Contextual Factors in the Health of People With Serious Mental Illness.
Contextual Factors in the Health of People With Serious Mental Illness.
复制标题
DOI：
10.1177/1049732314541681
复制
发表时间：
2014-08
影响因子：
3.2
通讯作者：
Lewis-Fernández R
中科院分区：
文献类型：
--
作者：
Cabassa LJ;Siantz E;Nicasio A;Guarnaccia P;Lewis-Fernández R
患有严重精神疾病(SMI)的人比一般人的预期寿命短。我们研究了背景因素如何影响这一人群的身体健康。我们对来自六个行为健康组织的利益相关者进行了访谈、焦点小组和参与者观察。我们发现，消费者在就医过程中对公开分歧的回避、他们对医疗机构的不信任以及身体形象的文化差异影响了临床接触。心理健康提供者对干预消费者身体健康的矛盾心理，初级保健提供者将身体症状错误归因于精神障碍，以及提供者对消费者的污名化影响了临床接触。消费者的饮食受到与传统饮食相关的食物环境和社会规范的影响。内外部因素影响消费者的体育活动。在这篇文章中，我们说明了在制定和实施旨在改善SMI患者身体健康的干预措施时考虑背景因素的重要性。
People living with serious mental illness (SMI) have shorter life expectancies than the general population. We examined how contextual factors influence the physical health of this population. We conducted interviews, focus groups, and participant observations with stakeholders from six behavioral health organizations. We found that consumers’ avoidance of overt disagreement during medical visits, their mistrust of medical institutions, and cultural variations in body image influenced the clinical encounter. Mental health providers’ ambivalence about intervening in consumers’ physical health, primary care providers’ misattribution of physical symptoms to mental disorders, and providers’ stigmatization of consumers shaped clinical encounters. Consumers’ diets were shaped by food environments and social norms associated with traditional diets. Internal and external factors impacted consumers’ physical activity. In this article, we illustrate the importance of considering contextual factors in the development and implementation of interventions aimed at improving the physical health of people with SMI.
登录
查看更多内容
影响因子：
3.2
作者：
Borba, Christina P. C.;DePadilla, Lara;Sterk, Claire E.
通讯作者：
Sterk, Claire E.
影响因子：
4.5
作者：
Druss, Benjamin G.;Zhao, Liping;Lorig, Kate
通讯作者：
Lorig, Kate
影响因子：
2.5
作者：
Han HR;Lee JE;Kim J;Hedlin HK;Song H;Kim MT
通讯作者：
Kim MT
影响因子：
2.4
作者：
Ayala, Guadalupe X.;Vaz, Lara;Cherrington, Andrea
通讯作者：
Cherrington, Andrea
影响因子：
4.5
作者：
McEvoy, JP;Meyer, JM;Lieberman, JA
通讯作者：
Lieberman, JA