Refining Black men's depression measurement using participatory approaches: a concept mapping study.
Refining Black men's depression measurement using participatory approaches: a concept mapping study.
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DOI：
10.1186/s12889-021-11137-5
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发表时间：
2021-06-22
影响因子：
4.5
通讯作者：
Powell W
中科院分区：
文献类型：
--
作者：
Adams LB;Baxter SLK;Lightfoot AF;Gottfredson N;Golin C;Jackson LC;Tabron J;Corbie-Smith G;Powell W
尽管累积的社会经济劣势和风险因素，美国黑人抑郁症的患病率低于白人。鉴于抑郁症作为公共心理健康危机的新焦点，需要文化上知情的抑郁症措施和规模发展技术，以更好地减轻社会边缘化人群的心理健康负担。然而，对于黑人男性来说，将情感脆弱性定位为软弱的标志的种族和性别相关因素可能会掩盖及时识别这一人群的心理健康需求。因此，我们解决这些差距，通过采用一个股东驱动的，社区参与的过程，了解黑人男性的抑郁症的经验。我们使用概念映射，结构化的混合方法的方法，以确定如何利益相关者的黑人男性的健康概念化他们的抑郁症状。36个利益相关方参与了2018年进行的三阶段概念规划研究。三个独立的利益相关者群体参与了这项研究，包括黑人男性，黑人女性和初级保健提供者。参与者产生了68个黑人男性抑郁症的特征，这些特征反映在五个概念集群中：（1）身体状态;（2）情绪状态;（3）动力减弱;（4）内部冲突;（5）与他人沟通;（6）社会压力。使用内容分析的方法，我们发现，项目组成的“社会压力”集群没有反映在任何常见的抑郁量表。这项研究的结果说明了黑人男性表达抑郁情绪的相似和不同的途径。此外，概念图的结果也产生了一个新的机会，在未来的研究中文化知情的规模发展。在线版本包含补充材料，可通过10.1186/s12889-021-11137-5获得。
Despite cumulative socioeconomic disadvantage and risk factors, Black Americans have a lower prevalence of depression than whites. Given the emerging focus of depression as a public mental health crisis, culturally informed depression measures and scale development techniques are needed to better alleviate the mental health burden of socially marginalized populations. Yet, for Black men, race- and gender-related factors that position emotional vulnerability as a sign of weakness, may potentially mask the timely identification of mental health needs in this population. Thus, we address these gaps by employing a stakeholder-driven, community-engaged process for understanding Black men’s depression experience. We use concept mapping, a structured mixed methods approach, to determine how stakeholders of Black men’s health conceptualize their depressive symptoms. Thirty-six stakeholders participated in a three-phase concept mapping study conducted in 2018. Three separate stakeholder groups were engaged for this study, including Black men, Black women, and primary care providers. Participants generated 68 characteristics of Black men’s depression which were reflected within five conceptual clusters: (1) physical states; (2) emotional states; (3) diminished drive; (4) internal conflicts; (5) communication with others; and (6) social pressures. Using a content analysis approach, we found that items comprising the “social pressures” cluster were not reflected in any common depression scales. Findings from this study illustrate the similar and divergent pathways in which Black men express depressed mood. Furthermore, concept mapping results also yield a novel opportunity for culturally informed scale development in future research. The online version contains supplementary material available at 10.1186/s12889-021-11137-5.
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影响因子：
3.8
作者：
Le Cook, Benjamin;Nhi-Ha Trinh;Progovac, Ana M.
通讯作者：
Progovac, Ana M.
影响因子：
2.3
作者：
Adams, Leslie B.;Gottfredson, Nisha;Powell, Wizdom
通讯作者：
Powell, Wizdom
影响因子：
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作者：
Akinyemi, Esther;Watkins, Daphne C.;Kales, Helen C.
通讯作者：
Kales, Helen C.
影响因子：
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作者：
Addis, ME;Mahalik, JR
通讯作者：
Mahalik, JR
影响因子：
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作者：
Kessler, RC;Berglund, P;Walters, EE
通讯作者：
Walters, EE