Perceptions of self-defined memory problems vary in south Asian minority older people who consult a GP and those who do not: a mixed-method pilot study
Perceptions of self-defined memory problems vary in south Asian minority older people who consult a GP and those who do not: a mixed-method pilot study
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DOI：
10.1002/gps.4337
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发表时间：
2016-04-01
影响因子：
4
通讯作者：
Purandare, Nitin
中科院分区：
文献类型：
--
作者：
Giebel, Clarissa;Challis, David;Purandare, Nitin
目的 与身体健康问题不同，南亚老年人获得心理健康问题和痴呆症服务的机会少于英国其他老年人。这项试点研究调查了患有自我定义记忆问题的南亚人，无论是否接受全科医生咨询，如何解释该病症的症状、原因、后果和治疗。方法通过大曼彻斯特的社区中心、其网络和记忆诊所招募参与者。新开发的 Barts 痴呆症解释模型量表 (BEMI-D) 对 33 名 65 岁或以上、有英语、古吉拉特语或乌尔都语记忆问题的老年南亚人（18 名男性、15 名女性）进行了测试。此外，还对认知、执行功能和抑郁进行了评估。结果全科医生对记忆问题的咨询对痴呆症的看法有所不同。更大比例的未经咨询的老年人认为记忆问题是上帝赐予的，将接受命运视为一种替代治疗方法，并且不认为医疗支持是适当的。接受咨询的人更多地将健忘和丧失社会意义视为痴呆症的症状。未经咨询的人患糖尿病、心脏病和抑郁症的比例较高。 结论 观念的差异可能会影响咨询全科医生的决定。同样，记忆问题的咨询似乎与身体健康问题和心理健康咨询（抑郁症）的程度有关。本试点研究中小规模报告的这些变化表明，有必要探讨看法对全科医生咨询率的影响，以改善及时诊断和获得适当服务的机会。版权所有 (c) 2015 约翰·威利父子有限公司
ObjectiveSouth Asian older adults access services for mental health problems and dementia less than other older people in the UK, unlike for physical health problems. This pilot study investigated how South Asians with self-defined memory problems, with and without GP consultation, construe the symptoms, causes, consequences and treatment of the condition.MethodsParticipants were recruited through community centres, their networks and memory clinics in Greater Manchester. The newly developed Barts Explanatory Model Inventory for Dementia (BEMI-D) was administered to 33 (18 M, 15 F) older South Asians aged 65 or above with memory problems in English, Gujarati or Urdu. Furthermore, cognition, executive function and depression were assessed.ResultsPerceptions of dementia varied by GP consultation for memory problems. A greater proportion of older adults without a consultation considered memory problems to be given by God, saw acceptance of fate as an alternative treatment and did not identify medical support as appropriate. Forgetfulness and loss of social meaning were identified as symptoms of dementia more by those with a consultation. Higher levels of diabetes, heart disease and depression were found in those without a consultation.ConclusionsDifferences in perceptions may influence the decision about consulting a GP. Similarly, consultation for memory problems appears linked to extent physical health problems and mental health consultation (depression). These variations reported on a small scale in this pilot study suggest the need to explore the impact of perceptions on rates of GP consultation, so as to improve timely diagnosis and access to appropriate services. Copyright (c) 2015 John Wiley & Sons, Ltd.