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Cognitive appraisals of specialty mental health services and their relation to mental health service utilization in the rural population.

机译：农村特殊心理健康服务的认知评估及其与心理健康服务利用的关系。

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摘要

Until now, research on mental health service utilization in rural populations has focused on environmental barriers, sociodemographic barriers, and cultural barriers to seeking mental health care; considerably less attention has focused on cognitive appraisals such as individual perceptions of need, outcome expectancies and outcome value. Demographic and environmental characteristics, cultural perceptions of seeking help for emotional problems, cognitive appraisals, and current psychiatric symptoms were assessed in one model that predicted mental health service utilization in a rural sample. There were several hypotheses proposed: (1) Psychiatric symptoms will be positively related to mental health service utilization; (2) There would be higher utilization for medical care versus specialty mental health care; (3) There would be a higher perception of need and outcome expectancy for primary care than for specialty mental health care; (4) A higher number of environmental barriers would predict lower specialty mental health service utilization; (5) An increase in cultural barriers would predict lower specialty mental health utilization; and (6) Cognitive appraisals of specialty mental health care services would significantly predict specialty mental health care utilization above and beyond the effect of psychiatric symptoms, demographic variables, environmental barriers, and cultural barriers. The results of this study support the hypothesis that cognitive appraisals have an impact on the decision to seek specialty mental health services in a rural sample. Study findings, limitations, and implications are discussed.
机译：到目前为止，有关农村人口心理健康服务利用的研究集中在环境障碍，社会人口统计学障碍和文化障碍上，以寻求精神保健；注意力集中在认知评估上的情况要少得多，例如个人对需求，结果预期和结果价值的看法。在预测农村样本中心理健康服务利用的一种模型中，评估了人口和环境特征，寻求情感问题的文化观念，认知评估以及当前的精神病症状。提出了以下几种假设：（1）精神症状与精神卫生服务的利用成正相关； （2）与专门的精神保健相比，医疗保健的利用率更高； （3）与专科精神卫生保健相比，对初级卫生保健的需求和预期预期会有更高的认识； （4）更多的环境壁垒将预示着专业精神卫生服务的利用率较低； （5）文化障碍的增加将预示着特殊心理健康的利用将降低； （6）对专业精神卫生服务的认知评估将大大预测专业精神卫生服务的使用，而不仅仅是精神病症状，人口统计学变量，环境障碍和文化障碍的影响。这项研究的结果支持以下假设：认知评估会对在农村样本中寻求特殊心理健康服务的决定产生影响。讨论了研究结果，局限性和含义。

著录项

  • 作者

    Deen, Tisha Lee.;

  • 作者单位

    University of Arkansas.;

  • 授予单位 University of Arkansas.;
  • 学科 Mental health.;Social research.;Public policy.;Social psychology.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 60 p.
  • 总页数 60
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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