A Culturally and Linguistically Specific Deaf Depression Screener

针对文化和语言的聋人抑郁症筛查

• 批准号: 7611764
• 负责人: Elizabeth A Eckhardt
• 金额: $ 24.36万
• 依托单位: SOCIAL SCIENCES INNOVATIONS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-03-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7611764
• 关键词: Accident and Emergency department; Advisory Committees; CD-ROM; Caring; Classification; Clinical; Communication; Communities; Confidentiality; DSM-IV; Depression screen; Diagnosis; Diagnostic; Disadvantaged; Disease; Early identification; Emergency Situation; English Language; Ensure; Face; Focus Groups; Fright; General Population; Health; Health Personnel; Health Services; Healthcare Systems; Hearing; Hearing Impaired Persons; Individual; Interview; Language; Linguistics; Medical; Mental Health; Mental Health Services; Mental disorders; Methods; Nature; Patients; Persons; Phase; Physicians; Pilot Projects; Population; Preventive; Primary Care Physician; Primary Health Care; Privacy; Reading; Research; Research Methodology; Research Personnel; Role; Screening procedure; Self-Administered; Sensitivity and Specificity; Services; Sign Language; Small Business Innovation Research Grant; Stigmata; Testing; Time; Underserved Population; Visit; Work; Writing; base; computerized; depression; depressive symptoms; disability; effective therapy; experience; follow-up; functional status; instrument; literacy; meetings; prototype; public health priorities; public health relevance; skills; social stigma

DESCRIPTION (provided by applicant): The proposed research will utilize qualitative (focus groups; in-depth interviews) and quantitative (field testing; calculation of sensitivity and specificity) methods to develop a culturally and linguistically accessible depression screener on CD-ROM in American Sign Language. Depression is the most common mental health condition managed in primary care. Depressive illness results in considerable work time loss and functional status decline causing levels of disability comparable to that of major medical illness. Fortunately, early identification and proper treatment significantly decrease the negative impact of depression in most patients. Although several depression screening instruments are available for the general population of patients in primary care, for deaf patients who use American Sign Language as their first and most comfortable language, being screened for depression in primary care can be difficult, if not impossible. These deaf individuals often lack adequate English reading skills to answer the questions in written form. Furthermore, a pilot study has indicated that those who are culturally deaf do not share the same concept of depression as is held by the developers of screening instruments. Therefore even having a sign language interpreter available to interpret an English-language screener may not yield meaningful results. Deaf persons are further disadvantaged in having cultural barriers to seeking mental health screening and treatment. This depression screener which will be keyed to DSM-IV criteria, will meet the specific linguistic and cultural needs of deaf individuals. It will also meet the need for such a depression screener for primary care physicians, emergency room physicians and other health and service agency staff who care for deaf patients. PUBLIC HEALTH RELEVANCE: Depression is the most prevalent form of mental illness in the US, causing disability and loss of work time comparable to major physical illness. The identification of depression in underserved populations, such as the deaf population, at the time of visits to primary care is a public health priority. The proposed project will develop a culturally and linguistically specific depression screener in American Sign Language, for use in primary care and other health and service settings.

描述（由申请人提供）：拟议的研究将利用定性（焦点小组；深入访谈）和定量（现场测试；敏感性和特异性的计算）方法来开发一种在文化和语言上易于理解的抑郁症筛查工具，以美国手语光盘形式呈现。抑郁症是初级保健中最常见的心理健康状况。抑郁症会导致大量工作时间损失和功能状态下降，导致残疾程度与重大疾病相当。幸运的是，早期识别和适当的治疗可以显着减少大多数患者抑郁症的负面影响。尽管有多种抑郁症筛查工具可供初级保健中的一般患者使用，但对于使用美国手语作为第一语言和最舒适语言的聋哑患者来说，在初级保健中进行抑郁症筛查即使不是不可能，也是很困难的。这些聋人通常缺乏足够的英语阅读能力来以书面形式回答问题。此外，一项试点研究表明，那些文化上失聪的人并不认同筛查工具开发商所持有的抑郁症概念。因此，即使有手语翻译员来翻译英语筛查人员也可能不会产生有意义的结果。聋哑人在寻求心理健康筛查和治疗时因文化障碍而处于不利地位。该抑郁症筛查仪将以 DSM-IV 标准为关键，将满足聋人的特定语言和文化需求。它还将满足初级保健医生、急诊室医生以及其他护理聋哑患者的健康和服务机构工作人员对抑郁症筛查仪的需求。公共卫生相关性：抑郁症是美国最普遍的精神疾病，它造成的残疾和工作时间的损失与严重的身体疾病相当。在就诊初级保健时识别服务不足的人群（例如聋哑人群）的抑郁症是一项公共卫生优先事项。拟议的项目将开发一种采用美国手语的文化和语言特定抑郁症筛查仪，用于初级保健和其他健康和服务环​​境。