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Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study

BACKGROUND: Under-utilization of mental health services is a global health issue. Recognition of mental disorders, as the first step to seeking help from professional sources, has been well studied in developed countries, yet little is known about the situation in rural areas of developing countries...

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Autores principales: Yu, Yu, Hu, Mi, Liu, Zi-wei, Liu, Hui-ming, Yang, Joyce P., Zhou, Liang, Xiao, Shui-yuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4822293/
https://www.ncbi.nlm.nih.gov/pubmed/27053369
http://dx.doi.org/10.1186/s12888-016-0802-0
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author Yu, Yu
Hu, Mi
Liu, Zi-wei
Liu, Hui-ming
Yang, Joyce P.
Zhou, Liang
Xiao, Shui-yuan
author_facet Yu, Yu
Hu, Mi
Liu, Zi-wei
Liu, Hui-ming
Yang, Joyce P.
Zhou, Liang
Xiao, Shui-yuan
author_sort Yu, Yu
collection PubMed
description BACKGROUND: Under-utilization of mental health services is a global health issue. Recognition of mental disorders, as the first step to seeking help from professional sources, has been well studied in developed countries, yet little is known about the situation in rural areas of developing countries like China. The purpose of the study is to understand the recognition of depression, anxiety, and alcohol abuse and its predictive factors in a Chinese rural sample METHODS: Face-to-face interviews were conducted on a representative rural adult sample in a cross-sectional study in China (N = 2052). Respondents were presented with three vignettes depicting depression, anxiety and alcohol abuse and asked to label the disorder and its cause to assess their recognition of the three mental disorders. They also completed the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder Scale (GAD-7), and the Alcohol Use Disorders Identification Test (AUDIT) to assess their current mental health status. RESULTS: The alcohol abuse vignette was more frequently attributed as a mental problem than the depression vignette and anxiety vignette. The correct labeling rate was 16.1 % in the depression vignette, 15.5 % in the anxiety vignette, and 58.2 % in the alcohol vignette. Higher education is the common and also strongest factor positively predicting the recognition of all three vignettes. Beyond that, being female is an independent predictor of correct recognition of alcohol abuse, while recognition of depression and anxiety were positively predicted by younger age. CONCLUSIONS: Lower recognition of depression and anxiety as compared to alcohol abuse confirms the importance and need to increase the public’s awareness and knowledge about common mental disorders. Recognition of common mental disorders could be improved through general public campaign and education, while paying attention to the unique predictive factors for each specific disorder and implement targeted intervention. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-016-0802-0) contains supplementary material, which is available to authorized users.
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spelling pubmed-48222932016-04-07 Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study Yu, Yu Hu, Mi Liu, Zi-wei Liu, Hui-ming Yang, Joyce P. Zhou, Liang Xiao, Shui-yuan BMC Psychiatry Research Article BACKGROUND: Under-utilization of mental health services is a global health issue. Recognition of mental disorders, as the first step to seeking help from professional sources, has been well studied in developed countries, yet little is known about the situation in rural areas of developing countries like China. The purpose of the study is to understand the recognition of depression, anxiety, and alcohol abuse and its predictive factors in a Chinese rural sample METHODS: Face-to-face interviews were conducted on a representative rural adult sample in a cross-sectional study in China (N = 2052). Respondents were presented with three vignettes depicting depression, anxiety and alcohol abuse and asked to label the disorder and its cause to assess their recognition of the three mental disorders. They also completed the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder Scale (GAD-7), and the Alcohol Use Disorders Identification Test (AUDIT) to assess their current mental health status. RESULTS: The alcohol abuse vignette was more frequently attributed as a mental problem than the depression vignette and anxiety vignette. The correct labeling rate was 16.1 % in the depression vignette, 15.5 % in the anxiety vignette, and 58.2 % in the alcohol vignette. Higher education is the common and also strongest factor positively predicting the recognition of all three vignettes. Beyond that, being female is an independent predictor of correct recognition of alcohol abuse, while recognition of depression and anxiety were positively predicted by younger age. CONCLUSIONS: Lower recognition of depression and anxiety as compared to alcohol abuse confirms the importance and need to increase the public’s awareness and knowledge about common mental disorders. Recognition of common mental disorders could be improved through general public campaign and education, while paying attention to the unique predictive factors for each specific disorder and implement targeted intervention. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-016-0802-0) contains supplementary material, which is available to authorized users. BioMed Central 2016-04-06 /pmc/articles/PMC4822293/ /pubmed/27053369 http://dx.doi.org/10.1186/s12888-016-0802-0 Text en © Yu et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Yu, Yu
Hu, Mi
Liu, Zi-wei
Liu, Hui-ming
Yang, Joyce P.
Zhou, Liang
Xiao, Shui-yuan
Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study
title Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study
title_full Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study
title_fullStr Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study
title_full_unstemmed Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study
title_short Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study
title_sort recognition of depression, anxiety, and alcohol abuse in a chinese rural sample: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4822293/
https://www.ncbi.nlm.nih.gov/pubmed/27053369
http://dx.doi.org/10.1186/s12888-016-0802-0
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