'In my life antidepressants have been…': a qualitative analysis of users' diverse experiences with antidepressants.
'In my life antidepressants have been…': a qualitative analysis of users' diverse experiences with antidepressants.
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DOI：
10.1186/s12888-016-0844-3
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发表时间：
2016-05-11
期刊：
影响因子：
4.4
通讯作者：
Read J
中科院分区：
文献类型：
--
作者：
Gibson K;Cartwright C;Read J
虽然心理健康专业人士一直关注抗抑郁药是否在神经化学水平上起作用，但了解这种药物对使用者生活的意义很重要。这项研究探讨了抗抑郁药使用者体验的多样性。一千七百四十七名新西兰抗抑郁药使用者回答了有关他们抗抑郁药体验的开放式问题。这是使用内容和主题分析进行分析的。参与者的反应存在很大差异，包括积极（54％）、消极（16％）和混合（28％）的抗抑郁药物体验。那些有积极经历的人将抗抑郁药视为“疾病”的必要治疗方法、救星、履行社会义务、应对困难情况的一种方式或进一步提供帮助的垫脚石。负面主题将抗抑郁药描述为无效、具有难以忍受的副作用、破坏情感真实性、掩盖真正的问题并减少控制体验。混合体验主题展示了参与者如何权衡令人不快的副作用与益处，感觉更平静，但不太像自己，努力寻找抗抑郁药物或剂量，并在希望停止时感到坚持继续服用抗抑郁药。心理健康专业人士需要认识到，抗抑郁药并不是“一刀切”的解决方案。
While mental health professionals have focused on concerns about whether antidepressants work on a neurochemical level it is important to understand the meaning this medication holds in the lives of people who use it. This study explores diversity in the experience of antidepressant users. One thousand seven hundred forty-seven New Zealand antidepressant users responded to an open-ended question about their experience of antidepressants. This was analysed using content and thematic analysis. There was considerable diversity in participants’ responses including positive (54 %), negative (16 %) and mixed (28 %) experiences with antidepressants. Those with positive experiences saw antidepressants as a necessary treatment for a ‘disease’, a life saver, a way of meeting social obligations, dealing with difficult circumstances or a stepping stone to further help. Negative themes described antidepressants as being ineffective, having unbearable side effects, undermining emotional authenticity, masking real problems and reducing the experience of control. Mixed experience themes showed how participants weighed up the unpleasant side effects against the benefits, felt calmer but less like themselves, struggled to find the one or dosage and felt stuck with continuing on antidepressants when they wished to stop. Mental health professions need to recognize that antidepressants are not a ‘one size fits all’ solution.