Self-recognition of depression in public care women's clinic patients
Self-recognition of depression in public care women's clinic patients
复制标题
DOI：
10.1089/jwh.1.1999.8.1063
复制
发表时间：
1999-10-01
期刊：
影响因子：
--
通讯作者：
Azocar, F
中科院分区：
文献类型：
--
作者：
Alvidrez, J;Azocar, F
由于在公共保健妇科诊所看到的年轻女性患抑郁症的风险非常高，因此找到方法来增加这一患者人群中抑郁症的检测是很重要的。本研究以95位女性门诊忧郁症患者为样本，探讨忧郁症自我认知的发生率与预测因子。我们发现，不到一半的女性（44%）将自己的问题确定为抑郁症，这表明大多数女性不太可能接受治疗。自我认知的预测因素包括过去被医生告知他们患有抑郁症，认可精神疾病的医学/精神病学原因，以及使用面对问题的应对策略，酒精或药物使用以及祈祷。这些研究结果表明，妇科环境需要（1）为女性提供有关抑郁症的教育，（2）鼓励她们与医生讨论情绪问题，（3）为医生和工作人员提供更多关于抑郁症检测和评估的教育和培训。
Because young women seen in public care gynecology clinics are at very high risk for depression, it is important to find ways to increase detection of depression in this patient population. This study examined rates and predictors of self-recognition of depression in a sample of 95 depressed public care women's clinic patients. We found that fewer than half of the women (44%) identified their problems as depression, suggesting that the majority of women were not likely to receive treatment for their problems. Predictors of self-recognition included being told by a doctor in the past that they were depressed, endorsing medical/psychiatric causes of mental illness, and use of the coping strategies of facing a problem, alcohol or drug use, and prayer. These findings indicate the need for gynecology settings to (1) provide education about depression to women, (2) encourage them to discuss emotional problems with their physicians, and (3) provide increased education and training to physicians and staff about depression detection and assessment.