上网咨询焦虑、抑郁问题者精神科服务利用度调查  

A Survey of Psychiatric Utility of Clients Counseling Online

作　　者：肖春玲[1] 陈彦方[1] 邹义壮[1] 刘桂霞[2] 冯锋[1] 郭蓄芳[1] 屈英[1] 王向群[3] 

机构地区：[1]北京回龙观医院,北京100096 [2]吉林脑科医院 [3]北京大学精神卫生研究所(第六医院),北京100083

出　　处：《中国心理卫生杂志》2007年第1期62-65,共4页Chinese Mental Health Journal

摘　　要：目的对主观焦虑抑郁上网咨询者的临床特征及实地诊治情况进行对比,探讨网上心理咨询的作用和地位。方法在中华精神卫生网专业版精神科咨询医生所用的“我的办公室”栏目,选取完成焦虑自评量表(SAS)的上网者107名和完成抑郁自评量表(SDS)的上网者102名。这些上网者均进行过网上心理咨询,并完成了内容涉及网上心理咨询及实地诊治情况相关问题的调查。结果焦虑组上网者107名中,男69名(64.5%),女38名(35.5%),年龄28±8岁。大专及以上教育程度88名(82.2%)。抑郁组上网者102名,男57名(55.9%),女45名(44.1%),年龄29±8岁。大专及以上教育程度81名(79.4%)。两组均无小学或以下教育程度者。两组上网者的年龄、性别、婚姻状况、教育程度和职业分布等均无差异显著性。这些上网者除了主观焦虑抑郁症状外,主要症状还有植物神经症状和失眠。网上咨询专家建议主观焦虑抑郁上网者实地看精神科或心理科者,焦虑组79.4%(85/107例),抑郁组87.24%(89/102例),单纯网上咨询者只占少部分。实际上,上网者在实地门诊的诊断主要为心境障碍、神经症和心因性障碍,焦虑组为44.9%,抑郁组为49.0%,无其他精神障碍诊断。上网者在实地门诊应用抗焦虑抑郁药物者焦虑组27.1%,抑郁组30.3%。多数上网者未经实地诊治。结论上网者可根据专家建议进行有效诊疗,大部分上网者需要实地看精神科或心理科,少部分上网者可将网上咨询当成他们解决心理问题的主要措施之一。网上健康教育和心理咨询可能会有助于实地诊断治疗率的提高。Objective： To explore the utility of psychiatric service of clients having online counseling for anxiety or depression. Methods ： The anxiety group was consisted of clients （ n = 107 ） who were positive in the Self-rating Anxiety Scale （SAS） online, similarly the depression group was consisted of clients （ n = 102 ） with positive results in Self-rating Depression Scale （SDS） online screening. Both groups were investigated with the questionnaires include issues related to the clinical features, diagnostic categories and treatment vs professional advice on clients. Results： In the anxiety group （ male 69/female 38 ） , the average age was 28 ＋ 8, 88 （ 82.2% ） with more than 15 years education. In the depression group （male 57 vs. female 45 ） , the average age was 29 ＋ 8, 81 （79.4% ） with more than 15 years education. None was illiterate. For the age, sex, education and occupation, there was no significant difference between the two groups. 81 （79. 4% ） clients in the anxiety group and 89 （87.2%） clients in the depression group were advised to visit psychiatrists or psychologists. A few were advised to counseling online only and there was no significant difference between the two groups. The main diagnoses were mood disorders, neurosis and psychogenic disorders. Actually, 29 （27. 1% ） in the anxiety group were treated with anxiolitics, 31 （30. 2% ） in the depression group were treated with antidepressants at local clinics. Conclusion ： Most of the clients should visit psychiatrists or psychologists, and a few may have their psychological counseling online only. Health education and psychological counseling online may be helpful to improve the rate of diagnosis and treatment of mental disorders in local clinics.

关 键 词：网上心理咨询 精神科服务 利用度 焦虑 抑郁 横断面调查 

分 类 号：R395[哲学宗教—心理学]