序/对称亚型(OCD- order)、广泛性焦虑障碍(GAD)、社交焦虑障碍(SAD)、恐慌障碍(PD)和重度抑郁症(MDD)的小短文,并被要求识别每种病症、感知到的障碍原因,并提供治疗建议。描述性分析用于表征障碍识别率,感知障碍原因和治疗转诊。进行二元logistic回归分析以检验人口学特征、精神健康污名和暴露于精神健康状况对疾病准确识别的预测程度。结果:每个小片段的识别率分别为:强迫症-攻击(27.9%)、强迫症-秩序(75.5%)、SAD(34.1%)、GAD(76.0%)、PD(78.8%)和MDD(91.3%)。首选治疗转诊者为强迫症攻击(63.0%)、强迫症命令(53.8%)和重度抑郁症(46.6%)的精神科医生,SAD(58.7%)和广泛性焦虑症(48.6%)的心理学家/治疗师,以及PD(39.9%)的PCP。错误标签条件与年龄(GAD、强迫症攻击、PD和MDD)、男性(GAD)、更大的心理健康耻辱感(强迫症命令)和缺乏对心理健康状况的接触(SAD)显著相关。结论:研究结果突出了匈牙利pcp在心理健康状况知识方面的优势(例如抑郁症识别)和局限性,并确定了提高心理健康素养的目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mental health literacy among primary care providers in Hungary: a vignette-based survey.

Objective: This study examined mental health literacy and predictors of disorder recognition among primary care providers (PCPs) in Hungary.

Methods: 208 PCPs in Hungary completed a survey assessing demographics, mental health stigma, and exposure to mental health (i.e., personal experiences and having a family member/friend with a mental health condition). Participants read six vignettes describing obsessive-compulsive disorder (OCD) harm/aggression subtype (OCD-Aggression), OCD order/symmetry subtype (OCD-Order), generalized anxiety disorder (GAD), social anxiety disorder (SAD), panic disorder (PD), and major depressive disorder (MDD) and were asked to identify each condition, perceived disorder causes, and provide treatment referrals. Descriptive analyses were used to characterize disorder recognition rates, perceived disorder causes, and treatment referrals. Binary logistic regression analyses were conducted to examine the degree to which demographic characteristics, mental health stigma, and exposure to mental health conditions predict accurate disorder recognition.

Results: Identification rates for each vignette were: OCD-Aggression (27.9%), OCD-Order (75.5%), SAD (34.1%), GAD (76.0%), PD (78.8%), and MDD (91.3%). First-choice treatment referrals were a psychiatrist for OCD-Aggression (63.0%), OCD-Order (53.8%), and MDD (46.6%), a psychologist/therapist for SAD (58.7%) and GAD (48.6%), and a PCP for PD (39.9%). Mislabeling conditions was significantly associated with older age (for GAD, OCD-Aggression, PD and MDD), male gender (for GAD), greater mental health stigma (for OCD-Order), and lack of exposure to mental health conditions (for SAD).

Conclusions: Findings highlight strengths (e.g., depression recognition) and limitations in knowledge of mental health conditions among PCPs in Hungary and identifies targets to address to improve mental health literacy.

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来源期刊
CiteScore
6.60
自引率
2.70%
发文量
43
审稿时长
>12 weeks
期刊介绍: Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.
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