Ethnicity and preferences for depression treatment
Ethnicity and preferences for depression treatment
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DOI：
10.1016/j.genhosppsych.2006.11.002
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发表时间：
2007-05-01
影响因子：
7
通讯作者：
Cooper, Lisa A.
中科院分区：
文献类型：
--
作者：
Givens, Jane L.;Houston, Thomas K.;Cooper, Lisa A.
目的：本研究的目的是描述不同种族对抑郁的态度、抑郁治疗、耻辱和对抑郁治疗的偏好(咨询和药物治疗)的差异。方法：本研究采用横断面互联网调查，测量治疗偏好、耻辱和对抑郁的态度。用流行病学研究中心抑郁量表(CES-D)测量抑郁症状。调整治疗态度和人口统计学的多变量回归模型估计了种族对治疗偏好的独立影响。结果：共有78,753名有明显抑郁症状的患者(CES-D>；22.)，包括3596名非洲裔美国人，2794名亚洲人/太平洋岛民和3203名西班牙裔美国人。与白人相比，非洲裔美国人、亚裔/太平洋岛民和拉美裔更倾向于咨询而不是药物治疗[优势比(OR)=2.6，95%可信区间(95%CI)=2.4~2.8；OR=2.5，95%CI=2.2~2.7；OR=1.8，95%CI=1.7~2.0]。少数族裔不太可能相信药物是有效的，抑郁症是基于生物学的，但他们更有可能相信抗抑郁剂会上瘾，咨询和祈祷对治疗抑郁症有效。在调整后的分析中，态度和信仰在一定程度上减弱了种族和治疗偏好之间的联系。结论：种族和少数民族比白人更喜欢抑郁症治疗的咨询。对抗抑郁剂、祈祷和咨询效果的信念在一定程度上调解了人们对抑郁症治疗的偏好。(C)2007 Elsevier Inc.保留所有权利。
Objective: The objective of this work was to describe ethnic differences in attitudes toward depression, depression treatment, stigma and preferences for depression treatment (counseling vs. medication).Method: This study used a cross-sectional Internet survey measuring treatment preference, stigma and attitudes toward depression. Depressive symptoms were measured with the Center for Epidemiological Studies Depression (CES-D) scale. Multivariable regression models adjusting for treatment attitudes and demographics estimated the independent effect of ethnicity on treatment preference.Results: A total of 78,753 persons with significant depressive symptoms (CES-D > 22.), including 3596 African Americans, 2794Asians/Pacific Islanders and 3203 Hispanics, participated. Compared to whites, African Americans, Asians/Pacific Islanders and Hispanics were more likely to prefer counseling to medications [odds ratio (OR) = 2.6, 95% confidence interval (95% CI)=2.4-2.8; OR=2.5, 95% CI=2.2-2.7; and OR=1.8, 95% CI=1.7-2.0, respectively]. Ethnic minorities were less likely to believe that medications were effective and that depression was biologically based, but were more likely to believe that antidepressants were addictive and that counseling and prayer were effective in treating depression. Attitudes and beliefs somewhat attenuated the association between ethnicity and treatment preference in adjusted analyses.Conclusion: Racial and ethnic minorities prefer counseling for depression treatment more than whites. Beliefs about the effects of antidepressants, prayer and counseling partially mediate preferences for depression treatment. (c) 2007 Elsevier Inc. All rights reserved.