Depression Treatment Among Rural Older Adults: Preferences and Factors Influencing Future Service Use.

Depression Treatment Among Rural Older Adults: Preferences and Factors Influencing Future Service Use.
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DOI:
10.1080/07317115.2013.767872
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发表时间:
2013
影响因子:
2.8
通讯作者:
McConnell KA
McConnell KA
中科院分区:
医学3区
文献类型:
--
作者:
Kitchen KA;McKibbin CL;Wykes TL;Lee AA;Carrico CP;McConnell KA

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这项研究的目的是调查居住在怀俄明州农村的55岁或55岁以上的成年人的抑郁症治疗偏好和预期服务使用情况。16名参与者(平均年龄=59岁)完成了30到60分钟的半结构化访谈。定性方法被用来描述共同的主题。参与者认为社会/提供者支持和社区看门人是寻求抑郁症治疗的重要潜在促进者。相比之下,在这个年轻的农村样本中,感觉到的耻辱和对自给自足的重视成为寻求抑郁症治疗的关键障碍。参与者希望在初级保健部门接受治疗,并倾向于将药物和心理治疗结合起来进行治疗。然而,如果参与者首先得到神职人员或初级保健医生的推荐,他们更愿意去看心理健康专业人士。
The purpose of this study was to investigate depression treatment preferences and anticipated service use in a sample of adults aged 55 years or older who reside in rural Wyoming. Sixteen participants (mean age = 59) completed 30- to 60-minute, semi-structured interviews. Qualitative methods were used to characterize common themes. Social/provider support and community gatekeepers were perceived by participants as important potential facilitators for seeking depression treatment. In contrast, perceived stigma and the value placed on self-sufficiency emerged as key barriers to seeking treatment for depression in this rural, young-old sample. Participants anticipated presenting for treatment in the primary care sector and preferred a combination of medication and psychotherapy for treatment. Participants were, however, more willing to see mental health professionals if they were first referred by a clergy member or primary care physician.
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