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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >Bridging the Gap Between Common Mental Disorders and Service Use: The Role of Self-Rated Mental Health Among African Americans
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Bridging the Gap Between Common Mental Disorders and Service Use: The Role of Self-Rated Mental Health Among African Americans

机译：弥合常见精神障碍和服务使用之间的鸿沟：非洲裔美国人自我评价的心理健康的作用

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Objective: The unmet need for mental health care in racial/ethnic minorities has been a major public health concern. Using a sample of African Americans, this study questioned whether self-rated mental health (SRMH), an individual's subjective assessment of personal mental and emotional status, modifies the link between mental disorders and service use. Design: Cross-sectional analyses of the Milwaukee African American over-sample of the Midlife Development in the United States (MIDUS II) study, 2005-2006. Setting: In-home personal interviews. Participants: Self-identified African American/black participants aged 40 to 85 years (N = 460). Measurements: Participants were assessed if they met the diagnostic criteria for three common mental disorders (major depression, generalized anxiety disorder, and panic disorder) in the prior 12 months, using the Composite International Diagnostic Interview (CIDI). Response to a single-item SRMH was dichotomized (excellent/very good/good or fair/poor). Service use was indicated by the use of any services in the past year (mental health specialist, general doctor, and clergy). Results: Multivariate analyses identified a significant interaction between mental disorder and SRMH in predicting service use. The likelihood of service use increased substantially when individuals with a disorder reported their mental health to be fair/poor. Conclusions: Reflecting its subjective nature, SRMH enhances our understanding of individual variations in self-recognition and help-seeking behaviors. Findings suggest that interventions that enhance an individual's self-awareness of mental health problems may help bridge the gap between mental health care needs and service use in African Americans.
机译：目标：种族/族裔少数群体对心理健康的需求未得到满足是一个主要的公共卫生问题。使用非裔美国人的样本，该研究质疑自我评估的心理健康（SRMH）（个人对个人心理和情绪状况的主观评估）是否改变了精神障碍与服务使用之间的联系。设计：2005-2006年，密尔沃基非裔美国人对美国中年发展的过度抽样（MIDUS II）研究的横断面分析。地点：家庭内个人访谈。参与者：年龄在40至85岁之间（N = 460）的自我识别的非洲裔美国人/黑人参与者。测量：使用综合国际诊断访谈（CIDI）对参加者在过去12个月中是否符合三种常见精神障碍（重度抑郁症，广泛性焦虑症和恐慌症）的诊断标准进行评估。将对单项SRMH的响应分为两部分（优秀/非常好/好或一般/差）。过去一年中使用的任何服务（心理健康专家，普通医生和神职人员）都表明了服务的使用。结果：多元分析确定了精神障碍和SRMH之间在预测服务使用方面的显着相互作用。当精神障碍患者的心理健康状况良好/不良时，使用服务的可能性就会大大增加。结论：反映其主观性质，SRMH增强了我们对自我认知和寻求帮助行为中个体差异的理解。研究结果表明，增强个人对心理健康问题自我意识的干预措施可能有助于弥合非裔美国人的心理保健需求与服务使用之间的差距。

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