うつ病の認識と援助探索行動の関連について : 半構造化説明モデル面接を用いた横断調査

Abstract

Background: Explanatory models (EM) increase help-seeking behavior, treatment satisfaction and good relationships with clinicians. Tibet experienced political pressures and experienced two big earthquakes in modern times, which should have influenced the prevalence of depression in the region. However, there were no studies on depression and its explanatory models in Tibet region. Method: Among the persons who joined in the community health-checkup, those with positive depression screening test were included in the study. The number of subjects was 42 in Yushu. The vignette of depression and questions from semi-structured explanatory model interview were used to clarify the EM. The pattern of response was analyzed quantitatively and qualitatively. Results: The percentage of subjects who regarded the person in the vignette as being ill was 78.6%. The main problem and the cause of the case which subjects recognized was related to the social and familial matter, especially partner related matter, which was about 70 to 80%. As for the actions against the problem, 47.6% of the subjects sought solution in employment, but no one answered they sought solution in medicine. However, 85.7% of subjects appreciated doctor's role in the situation, when asked. There were no significant relation between the cognition of illness and the medical help seeking potential. The percentage of subjects who were diagnosed with depressive disorder other than major depression was 35.7%. Conclusion: EM and its relation to the help seeking behavior may be different according to the communities, which should be cared in the intervention in the help seeking behavior.