Predictors of mental health service use among individuals with high psychological distress and mental disorders.
Identifieur interne : 000830 ( Main/Exploration ); précédent : 000829; suivant : 000831Predictors of mental health service use among individuals with high psychological distress and mental disorders.
Auteurs : Béatrice Simo [Canada] ; Jean-Marie Bamvita [Canada] ; Jean Caron [Canada] ; Marie-Josée Fleury [Canada]Source :
- Psychiatry research [ 1872-7123 ] ; 2018.
Descripteurs français
- KwdFr :
- Acceptation des soins par les patients (psychologie), Acceptation des soins par les patients (statistiques et données numériques), Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Concept du soi (MeSH), Emploi (psychologie), Femelle (MeSH), Humains (MeSH), Modèles logistiques (MeSH), Mâle (MeSH), Québec (MeSH), Services de santé mentale (statistiques et données numériques), Stigmate social (MeSH), Stress psychologique (psychologie), Troubles mentaux (psychologie).
- MESH :
- psychologie : Acceptation des soins par les patients, Emploi, Stress psychologique, Troubles mentaux.
- statistiques et données numériques : Acceptation des soins par les patients, Services de santé mentale.
- Adolescent, Adulte, Adulte d'âge moyen, Concept du soi, Femelle, Humains, Modèles logistiques, Mâle, Québec, Stigmate social.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Catchment Area, Health (MeSH), Employment (psychology), Female (MeSH), Humans (MeSH), Logistic Models (MeSH), Male (MeSH), Mental Disorders (psychology), Mental Health Services (statistics & numerical data), Middle Aged (MeSH), Patient Acceptance of Health Care (psychology), Patient Acceptance of Health Care (statistics & numerical data), Quebec (MeSH), Self Concept (MeSH), Social Stigma (MeSH), Stress, Psychological (psychology).
- MESH :
- geographic : Quebec.
- psychology : Employment, Mental Disorders, Patient Acceptance of Health Care, Stress, Psychological.
- statistics & numerical data : Mental Health Services, Patient Acceptance of Health Care.
- Adolescent, Adult, Catchment Area, Health, Female, Humans, Logistic Models, Male, Middle Aged, Self Concept, Social Stigma.
Abstract
This study identified predictors of mental health service use over 12 months among 746 individuals with mental disorders and high psychological distress from a catchment area in southwest Montreal, Quebec (Canada). Data collected in 2011 and 2014 were analyzed using Andersen's Behavioral Model of Health Services Use. A hierarchical logistic regression identified predictors of mental health service use. In all, 29% of participants reported using mental health services in the previous 12 months. Three key enabling variables predicted mental health service use: having a family doctor, previous experience with mental health services, and employment. Self-perception of mental health, stressful events, and unmet needs marginally (Needs factors: non-clinical variables) were also associated with the outcome variable. Mental health service utilization depends primarily on organization of the health system, and patient perceptions of its condition (non-clinical needs). Mental health policy should focus on increasing the availability of services and professionals, especially family doctors. Other measures for encouraging service use and overall population wellbeing include raising public awareness around the signs and symptoms of mental illness as a way to promote more rapid response to patient needs, and protecting workplace mental health by reducing stress and stigma toward individuals affected by mental distress.
DOI: 10.1016/j.psychres.2018.10.019
PubMed: 30360914
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Employment (psychology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Logistic Models (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mental Disorders (psychology)</term>
<term>Mental Health Services (statistics & numerical data)</term>
<term>Middle Aged (MeSH)</term>
<term>Patient Acceptance of Health Care (psychology)</term>
<term>Patient Acceptance of Health Care (statistics & numerical data)</term>
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<term>Self Concept (MeSH)</term>
<term>Social Stigma (MeSH)</term>
<term>Stress, Psychological (psychology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par les patients (psychologie)</term>
<term>Acceptation des soins par les patients (statistiques et données numériques)</term>
<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Concept du soi (MeSH)</term>
<term>Emploi (psychologie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Modèles logistiques (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Québec (MeSH)</term>
<term>Services de santé mentale (statistiques et données numériques)</term>
<term>Stigmate social (MeSH)</term>
<term>Stress psychologique (psychologie)</term>
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<term>Concept du soi</term>
<term>Femelle</term>
<term>Humains</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Québec</term>
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<front><div type="abstract" xml:lang="en">This study identified predictors of mental health service use over 12 months among 746 individuals with mental disorders and high psychological distress from a catchment area in southwest Montreal, Quebec (Canada). Data collected in 2011 and 2014 were analyzed using Andersen's Behavioral Model of Health Services Use. A hierarchical logistic regression identified predictors of mental health service use. In all, 29% of participants reported using mental health services in the previous 12 months. Three key enabling variables predicted mental health service use: having a family doctor, previous experience with mental health services, and employment. Self-perception of mental health, stressful events, and unmet needs marginally (Needs factors: non-clinical variables) were also associated with the outcome variable. Mental health service utilization depends primarily on organization of the health system, and patient perceptions of its condition (non-clinical needs). Mental health policy should focus on increasing the availability of services and professionals, especially family doctors. Other measures for encouraging service use and overall population wellbeing include raising public awareness around the signs and symptoms of mental illness as a way to promote more rapid response to patient needs, and protecting workplace mental health by reducing stress and stigma toward individuals affected by mental distress.</div>
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