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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 >Barriers to Mental Health Treatment in Rural Older Adults
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Barriers to Mental Health Treatment in Rural Older Adults

机译：农村老年人心理健康治疗的障碍

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Objectives: The purpose of this study was to identify the barriers to seeking mental health treatment experienced by rural older adults. We also examined if barriers differed by age and worry severity. Methods: Participants were 478 rural older adults responding to a flyer for a psychotherapy intervention study. Interested participants were screened by telephone, and barriers to mental health treatment were assessed. Participants completed a demographic questionnaire and the Penn State Worry Questionnaire-Abbreviated. Results: The most commonly reported barrier to treatment was the personal belief that "I should not need help." Other commonly reported barriers included practical barriers (cost, not knowing where to go, distance), mistrust of mental health providers, not thinking treatment would help, stigma, and not wanting to talk with a stranger about private matters. Multivariable analyses indicated that worry severity and younger age were associated with reporting more barriers. Conclusions: Multiple barriers interfere with older adults seeking treatment for anxiety and depression. Older age is associated with fewer barriers, suggesting that the oldest old may have found strategies for overcoming these barriers. Young-old adults may benefit from interventions addressing personal beliefs about mental health and alternative methods of service delivery.
机译：目的：本研究的目的是确定农村老年人在寻求心理健康治疗方面遇到的障碍。我们还检查了障碍是否因年龄和忧虑严重程度而有所不同。方法：参与者为478名农村老年人，他们对传单进行了心理治疗干预研究。通过电话筛选感兴趣的参与者，并评估心理健康治疗的障碍。参加者填写了一份人口统计问卷，并写了宾州州忧虑问卷。结果：最常报告的治疗障碍是个人认为“我不需要帮助”。其他通常报告的障碍包括实际障碍（成本，不知道去哪里，距离），对精神卫生服务提供者的不信任，不认为治疗会有所帮助，受到污名，以及不愿与陌生人谈论私人事务。多变量分析表明，忧虑严重程度和年龄较小与报告更多障碍有关。结论：多种障碍会干扰寻求焦虑和抑郁治疗的老年人。年龄越大，障碍就越少，这表明年龄最大的老人可能已经找到了克服这些障碍的策略。年轻的成年人可能会受益于干预措施，这些干预措施涉及个人关于心理健康的信念以及提供服务的替代方法。

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