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Article: Changes in treatment status of patients with severe mental illness in rural China, 1994-2015

TitleChanges in treatment status of patients with severe mental illness in rural China, 1994-2015
Authors
KeywordsSocioeconomic status
Treatment status
Severe mental illness
Family caregivers
China
Issue Date2019
PublisherCambridge University Press (CUP): Creative Commons. The Journal's web site is located at https://www.cambridge.org/core/journals/bjpsych-open
Citation
BJPsych Open, 2019, v. 5 n. 2, article no. e31, p. 1-7 How to Cite?
AbstractBackground: Although it is crucial to improve the treatment status of people with severe mental illness (SMI), it is still unknown whether and how socioeconomic development influences their treatment status. Aims: To explore the change in treatment status in people with SMI from 1994 to 2015 in rural China and to examine the factors influencing treatment status in those with SMI. Method: Two mental health surveys using identical methods and ICD-10 were conducted in 1994 and 2015 (population ≥15 years old, n = 152 776) in the same six townships of Xinjin County, Chengdu, China. Results: Compared with 1994, individuals with SMI in 2015 had significantly higher rates of poor family economic status, fewer family caregivers, longer duration of illness, later age at first onset and poor mental status. Participants in 2015 had significantly higher rates of never being treated, taking antipsychotic drugs and ever being admitted to hospital, and lower rates of using traditional Chinese medicine or being treated by traditional/spiritual healers. The factors strongly associated with never being treated included worse mental status (symptoms/social functioning), older age, having no family caregivers and poor family economic status. Conclusions: Socioeconomic development influences the treatment status of people with SMI in contemporary rural China. Relative poverty, having no family caregivers and older age are important factors associated with a worse treatment status. Culture-specific, community-based interventions and targeted poverty-alleviation programmes should be developed to improve the early identification, treatment and recovery of individuals with SMI in rural China. Declaration of interest: None.
Persistent Identifierhttp://hdl.handle.net/10722/269461
ISSN

 

DC FieldValueLanguage
dc.contributor.authorRan, M-
dc.contributor.authorWeng, X-
dc.contributor.authorLiu, YJ-
dc.contributor.authorZhang, T-
dc.contributor.authorYu, Y-
dc.contributor.authorPeng, M-
dc.contributor.authorLuo, W-
dc.contributor.authorHu, SH-
dc.contributor.authorYang, X-
dc.contributor.authorLiu, B-
dc.contributor.authorZhang, T-
dc.contributor.authorThornicroft, G-
dc.contributor.authorChan, CLW-
dc.contributor.authorXiang, MZ-
dc.date.accessioned2019-04-24T08:08:10Z-
dc.date.available2019-04-24T08:08:10Z-
dc.date.issued2019-
dc.identifier.citationBJPsych Open, 2019, v. 5 n. 2, article no. e31, p. 1-7-
dc.identifier.issn2056-4724-
dc.identifier.urihttp://hdl.handle.net/10722/269461-
dc.description.abstractBackground: Although it is crucial to improve the treatment status of people with severe mental illness (SMI), it is still unknown whether and how socioeconomic development influences their treatment status. Aims: To explore the change in treatment status in people with SMI from 1994 to 2015 in rural China and to examine the factors influencing treatment status in those with SMI. Method: Two mental health surveys using identical methods and ICD-10 were conducted in 1994 and 2015 (population ≥15 years old, n = 152 776) in the same six townships of Xinjin County, Chengdu, China. Results: Compared with 1994, individuals with SMI in 2015 had significantly higher rates of poor family economic status, fewer family caregivers, longer duration of illness, later age at first onset and poor mental status. Participants in 2015 had significantly higher rates of never being treated, taking antipsychotic drugs and ever being admitted to hospital, and lower rates of using traditional Chinese medicine or being treated by traditional/spiritual healers. The factors strongly associated with never being treated included worse mental status (symptoms/social functioning), older age, having no family caregivers and poor family economic status. Conclusions: Socioeconomic development influences the treatment status of people with SMI in contemporary rural China. Relative poverty, having no family caregivers and older age are important factors associated with a worse treatment status. Culture-specific, community-based interventions and targeted poverty-alleviation programmes should be developed to improve the early identification, treatment and recovery of individuals with SMI in rural China. Declaration of interest: None.-
dc.languageeng-
dc.publisherCambridge University Press (CUP): Creative Commons. The Journal's web site is located at https://www.cambridge.org/core/journals/bjpsych-open-
dc.relation.ispartofBJPsych Open-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectSocioeconomic status-
dc.subjectTreatment status-
dc.subjectSevere mental illness-
dc.subjectFamily caregivers-
dc.subjectChina-
dc.titleChanges in treatment status of patients with severe mental illness in rural China, 1994-2015-
dc.typeArticle-
dc.identifier.emailRan, M: msran@hku.hk-
dc.identifier.emailWeng, X: wengxue@connect.hku.hk-
dc.identifier.emailChan, CLW: cecichan@hku.hk-
dc.identifier.authorityRan, M=rp01788-
dc.identifier.authorityChan, CLW=rp00579-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1192/bjo.2019.13-
dc.identifier.hkuros297339-
dc.identifier.volume5-
dc.identifier.issue2-
dc.identifier.spagearticle no. e31, p. 1-
dc.identifier.epagearticle no. e31, p. 7-
dc.publisher.placeUnited Kingdom-

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