Latina mothers' stances on stimulant medication:: Complexity, conflict, and compromise
Latina mothers' stances on stimulant medication:: Complexity, conflict, and compromise
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DOI：
10.1097/00004703-200410000-00002
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发表时间：
2004-10-01
影响因子：
2.4
通讯作者：
Jáquez, M
中科院分区：
文献类型：
--
作者：
Arcia, E;Fernández, MC;Jáquez, M
本研究旨在理解和描述拉丁裔母亲对于使用药物治疗其幼儿行为问题的认知和态度，前提是这些因素是不遵医嘱和未充分坚持药物治疗的决定因素。从一项关于寻求专业帮助的多方法研究中提取了定量和定性数据。参与者是来自古巴、波多黎各和多米尼加共和国的62位母亲。研究结果表明，母亲们绝大多数更喜欢药物以外的治疗选择，主要是因为她们认为药物会成瘾、会使认知过程迟钝，且不适用于行为问题。未充分坚持治疗的情况很常见，且在逻辑上与母亲的认知一致。母亲在使用药物方面的选择具有交互性，本质上相当复杂，且会随时间变化。在这个过程中，最强有力的影响因素是学校和母亲的直系亲属。文中还阐述了对临床实践的启示。
This study was undertaken to understand and describe Latina mothers' cognitions and attitudes toward the use of medication for their young children's behavior problems under the premise that these factors are determinants of noncompliance and inadequate adherence to medication treatments. Quantitative and qualitative data were extracted from a multimethod study of professional help seeking. Participants were 62 mothers from Cuba, Puerto Rico, and the Dominican Republic. Findings indicated that mothers overwhelmingly preferred treatment options other than medication primarily because they understood medication to be addictive, dulling of cognitive processes, and inappropriate for behavior problems. Inadequate adherence was common and logically consistent with maternal cognitions. Maternal choices with respect to the use of medication were transactional and quite complex in nature and changed over time. The strongest agents in this process were schools and the mothers' immediate family. Implications for clinical practice are presented.