Illness beliefs of depressed Chinese American patients in primary care
Illness beliefs of depressed Chinese American patients in primary care
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DOI：
10.1097/01.nmd.0000120892.96624.00
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发表时间：
2004-04-01
影响因子：
1.9
通讯作者：
Fava, M
中科院分区：
文献类型：
--
作者：
Yeung, A;Chang, D;Fava, M
本研究采用探索性模式访谈目录（EMIC）调查了40名在初级保健机构的抑郁症华裔美国人的疾病信念。22名抑郁的华裔美国人（76%）抱怨躯体症状; 4名（14%）报告心理症状，包括易怒、沉思和记忆力差。没有患者自发报告抑郁情绪。然而，当他们填写CBDI时，93%的人支持抑郁情绪。21名患者（72%）不知道自己的疾病名称或不认为这是一种可诊断的医学疾病，5名患者（17%）将其症状归因于先前存在的医学问题。只有三名患者（10%）将他们的疾病标记为精神疾病。患者通常会向综合医院（69%）、非专业人员（62%）和替代治疗（55%）寻求帮助，但很少向精神卫生专业人员（3.5%）寻求抑郁症状的帮助。结果表明，许多华裔美国人不认为抑郁情绪是一种症状，需要向医生报告，许多人不熟悉抑郁症作为一种可治疗的精神疾病。
This study investigated the illness beliefs of 40 depressed Chinese Americans in a primary care setting using the Exploratory Model Interview Catalogue (EMIC). Twenty-two depressed Chinese Americans (76%) complained of somatic symptoms; 4 (14%) reported psychological symptoms including irritability, rumination, and poor memory. No patients reported depressed mood spontaneously. Yet, 93% endorsed depressed mood when they filled out the CBDI. Twenty-one patients (72%) did not know the name of their illness or did not consider it a diagnosable medical illness, and five patients (17%) attributed their symptoms to pre-existing medical problems. Only three patients (10%) labeled their illness as psychiatric conditions. The patients generally sought help from general hospital (69%), lay help (62%), and alternative treatment (55%) but rarely from mental health professionals (3.5%) for their depressive symptoms. The results suggest that many Chinese Americans do not consider depressed mood a symptom to report to their physicians, and many are unfamiliar with depression as a treatable psychiatric disorder.