Data_Sheet_1_Untreated depression and anxiety in patients with common skin diseases: a cross-sectional study in China.docx

ObjectiveThe study aimed to analyze the current status and reasons for the neglect of the psychological need of patients with common skin diseases.
MethodsThis cross-sectional study was conducted in China using an online self-assessment questionnaire distributed via social media. Demographic, clinical and psychological data were collected, and the main outcomes, i.e., depression (evaluated using the 9-item Patient Health Questionnaire, PHQ-9) and anxiety (evaluated using Generalized Anxiety Disorder-7, GAD-7). Multivariate regression analysis was used for the prediction of variates of mental health service seeking behaviors.
ResultsA total of 1,010 patients participated in the survey, and 273 (27.0%) patients met the “with need” criteria, i.e., having the need for mental health intervention but not being treated. In the multivariate regression model, income (OR = 0.80, 95%CI: 0.65–0.99), duration of disease (OR = 0.68, 95%CI: 0.49–0.95) and suicide ideation (OR = 2.10, 95%CI: 1.14–3.87) were significant factors. For patients who did not receive mental health care, the lack of knowledge about the availability of mental health services, lack of knowledge of where to seek help, concerns about the side effects of treatment, failure to seek treatment for severe skin diseases, and absence of current psychological distress were associated with their need for psychological intervention.
ConclusionThis study examined the current status of the need for psychological intervention and the reasons why the need was unmet in patients with skin diseases. Due to the confusion and a lack of knowledge about their mental health issues, mental health services are often underutilized.

研究目的：本研究旨在剖析常见皮肤病患者心理需求未被满足的现状及其成因。
研究方法：本研究为横断面研究，在中国境内开展，通过社交媒体发放线上自评问卷收集数据。研究收集了人口学、临床及心理学相关资料，主要结局指标包括抑郁症状（采用9项患者健康问卷（9-item Patient Health Questionnaire, PHQ-9）评估）与焦虑症状（采用广泛性焦虑障碍量表（Generalized Anxiety Disorder-7, GAD-7）评估）。采用多因素回归分析对心理健康服务寻求行为的相关变量进行预测。
研究结果：本研究共纳入1010名皮肤病患者参与调查，其中273名（27.0%）符合"存在心理需求"标准，即存在心理健康干预需求但未接受相关治疗。多因素回归分析结果显示，收入水平（优势比OR=0.80，95%置信区间CI：0.65~0.99）、病程（OR=0.68，95%CI：0.49~0.95）以及自杀意念（OR=2.10，95%CI：1.14~3.87）为显著影响因素。在未接受心理健康照护的患者中，对心理健康服务可及性缺乏认知、不知晓寻求帮助的渠道、担忧治疗副作用、未因重症皮肤病寻求治疗以及当前无明显心理困扰，均与其存在心理干预需求相关。
研究结论：本研究明确了皮肤病患者心理干预需求的现状及需求未被满足的成因。由于患者对自身心理健康问题存在认知误区且缺乏相关专业知识，心理健康服务常未得到充分利用。