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Articles   |    
Neurotic Disorders of General Medical Outpatients in Xi’an, China: Knowledge, Attitudes, and Help-Seeking Preferences
Chunping Ni, M.S.N., Ph.D.; Lihua Ma, B.S.N., M.S.N.; Bo Wang, M.D., Ph.D.; Yongping Yan, M.D., Ph.D.; Yueqin Huang, M.D., Ph.D.; Gwenyth R. Wallen, M.A., Ph.D.; Lu Li, B.A., M.L.; Hongjuan Lang, B.S.N., M.S.N.; Qianzhen Hua, B.S.N.
Psychiatric Services 2014; doi: 10.1176/appi.ps.201300071
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Dr. Ni and Ms. Hua are with the Department of Nursing, Dr. Wang and Dr. Yan are with the Department of Epidemiology, and Ms. Li is with the Department of Political Theories Teaching-Research, all at the Fourth Military Medical University, Xi’an, China. Ms. Ma is with the First Hospital, Lanzhou University, Gansu, China. Dr. Huang is with the Institute of Mental Health, Peking University, Beijing. Dr. Wallen is with the Department of Nursing, National Institutes of Health, Bethesda, Maryland. Ms. Lang is with Tangdu Hospital, Fourth Military Medical University, Xi’an. Send correspondence to Ms. Lang or Ms. Hua (e-mail: jhfmmu@163.com). Dr. Ni, Ms. Ma, and Dr. Wang contributed equally to the article.

Copyright © 2014 by the American Psychiatric Association


Objective  This study assessed knowledge of neurotic disorders, and attitudes and preferences toward professional help and treatment for them, among general medical outpatients in general hospitals in Xi’an, China.

Methods  General medical outpatients (N=372) from general hospitals in China were recruited by using a stratified cluster sampling method between June and September 2010. In face-to-face interviews, participants age 16 years or older were assessed for their knowledge, attitudes, and help-seeking preferences in regard to neurotic disorders (obsessive-compulsive disorder, social phobia, and panic disorder). Demographic data were also collected.

Results  Lack of insight into neurotic disorders was common among medical outpatients in general hospitals of Xi’an, China. Twenty-four percent to 58% of the outpatients had some knowledge of the symptoms and treatment of neurotic disorders. Only 11% of the outpatients would reveal to others that they or a family member suffered from neurotic disorders. When faced with the problem of neurotic disorders, the preference of the respondents was to visit a psychiatrist in a general hospital (44%), and only 17% would visit a physician in a psychiatric hospital. Major ways for the outpatients to obtain knowledge regarding neurotic disorders were via radio and television (36%), and only 18%−23% of outpatients obtained knowledge about neurotic disorders through printed public health materials and by attending lectures.

Conclusions  Study results underscore the need for information campaigns aimed at improving the mental health literacy of general medical outpatients. Such campaigns must consider culturally relevant beliefs to facilitate the development of specific educational programs.

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Table 1Characteristics of 372 general medical outpatients of general hospitals in China
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Table 2Knowledge among 372 Chinese general medical outpatients about neurotic disorders, by hospital type
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Table 3Resources used by 372 Chinese general medical outpatients to obtain knowledge about neurotic disorders, by hospital type
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Table 4Attitudes toward people with neurotic disorders among 372 Chinese general medical outpatients, by hospital type
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Table 5Help-seeking preferences among 372 Chinese general medical outpatients, by hospital type


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