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Patterns, delays, and associated factors of help-seeking behaviour for lifetime mood disorders and anxiety disorders: A national representative survey

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Pubmed体系：
作者：
Zhong Shaoling[1] * ; Ma Chao[2] * ; Huang Yueqin[2] ; Zhang Tingting[2] ; Hou Xiaofei[3] ; Tai Tak Ching[2] ; Yan Jie[4] ; Yu Yaqin[5] ; Xu Xiufeng[6] ; Wang Zhizhong[7] ; Xu Yifeng[8] ; Li Tao[9] ; Xu Guangming[3] ; Xu Xiangdong[10] ; Wang Limin[11] ; Yan Yongping[12] ; Xiao Shuiyuan[13] ; Li Lingjiang[14] ; Liu Zhaorui[15] ; Zhou Liang[16] ;
机构： [1]The Affiliated Brain Hospital, Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou 510370, China. [2]Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health, Peking University, National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing 100191, China. [3]Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin 300222, China. [4]Institute of Social Science Survey, Peking University, Beijing 100871, China. [5]Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, Jilin, China. [6]Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan, China. [7]Department of Epidemiology and Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan 750004, Ningxia, China. [8]Shanghai Mental Health Center, School of Medicine, Shanghai Jiao Tong University, Shanghai 200030, China. [9]Mental Health Centre of West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China. [10]The Fourth People's Hospital in Urumqi, Urumqi 830002, China. [11]National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China. [12]Department of Epidemiology, Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, School of Public Health, Fourth Military Medical University, Xi'an 710032, China. [13]Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, Hunan, China. [14]Mental Health Institute, the Second Xiangya Hospital, Central-south University, Changsha 410011, Hunan, China. [15]Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health, Peking University, National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing 100191, China. Electronic address: zhaoruiliu@bjmu.edu.cn. [16]The Affiliated Brain Hospital, Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou 510370, China. Electronic address: liangzhou_csu@vip.163.com.
出处：
DOI： 10.1016/j.jad.2024.12.010
ISSN：

关键词： Help-seeking Mental health services Delay Depression Anxiety

摘要：
Utilisation of health services is low and delayed among individuals with mood mental disorders and anxiety disorders, despite high disease burdens and available effective treatments. This study aims to examine patterns and delays in help-seeking and associated factors among individuals with lifetime disorder of mood disorders and/or anxiety disorders.We used data from the China Mental Health Survey (CMHS), a nationally representative multistage clustered-area probability sample study across 31 provinces. We assessed lifetime mental disorders and help-seeking behaviour using the Composite International Diagnostic Interview (CIDI). Logistic regression analyses were used to examine sociodemographic and clinical correlates of delay to seek health care.Among 32,552 participants, we identified 3075 patients with lifetime mood and/or anxiety disorders; 486 (15.5 % [95 % CI: 13.6-17.5 %]) have sought health care. Of these, 163 (4.8 % [95 % CI: 3.7-6.3]) ever sought specialized mental health services. The delays to initial health care were 1.0 (IQR: 0-7.1), 1.9 (0-10.0), and 10.0 (1.0-22.1) years for depressive, bipolar, and anxiety disorders. Patients with comorbidities, later age of onset, and living in urban areas showed a higher propensity for help-seeking (all p < 0.05). Older cohort was associated with longer delays in seeking health care, while a later age of onset was associated with shorter delays (all p < 0.05).The cross-sectional retrospective design and self-assessment approach may add bias.Failure and delays in help-seeking are common in China. National strategies are needed to promote health care utilisation.Copyright © 2024 Elsevier B.V. All rights reserved.

基金：
The study was funded by the National “Twelfth Five-Year Plan” for Science and Technology Support of the Ministry of Science and Technology (Grant 2012BAI01B01), the Special Research Project for Nonprofit Public Service of Ministry of Health (Grant 201202022) and the Capital's Funds for Health Improvement and Research (2020-2Z-4116).
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2025]版：
无
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 精神病学
第一作者：
第一作者机构： [1]The Affiliated Brain Hospital, Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou 510370, China.
共同第一作者：
通讯作者：
推荐引用方式(GB/T 7714)：
Zhong Shaoling,Ma Chao,Huang Yueqin,et al.Patterns, delays, and associated factors of help-seeking behaviour for lifetime mood disorders and anxiety disorders: A national representative survey[J].Journal Of Affective Disorders.2024,372:386-393.doi:10.1016/j.jad.2024.12.010.
APA：
Zhong Shaoling,Ma Chao,Huang Yueqin,Zhang Tingting,Hou Xiaofei...&Zhou Liang.(2024).Patterns, delays, and associated factors of help-seeking behaviour for lifetime mood disorders and anxiety disorders: A national representative survey.Journal Of Affective Disorders,372,
MLA：
Zhong Shaoling,et al."Patterns, delays, and associated factors of help-seeking behaviour for lifetime mood disorders and anxiety disorders: A national representative survey".Journal Of Affective Disorders 372.(2024):386-393

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