PTSD in latino patients: Illness beliefs, treatment preferences, and implications for care
PTSD in latino patients: Illness beliefs, treatment preferences, and implications for care
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DOI：
10.1007/s11606-008-0677-y
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发表时间：
2008-09-01
影响因子：
5.7
通讯作者：
Tobin, Jonathan N.
中科院分区：
文献类型：
--
作者：
Eisenman, David P.;Meredith, Lisa S.;Tobin, Jonathan N.
背景：对患有创伤后应激障碍(PTSD)的拉美裔人如何了解他们的疾病和他们对心理健康治疗的偏好知之甚少。目的：了解患有创伤后应激障碍(PTSD)的拉丁裔移民的疾病信念和治疗偏好。设计：半结构化的面对面访谈。PARTICIPANT：60名在外国出生的拉丁裔成年人，从纽约和新泽西的五个初级保健中心招募，进行创伤后应激障碍筛查。APPROACH：内容分析方法确定共同的主题、范围和最频繁或典型的反应。结果：参与者确定他们的主要感受为悲伤、焦虑、紧张和恐惧。最常见的感觉是“悲伤”(Triste)。其他经常自告奋勇的词汇还有“愤怒”(Enojada)、“紧张”(Nerviosa)和“害怕”(Miedo)。参与者认为他们的创伤后应激障碍损害了健康和功能。他们将自己的躯体症状和一般医疗问题归因于创伤带来的“压力”及其对他们生活的影响。参与者自愿参加工作和学校功能受损的最常见原因是他们注意力不集中，通常是由于侵入性的想法。大多数人表达了接受心理健康治疗的愿望，希望在他们的初级保健中心接受治疗，并且比起精神药物，他们更喜欢心理治疗。在没有报告想要治疗的参与者中，大多数人说这是因为创伤已经成为过去。结论：临床医生可能会考虑询问报告感到悲伤、焦虑、紧张或恐惧的拉丁裔患者的创伤后应激障碍。我们的研究表明，临床医生可能会在创伤后应激障碍患者的心理教育中包括这些主题。
BACKGROUND: Little is known about how Latinos with post-traumatic stress disorder (PTSD) understand their illness and their preferences for mental health treatment.OBJECTIVE: To understand the illness beliefs and treatment preferences of Latino immigrants with PTSD.DESIGN: Semi-structured, face-to-face interviews.PARTICIPANTS: Sixty foreign-born, Latino adults recruited from five primary care centers in New York and New Jersey and screened for PTSD.APPROACH: Content analytic methods identified common themes, their range, and most frequent or typical responses.RESULTS: Participants identified their primary feelings as sadness, anxiety, nervousness, and fear. The most common feeling was "sad" (triste). Other words frequently volunteered were "angry" (enojada), "nervous" (nerviosa), and "scared" (miedo). Participants viewed their PTSD as impairing health and functioning. They ascribed their somatic symptoms and their general medical problems to the "stress" from the trauma and its consequences on their lives. The most common reason participants volunteered for their work and school functioning being impaired was their poor concentration, often due to intrusive thoughts. Most expressed their desire to receive mental health treatment, to receive it within their primary care center, and preferred psychotherapy over psychotropic medications. Among participants who did not report wanting treatment, most said it was because the trauma was "in the past."CONCLUSIONS: Clinicians may consider enquiring about PTSD in Latino patients who report feeling sad, anxious, nervous, or fearful. Our study suggests topics clinicians may include in the psychoeducation of patients with PTSD.