市中心初级保健诊所低收入患者心理困扰的概念模型。
Conceptual models of psychological distress among low-income patients in an inner-city primary care clinic.
作者信息
Karasz Alison, Sacajiu Galit, Garcia Nerina
机构信息
Albert Einstein College of Medicine, Bronx, NY 10467, USA.
出版信息
J Gen Intern Med. 2003 Jun;18(6):475-7. doi: 10.1046/j.1525-1497.2003.20636.x.
Abstract
Although depression and anxiety syndromes are common in primary care, many depressed and anxious patients fail to receive effective treatment. Little attention has been given to the role of illness beliefs in shaping these patients' treatment preferences and decisions. Using semistructured interviews, this study examined conceptual models of depressive symptoms among patients in an inner-city clinic. A theoretical taxonomy of patients' conceptual models of distress was developed: each category was associated with a unique pattern of treatment preferences. We conclude that patients' models of distress may play an important role in treatment-seeking decisions, and deserve further investigation.
摘要
尽管抑郁和焦虑综合征在初级保健中很常见，但许多抑郁和焦虑患者未能得到有效治疗。疾病认知在塑造这些患者的治疗偏好和决策方面所起的作用很少受到关注。本研究通过半结构化访谈，考察了市中心一家诊所患者的抑郁症状概念模型。研究建立了患者痛苦概念模型的理论分类法：每个类别都与一种独特的治疗偏好模式相关联。我们得出结论，患者的痛苦模型可能在寻求治疗的决策中发挥重要作用，值得进一步研究。
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