Cusack Karen J, Grubaugh Anouk L, Yim Eunsil, Knapp Rebecca G, Robins Cynthia S, Frueh B Christopher
Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, CB 7590, 725 Martin Luther King, Chapel Hill, NC 27599-7590, USA.
Psychiatr Q. 2007 Jun;78(2):101-15. doi: 10.1007/s11126-006-9031-x.
The current study examined racial differences in the reported frequency and distress associated with potentially harmful or traumatic experiences occurring within psychiatric settings. One hundred and forty-two (109 African-American; 32 Caucasian) randomly selected adult consumers recruited from a community psychosocial day program completed a battery of self-report measures to assess experiences in the psychiatric setting, lifetime trauma exposure, PTSD severity, and were the subject of a chart review. A subset of participants (20%) also completed a qualitative interview exploring their perceptions of events occurring in psychiatric settings. Few racial differences were noted in the reported frequency or distress associated with particular events in the psychiatric setting. However, we found differential patterns of association between adverse psychiatric events and lifetime trauma history, and racial differences in diagnosis and medications prescribed by the mental health center. These racial differences merit further attention to better understand their meaning and to improve mental health services provided to both African-Americans and Caucasian public-sector psychiatric patients.
本研究调查了在精神科环境中发生的潜在有害或创伤性经历的报告频率及痛苦程度方面的种族差异。从一个社区心理社会日间项目中随机选取了142名成年服务对象（109名非裔美国人；32名白种人），他们完成了一系列自我报告测量，以评估在精神科环境中的经历、终生创伤暴露情况、创伤后应激障碍的严重程度，并接受了病历审查。一部分参与者（20%）还完成了一次定性访谈，探讨他们对精神科环境中发生事件的看法。在报告的与精神科环境中特定事件相关的频率或痛苦程度方面，未发现明显的种族差异。然而，我们发现不良精神科事件与终生创伤史之间存在不同的关联模式，以及心理健康中心在诊断和所开药物方面存在种族差异。这些种族差异值得进一步关注，以便更好地理解其意义，并改善为非裔美国人和白种人公共部门精神科患者提供的心理健康服务。
