摘要
目的了解浙江15～19岁青少年心理卫生问题的求助方式及其在男女、城乡和目前是否为学生状态问的差异。方法采用改编后的中文版12项一般键康量表（GHQ-12）对随机抽样的1194名青少年进行调矗。结果51．5％为女性，48．5％为男性；59．9％来自农村，40．1％米曰城市；60．7％为学生，39．3％为非学生。以2／3作为临界值，23．2%的青少年为GHQ阳性病例；约45％的普通青少年和约60％的高危青少年因为精神卫生问题寻求过帮助，但绝大多数寻求的是亲属和朋友等非专业性帮助，仅有0．3％的普通青少年人群和1．1％的高危青少年人群寻求精神科医生帮助。在寻求非专业性帮助方面，寻求朋友帮助的比例远高于亲属。且存在着性别、居住地及身份问的差异。结论浙江青少年心理卫生问题发生率较高，大部分青少年寻求非专业性帮助，寻求精神科专业性帮助的比例极低；提高青少年及其亲属、同伴的精神卫生问题识别率．减少求助时的耻辱感和被歧视感。改善精神卫生服务机构的质量和提高青少年对精神科专业人员的信任度，可能有助于增加青少年的梢神卫生专业服务机构的求助率。
Objective To investigate the styles of help seeking for mental health problems among adolescents aged 15 - 19 years old in Zhejiang province and their difference between such status as sexes, living areas and being students or not. Methods 1194 adolescents, who were randomly sampled, were investigated using Chinese version of 12 items General Health Questionnaires （GHO-12）. Results Using 2/3 as the cut-off value, 23.2% of the subjects were GHQ-12 positive. There were about 45% of the general adolescents and 60% of the high-risk adolescents who had ever sought help for nmntal health problems, but the majority of which were frum non-prefessional ones such as relatives and friends, while only 0.3% of the general adolescents and 1.1% the high-risk adolescents sought help from psychiatrists. As far as help seeking from nonprofessional origins was concerned, the percentage from friends was much higher than that from relatives, and there also existed significant difference between sexes, habitats, and the status of being a student of not. Conclusions The incidence rate of mental health problems among adolescents in Zhejiang province is relatively high. The majority of the adolescents are accustomed to seek help from non-professional origins, while few of them seek help from psychiatrists. Increasing awareness of mental health problems among adolescents as well as their relatives and friends, reducing the stigma and discrimination during the process of help seeking, improving the quality of mental health services and enhancing the confidence of adolescents to psychiatrists may contribute to increase the rate of help seeking from professional mental health agencies.
出处
《浙江预防医学》
2006年第2期1-4,共4页
Zhejiang Journal of Preventive Medicine
