美国原住民女性初级保健中精神障碍的患病率及其相关因素。
Prevalence and correlates of mental disorders among Native American women in primary care.
作者信息
Duran Bonnie, Sanders Margaret, Skipper Betty, Waitzkin Howard, Malcoe Lorraine Halinka, Paine Susan, Yager Joel
机构信息
Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, NM 87131-0001, USA.
出版信息
Am J Public Health. 2004 Jan;94(1):71-7. doi: 10.2105/ajph.94.1.71.
Abstract
OBJECTIVES
We examined the lifetime and the past-year prevalence and correlates of common mental disorders among American Indian and Alaska Native women who presented for primary care.
METHODS
We screened 489 consecutively presenting female primary care patients aged 18 through 45 years with the General Health Questionnaire, 12-item version. A subsample (n = 234) completed the Composite International Diagnostic Interview. We examined associations between psychiatric disorders and sociodemographic variables, boarding school attendance, and psychopathology in the family of origin.
RESULTS
The study participants had high rates of alcohol use disorders, anxiety disorders, and anxiety/depression comorbidity compared with other samples of non-American Indian/Alaska Native women in primary care settings.
CONCLUSIONS
There is a need for culturally appropriate mental health treatments and preventive services.
摘要
目的
我们调查了前来接受初级保健的美国印第安人和阿拉斯加原住民女性中常见精神障碍的终生患病率、过去一年患病率及其相关因素。
方法
我们使用12项版的一般健康问卷对489名年龄在18至45岁之间、连续前来就诊的女性初级保健患者进行了筛查。一个子样本（n = 234）完成了综合国际诊断访谈。我们研究了精神障碍与社会人口统计学变量、寄宿学校就读经历以及原生家庭中的精神病理学之间的关联。
结果
与初级保健环境中其他非美国印第安/阿拉斯加原住民女性样本相比，本研究参与者的酒精使用障碍、焦虑症以及焦虑/抑郁共病率较高。
结论
需要有适合文化背景的心理健康治疗和预防服务。
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本文引用的文献
1
Sociodemographic Factors, Smoking and Common Mental Disorder in the Renfrew and Paisley (MIDSPAN) Study.社会人口因素、吸烟与伦弗鲁和佩斯利（MIDSPAN）研究中的常见精神障碍。
J Health Psychol. 2001 Mar;6(2):149-58. doi: 10.1177/135910530100600205.
2
American Indians and alcohol.美洲印第安人与酒精。
Alcohol Health Res World. 1998;22(4):253-9.
3
Reconceptualizing native women's health: an "indigenist" stress-coping model.重新认识原住民女性的健康：一种“本土主义”压力应对模型。
Am J Public Health. 2002 Apr;92(4):520-4. doi: 10.2105/ajph.92.4.520.
4
Developmental traumatology: a contributory mechanism for alcohol and substance use disorders.发育创伤学：酒精和物质使用障碍的一种促成机制。
Psychoneuroendocrinology. 2002 Jan-Feb;27(1-2):155-70. doi: 10.1016/s0306-4530(01)00042-7.
5
Alcoholism and co-morbid psychiatric disorders among American Indians.
Am Indian Alsk Native Ment Health Res. 2001;10(2):27-51.
6
New data on the epidemiology of adult drinking and substance use among American Indians of the northern states: male and female data on prevalence, patterns, and consequences.美国北部各州印第安成年人饮酒与物质使用的流行病学新数据：关于患病率、模式及后果的男性和女性数据
Am Indian Alsk Native Ment Health Res. 2001;10(2):1-26. doi: 10.5820/aian.1002.2001.1.
7
Epidemiology, burden, and disability in depression and anxiety.抑郁症和焦虑症的流行病学、负担及残疾情况
J Clin Psychiatry. 2001;62 Suppl 13:4-10; discussion 11-2.
8
Influence of socio-economic deprivation on the prevalence and outcome of depression in primary care: the Hampshire Depression Project.社会经济剥夺对初级保健中抑郁症患病率及治疗结果的影响：汉普郡抑郁症项目
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9
Mental health services for American Indians and Alaska Natives: need, use, and barriers to effective care.美国印第安人和阿拉斯加原住民的心理健康服务：需求、使用情况及有效护理的障碍
Can J Psychiatry. 2000 Sep;45(7):617-26. doi: 10.1177/070674370004500703.
10
Prevalence of anxiety, depression, and substance use disorders in an urban general medicine practice.城市综合内科诊所中焦虑症、抑郁症和物质使用障碍的患病率。
Arch Fam Med. 2000 Sep-Oct;9(9):876-83. doi: 10.1001/archfami.9.9.876.
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