US Cambodian refugees' use of complementary and alternative medicine for mental health problems
US Cambodian refugees' use of complementary and alternative medicine for mental health problems
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DOI：
10.1176/appi.ps.58.9.1212
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发表时间：
2007-09-01
影响因子：
3.8
通讯作者：
Hambarsoomians, Katrin
中科院分区：
文献类型：
--
作者：
Berthold, S. Megan;Wong, Eunice C.;Hambarsoomians, Katrin
目的：这项研究调查了美国柬埔寨难民使用补充和替代医学以及西方来源的精神疾病护理。分析评估了在没有西方精神健康治疗的情况下使用补充和替代医学的程度，以及补充和替代医学的使用是否与西方服务的使用减少有关。方法：面对面的访谈进行了一个有代表性的样本来自美国最大的柬埔寨难民社区。该样本包括339名在过去12个月内符合创伤后应激障碍，重度抑郁症或酒精使用障碍标准的人。受访者描述了在过去12个月内因心理问题与补充和替代医学以及西方服务提供者的接触。采用双变量和多变量logistic回归分析。结果如下：72%的样本寻求西方精神卫生服务，34%的人在过去一年中依赖补充和替代医学。寻求补充和替代医学与寻求西方服务密切相关，与使用补充和替代医学抑制寻求西方心理健康治疗的假设相反。结论：只有一小部分柬埔寨难民专门使用补充和替代医学（5%），补充和替代医学的利用与寻求西方精神健康问题的护理来源呈正相关。补充和替代药物的使用似乎并不是这一人群心理健康治疗的重大障碍，这与外科医生的结论相反，即亚裔美国人使用替代资源可能会抑制他们使用西方心理健康护理。
Objective: This study examined U.S. Cambodian refugees' use of complementary and alternative medicine and Western sources of care for psychiatric problems. Analyses assessed the extent to which complementary and alternative medicine was used in the absence of Western mental health treatment and whether use of complementary and alternative medicine was associated with decreased use of Western services. Methods: Face-to-face interviews were conducted with a representative sample drawn from the largest Cambodian refugee community in the United States. The sample included 339 persons who met criteria in the past 12 months for posttraumatic stress disorder, major depression, or alcohol use disorder. Respondents described contact with complementary and alternative medicine and Western service providers for psychological problems in the preceding 12 months. Bivariate and multivariate logistic regression analyses were used. Results: Seventy-two percent of the sample sought Western mental health services, and 34% relied on complementary and alternative medicine in the past year. Seeking complementary and alternative medicine was strongly and positively associated with seeking Western services, contrary to the hypothesis that use of complementary and alternative medicine inhibits seeking Western mental health treatment. Conclusions: Only a small percentage of Cambodian refugees used complementary and alternative medicine exclusively (5%), and utilization of complementary and alternative medicine was positively associated with seeking Western sources of care for mental health problems. Complementary and alternative medicine use does not appear to be a significant barrier to mental health treatment in this population, contrary to the Surgeon General's conclusion that Asian Americans' use of alternative resources may inhibit their utilization of Western mental health care.