African American Women's beliefs, coping behaviors, and barriers to seeking mental health services.

African American Women's beliefs, coping behaviors, and barriers to seeking mental health services.
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DOI:
10.1177/1049732309350686
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发表时间:
2009-11
影响因子:
3.2
通讯作者:
Heidrich S
Heidrich S
中科院分区:
医学2区
文献类型:
--
作者:
Ward EC;Clark le O;Heidrich S

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关于非裔美国妇女对精神疾病的信念知之甚少。在这项定性研究中,我们采用常识模型(CSM)来研究非洲裔美国妇女的信念,精神疾病,应对行为,寻求治疗的障碍,以及信仰,应对和与衰老相关的障碍的变化。15名社区居住的非裔美国妇女参加了个别访谈。CSM指导下的维度分析显示,参与者认为一般,文化特定和年龄相关因素可能导致精神疾病。他们认为精神疾病是慢性的,对健康有负面影响。参与者赞同使用祈祷和咨询作为应对策略,但对药物的使用持矛盾态度。寻求治疗的障碍包括难以获得护理、耻辱和缺乏对精神疾病的认识。在信念、应对行为和障碍方面几乎没有年龄差异。实践和研究意义进行了讨论。
Little is known about African American women's beliefs about mental illness. In this qualitative study we employed the Common Sense Model (CSM) to examine African American women's beliefs about mental illness, coping behaviors, barriers to treatment seeking, and variations in beliefs, coping, and barriers associated with aging. Fifteen community-dwelling African American women participated in individual interviews. Dimensional analysis, guided by the CSM, showed that participants believed general, culturally specific, and age-related factors can cause mental illness. They believed mental illness is chronic, with negative health outcomes. Participants endorsed the use of prayer and counseling as coping strategies, but were ambivalent about the use of medications. Treatment-seeking barriers included poor access to care, stigma, and lack of awareness of mental illness. Few age differences were found in beliefs, coping behaviors, and barriers. Practice and research implications are discussed.
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