内蒙古自治区社区5类精神障碍患者精神卫生服务利用现状  

Mental health service utilization of patients with five mental disorders in Inner Mongolia communities

作　　者：白银霞[1] 仝璐 刘肇瑞[2] 严洁 王瑞琪 张婷婷[2] 丁华 陈丽霞[1] 姚佳慧 高晓娟 吕东升 白志坚 李紫聿 隋晓杰 黄悦勤[2] BAI Yinxia;TONG Lu;LIU Zhaorui;YAN Jie;WANG Ruiqi;ZHANG Tingting;DING Hua;CHEN Lixia;YAO Jiabui;GAO Xiaojuan;LYU Dongsheng;BAI Zhijian;LI Ziyu;SUI Xiaojie;HUANG Yueqin(Mental Health Institute of Inner Mongolia Autonomous Region,the Third Hospital of Inner Mongolia Autonomous Region,the Brain Hospital of Inner Mongolia Autonomous Region,Hohhot 010010,China;Peking University Sixth Hospital,Peking Univer-sity Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Bejjing 100083,China;Institute of Social Science Survey,Peking Universi-ty,Bejing 100871,China;Inner Mongolia Autonomous Region Health Comitee,Hohhot 010055,China)

机构地区：[1]内蒙古自治区精神卫生中心,内蒙古自治区第三医院,内蒙古自治区脑科医院,呼和浩特010010 [2]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083 [3]北京大学中国社会科学调查中心,北京100871 [4]内蒙古自治区卫生健康委员会,呼和浩特010055

出　　处：《中国心理卫生杂志》2024年第5期419-425,共7页Chinese Mental Health Journal

基　　金：内蒙古自治区应用技术研究与开发资金计划(201702150、201802142)。

摘　　要：目的:描述内蒙古自治区社区5类精神障碍终生患者精神卫生服务利用现况,为健康教育和制定相关政策提供参考。方法:采用分层多阶段不等概率抽样方法抽取内蒙古自治区18岁及以上常住居民共12 315名,采用复合性国际诊断交谈表调查心境障碍、焦虑障碍、物质使用障碍、间歇爆发性障碍、进食障碍等5类精神障碍及精神卫生服务利用现况,以单因素分析方法进行描述性统计。结果:5类精神障碍中,任何一种精神障碍终生患者咨询率为18.7%,治疗率为10.2%,患者接受非医务工作者治疗的比例最高(31.4%),其次是接受精神科或心理科医生治疗;患者中有1.1%的患者接受药物治疗,有2.5%的患者接受心理治疗。结论:内蒙古自治区精神障碍患者精神卫生服务利用率较低,要广泛开展正确求医的健康教育。Objective:To describe the current situation of mental health service utilization of community pa-tients with five mental disorders in Inner Mongolia Autonomous Region and provide reference for health education and formulating relevant policies.Methods:The multistage stratified sampling method with unequal probability was used to select a total of 12315 community residents aged 18 and over in Inner Mongolia Autonomous Region.Using Composite International Diagnostic Interview,mood disorders,anxiety disorders,substance use disorders,intermit-tent explosive disorders,and eating disorders,and health service utilization were investigated.Descriptive statistics was completed by single factor analysis method.Results:The lifetime rates of consultation and treatment of any mental disorder were 18.7%and 10.2%,respectively.The highest proportion of patients received treatment by non-medical professionals was 31.4%,followed by psychiatrists in psychiatric hospital or psychologists in general hospitals.Among the patients,1.1%of them received medication,and 2.5%received psychotherapy.Conclusion:The utilization rate of mental health services in community patients with five mental disorders is relatively low.It is necessary to conduct health education for medical help seeking properly.

关 键 词：精神障碍 卫生服务 咨询率 治疗率 现况调查 复合性国际诊断交谈表 

分 类 号：R749.01[医药卫生—神经病学与精神病学] R197.323.2[医药卫生—临床医学]