成都地区城乡居民的精神健康素养调查  

Mental health literacy of urban and rural residents in Chengdu area

作　　者：徐双 陈晶 雷威 向波 梁雪梅 刘可智 XU Shuang;CHEN Jing;LEI Wei;XIANG Bo;LIANG Xuemei;LIU Kezhi(Department of Psychiatry,Affiliated Hospital of Southwest Medical University,Luzhou 646000,Sichuan Province,China;Sichuan Veterans’Hospital,Chongzhou 611230,Sichuan Province,China)

机构地区：[1]西南医科大学附属医院精神科,四川泸州646000 [2]四川省复员退伍军人医院,四川崇州611230

出　　处：《中国心理卫生杂志》2020年第10期834-840,共7页Chinese Mental Health Journal

基　　金：四川省教育厅四川医院管理与发展研究中心项目(SCYG2018-17)。

摘　　要：目的:调查成都地区城乡居民精神健康素养的现况。方法:选取成都地区居民1674人,其中城市811人,农村863人。采用精神卫生与心理保健知识问卷(MHMHKQ)、精神疾病有关态度问卷(DDS)、五种常见精神障碍案例问卷(FCCMDQ)评估精神健康知识知晓率、对精神障碍患者的态度、识别精神障碍的能力。结果:精神健康知识的平均知晓率为75.1%,城市居民高于农村(77.4%vs.73.0%,P<0.05);城市居民的DDS得分高于农村[(35.6±5.4)vs.(34.9±6.1),P<0.05];居民对常见精神障碍的识别率为35.4%,以阳性症状为主的精神分裂症的识别率城市居民高于农村(24.4%vs19.8%,P<0.05)。结论:成都地区居民具备相当的精神健康相关知识,但对精神障碍的识别能力较低且态度较为消极。城市居民的精神健康素养高于农村。Objective:To investigate the mental health literacy of urban and rural residents in Chengdu area.Methods:A multi-stage stratified cluster system sampling method was used to randomly select 1674 residents in Chengdu area,including 811 in urban and 863 in rural areas.The Mental Health and Mental Health Knowledge Questionnaire(MHMHKQ),Devaluation-Discrimination Scale(DDS)and Five Common Cases of Mental Disorders Questionnaire(FCCMDQ)were used to evaluate the awareness rate of mental health knowledge,attitude towards mental illness and recognition ability of mental disorders in participants.Results:The mean awareness rate was 75.1%,and higher in urban residentsthan in rural residents(77.4%vs.73.0%,P<0.05).The DDS scores were higher in urban residents than in rural residents[(35.6±5.4)vs.(34.9±6.1),P<0.05].The recognition rate of common mental disorders was 35.4%in all residents,and the recognition rate of schizophrenia with positive symptoms was higher in urban residents than in rural residents(24.4%vs.19.8%,P<0.05).Conclusion:Residents in Chengdu area show considerable knowledge about mental disorders,but show lower recognition rate and negative attitudes towardmental disorders.Urban residents have higher level of mental health literacy than rural residents.

关 键 词：精神健康素养 知晓率 现况调查 

分 类 号：R749.01[医药卫生—神经病学与精神病学]