Explanatory models of illness in schizophrenia: comparison of four ethnic groups
Explanatory models of illness in schizophrenia: comparison of four ethnic groups
复制标题
DOI：
10.1192/bjp.185.1.25
复制
发表时间：
2004-07-01
影响因子：
10.5
通讯作者：
Priebe, S
中科院分区：
文献类型：
--
作者：
McCabe, R;Priebe, S
背景 疾病的解释模型可能因种族而异，影响治疗满意度和依从性。目的 比较四种文化背景的精神分裂症患者的解释模型，探讨其与临床和心理特征的关系。方法 对英国白人、孟加拉国人、非洲加勒比人和西非人的解释模型、洞察力、治疗依从性、健康控制点、生活质量、治疗满意度、治疗关系和症状进行评估。结果 在比较疾病的生物原因和超自然原因时，白人引用了生物原因比三个非白人群体更常见，这三个非白人群体更频繁地引用超自然原因。当比较生物学和社会原因时，白人比非洲-加勒比人和孟加拉国人更频繁地引用生物学原因，后者更频繁地引用社会原因生物学解释模型与提高治疗满意度和治疗关系有关，但与治疗依从性无关。结论疾病的解释模型有助于患者对治疗和与临床医生的关系的满意度。利益声明无。致谢中详细说明了资助情况。
Background Explanatory models of illness may differ between ethnic groups and influence treatment satisfaction and compliance.Aims To compare explanatory models among people with schizophrenia from four cultural backgrounds and explore their relationship with clinical and psychological characteristics.Method Explanatory models, insight, treatment compliance, health locus of control, quality of life, treatment satisfaction, therapeutic relationships and symptomatology were assessed in UK Whites and Bangladeshis, African Caribbeans and West Africans.Results When biological and supernatural causes of illness were compared,Whites cited biological causes more frequently than the three non-White groups, who cited supernatural causes more frequently. When biological and social causes were compared,Whites cited biological causes more frequently than African - Caribbeans and Bangladeshis, who cited social causes more frequently A biological explanatory model was related to enhanced treatment satisfaction and therapeutic relationships but not treatment compliance.Conclusions Explanatory models of illness contribute to patient satisfaction with treatment and relationships with clinicians.Declaration of interest None. Funding detailed in Acknowledgements.