Help-seeking behavior of individuals with schizophrenia in the general population of Hunan, China

Abstract This study aims to know the seeking help behavior of individuals with SZ (Schizophrenia) in Hunan province of China. Individuals (age > 15) with schizophrenia were recruited in the study after a two-stage diagnosis procedure (including questionnaire screening and face-to-face SCID interv...

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Main Authors: Jiawen Hu, Qiongjuan Zheng, Yun Zhang, Chunyu Liu, Xuefei Tian, Xuejun Liu, Dongxin Wang, Jing Ma
Format: Article
Language:English
Published: Nature Portfolio 2021-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-01819-w
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author Jiawen Hu
Qiongjuan Zheng
Yun Zhang
Chunyu Liu
Xuefei Tian
Xuejun Liu
Dongxin Wang
Jing Ma
author_facet Jiawen Hu
Qiongjuan Zheng
Yun Zhang
Chunyu Liu
Xuefei Tian
Xuejun Liu
Dongxin Wang
Jing Ma
author_sort Jiawen Hu
collection DOAJ
description Abstract This study aims to know the seeking help behavior of individuals with SZ (Schizophrenia) in Hunan province of China. Individuals (age > 15) with schizophrenia were recruited in the study after a two-stage diagnosis procedure (including questionnaire screening and face-to-face SCID interview by psychiatrists) in Hunan province. A self-designed questionnaire was used to investigate their help-seeking behavior. (1) Of the 367 participants, 68.9% (253/367) sought help; of those, 64.6% (n = 163) pursued professional psychiatric services and 30.8% (n = 78) pursued non-medical options (i.e., relatives, praying to Buddha) as the most common first choices. (2) Family history of mental disorders is significantly related to whether or not the individual with SZ seeks help, and the first choice of help is significantly related to education level. (P < 0.05). (3) Frequent reasons behind not seeking help include fear of stigmatization (72.9%), poor mental health literacy (64.5%), concerns over cost (50.6%), and limited access to medical services (47.0%). About one-third of the individuals do not seek help. Individuals with SZ tend to choose psychiatric hospitals and relatives as their first choice. Among the factors we investigated, family history of mental disorders is the most influential factor associated with help-seeking behavior. Individuals with more education tend to seek professional help first. The primary reasons for not seeking help include fear of stigmatization, lack of awareness about mental illness, concerns over cost, etc.
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spelling doaj.art-f1807c1515714aa4bebae7af846688e32022-12-21T21:46:15ZengNature PortfolioScientific Reports2045-23222021-11-011111910.1038/s41598-021-01819-wHelp-seeking behavior of individuals with schizophrenia in the general population of Hunan, ChinaJiawen Hu0Qiongjuan Zheng1Yun Zhang2Chunyu Liu3Xuefei Tian4Xuejun Liu5Dongxin Wang6Jing Ma7School of Clinical Medicine, Hunan University of Chinese MedicineEcond People’s Hospital of Hunan Province(Brain Hospital of Hunan Province)Northwest Minzu UniversityDepartment of Psychiatry, Department of Neuroscience & Physiology, SUNY Upstate Medical UniversitySchool of Clinical Medicine, Hunan University of Chinese MedicineEcond People’s Hospital of Hunan Province(Brain Hospital of Hunan Province)Econd People’s Hospital of Hunan Province(Brain Hospital of Hunan Province)School of Clinical Medicine, Hunan University of Chinese MedicineAbstract This study aims to know the seeking help behavior of individuals with SZ (Schizophrenia) in Hunan province of China. Individuals (age > 15) with schizophrenia were recruited in the study after a two-stage diagnosis procedure (including questionnaire screening and face-to-face SCID interview by psychiatrists) in Hunan province. A self-designed questionnaire was used to investigate their help-seeking behavior. (1) Of the 367 participants, 68.9% (253/367) sought help; of those, 64.6% (n = 163) pursued professional psychiatric services and 30.8% (n = 78) pursued non-medical options (i.e., relatives, praying to Buddha) as the most common first choices. (2) Family history of mental disorders is significantly related to whether or not the individual with SZ seeks help, and the first choice of help is significantly related to education level. (P < 0.05). (3) Frequent reasons behind not seeking help include fear of stigmatization (72.9%), poor mental health literacy (64.5%), concerns over cost (50.6%), and limited access to medical services (47.0%). About one-third of the individuals do not seek help. Individuals with SZ tend to choose psychiatric hospitals and relatives as their first choice. Among the factors we investigated, family history of mental disorders is the most influential factor associated with help-seeking behavior. Individuals with more education tend to seek professional help first. The primary reasons for not seeking help include fear of stigmatization, lack of awareness about mental illness, concerns over cost, etc.https://doi.org/10.1038/s41598-021-01819-w
spellingShingle Jiawen Hu
Qiongjuan Zheng
Yun Zhang
Chunyu Liu
Xuefei Tian
Xuejun Liu
Dongxin Wang
Jing Ma
Help-seeking behavior of individuals with schizophrenia in the general population of Hunan, China
Scientific Reports
title Help-seeking behavior of individuals with schizophrenia in the general population of Hunan, China
title_full Help-seeking behavior of individuals with schizophrenia in the general population of Hunan, China
title_fullStr Help-seeking behavior of individuals with schizophrenia in the general population of Hunan, China
title_full_unstemmed Help-seeking behavior of individuals with schizophrenia in the general population of Hunan, China
title_short Help-seeking behavior of individuals with schizophrenia in the general population of Hunan, China
title_sort help seeking behavior of individuals with schizophrenia in the general population of hunan china
url https://doi.org/10.1038/s41598-021-01819-w
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