An audiotaped mental health evaluation tool for Hispanic immigrants with a range of literacy levels.

An audiotaped mental health evaluation tool for Hispanic immigrants with a range of literacy levels.
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DOI:
10.1007/s10903-005-1388-7
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发表时间:
2005-01-01
期刊:
Journal of immigrant health
影响因子:
--
通讯作者:
Mazzoni, Sara
Mazzoni, Sara
中科院分区:
其他
文献类型:
--
作者:
Boiko, Patricia;Katon, Wayne;Mazzoni, Sara

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如果发现令人衰弱的精神疾病是可以治疗的。对于识字水平不同的西班牙裔移民农场工人,没有经过验证的自我管理的精神疾病评估工具。这项研究测试了与标准访谈工具相比,为低识字水平开发的录音带调查的敏感性和特异性。来自11个移民营地的受试者用西班牙语完成了一项自我管理的录音带调查,以诊断严重的抑郁症、药物滥用、恐慌和普遍焦虑以及家庭暴力。初级保健诊所协助寻找营地,并提供后续治疗。对于154名男性和156名女性来说,音频工具对严重抑郁症最敏感,对焦虑症、酗酒和家庭暴力最敏感。70%的被诊断为重度抑郁症的人得到了适当的治疗。这项研究验证了一种廉价的、自我管理的音频工具,用于评估具有广泛识字水平的移民拉美裔农场工人的心理健康。
Debilitating mental illness is treatable if found. There is no validated self-administered mental illness evaluation tool for immigrant Hispanic farm workers with variable literacy levels. This study tested sensitivity and specificity of an audiotaped survey developed for low literacy levels compared with standard interview instruments. Subjects from 11 migrant camps completed a self-administered audiotaped survey in Spanish to diagnose major depression, substance abuse, panic and generalized anxiety, and domestic violence. Primary care clinics assisted in finding camps and provided follow-up treatment. For 154 men and 156 women, the audio tool was most sensitive for major depression and specific for anxiety disorder, alcohol abuse, and domestic violence. Seventy percent of those diagnosed with major depression received appropriate treatment. This study validated an inexpensive, self-administered audio tool to evaluate the mental health of immigrant Hispanic farm workers with a wide range of literacy levels.