Substance Use in Relation to Mental Illness: A Study of Mexican-Origin Latinos with Schizophrenia and Their Family Members.
Substance Use in Relation to Mental Illness: A Study of Mexican-Origin Latinos with Schizophrenia and Their Family Members.
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与精神疾病相关的药物使用：对患有精神分裂症的墨西哥裔拉丁裔及其家庭成员的研究。
DOI：
10.1093/hsw/hlac014
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发表时间：
2022
影响因子：
1.5
通讯作者：
Gaona,Lizbeth
中科院分区：
文献类型：
--
作者：
Hernandez,Mercedes;Barrio,Concepcion;Helu-Brown,Paula;Lim,Caroline;Gaona,Lizbeth
对拉丁裔精神分裂症患者的家庭背景和物质使用行为知之甚少。了解患者和家庭护理人员对使用的看法对于我们了解如何最好地支持这些脆弱的患者和家庭护理人员至关重要。本研究探讨了物质使用的看法，主要是墨西哥裔的精神分裂症和他们的家庭照顾者的拉丁美洲人之间的精神疾病。半结构化访谈进行了34名参与者（20名家庭照顾者; 14名患者）与直接和间接的物质使用的经验，在他们的首选语言。数据进行了分析，使用主题分析，其中包括比较代码之间和患者和家庭照顾者的成绩单。研究结果显示，物质使用影响福祉，特别是病人的恢复和照顾者的负担。解决福祉的策略包括限制物质使用，对患者使用保持警惕，并传达使用的负面影响。使用药物的环境影响和耻辱是主要的背景挑战。患者通过限制他们的社会化来解决这些问题。家庭社会背景是重要的物质使用是如何感知和管理的病人和照顾者。因此，治疗模式应该考虑一个整体的观点，在解决拉丁美洲精神分裂症患者的药物使用问题时，将家庭背景纳入其中。
Little is known about family context and substance use behaviors among Latinos with schizophrenia. Learning about patient and family caregiver perceptions of use is critical to our understanding of how best to support these vulnerable patients and family caregivers. This study explored perceptions of substance use in relation to mental illness among Latinos primarily of Mexican origin with schizophrenia and their family caregivers. Semistructured interviews were conducted with 34 participants (20 family caregivers; 14 patients) with direct and indirect substance use experience, in their preferred language. Data were analyzed using thematic analysis, which consisted of comparing codes across and within patient and family caregiver transcripts. Findings revealed that substance use affected well-being, particularly patient recovery and caregiver burden. Strategies to address well-being included limiting substance use, being vigilant about patient use, and communicating the negative impact of use. The environmental impact and stigma of substance use were major contextual challenges. Patients addressed these by limiting their socialization. Family social context was important to how substance use was perceived and managed by patients and caregivers. As such, treatment models should consider a holistic perspective that incorporates family context when addressing substance use among Latinos with schizophrenia.