Eisenman David P, Meredith Lisa S, Rhodes Hilary, Green Bonnie L, Kaltman Stacey, Cassells Andrea, Tobin Jonathan N
RAND Corporation, Santa Monica, CA, USA.
J Gen Intern Med. 2008 Sep;23(9):1386-92. doi: 10.1007/s11606-008-0677-y. Epub 2008 Jun 28.
Little is known about how Latinos with post-traumatic stress disorder (PTSD) understand their illness and their preferences for mental health treatment.
To understand the illness beliefs and treatment preferences of Latino immigrants with PTSD.
Semi-structured, face-to-face interviews.
Sixty foreign-born, Latino adults recruited from five primary care centers in New York and New Jersey and screened for PTSD.
Content analytic methods identified common themes, their range, and most frequent or typical responses.
Participants identified their primary feelings as sadness, anxiety, nervousness, and fear. The most common feeling was "sad" (triste). Other words frequently volunteered were "angry" (enojada), "nervous" (nerviosa), and "scared" (miedo). Participants viewed their PTSD as impairing health and functioning. They ascribed their somatic symptoms and their general medical problems to the "stress" from the trauma and its consequences on their lives. The most common reason participants volunteered for their work and school functioning being impaired was their poor concentration, often due to intrusive thoughts. Most expressed their desire to receive mental health treatment, to receive it within their primary care center, and preferred psychotherapy over psychotropic medications. Among participants who did not report wanting treatment, most said it was because the trauma was "in the past."
Clinicians may consider enquiring about PTSD in Latino patients who report feeling sad, anxious, nervous, or fearful. Our study suggests topics clinicians may include in the psychoeducation of patients with PTSD.
对于患有创伤后应激障碍(PTSD)的拉丁裔人群如何理解自身疾病以及他们对心理健康治疗的偏好,我们知之甚少。
了解患有PTSD的拉丁裔移民的疾病认知和治疗偏好。
半结构化面对面访谈。
从纽约和新泽西的五个初级保健中心招募了60名出生在国外的拉丁裔成年人,并对其进行PTSD筛查。
内容分析方法确定了共同主题、其范围以及最常见或典型的回答。
参与者将他们的主要情绪确定为悲伤、焦虑、紧张和恐惧。最常见的情绪是“悲伤”(triste)。其他经常提到的词汇有“愤怒”(enojada)、“紧张”(nerviosa)和“害怕”(miedo)。参与者认为他们的PTSD损害了健康和功能。他们将自己的躯体症状和一般医疗问题归因于创伤带来的“压力”及其对生活的影响。参与者提到工作和学习功能受损的最常见原因是注意力不集中,这通常是由于侵入性思维所致。大多数人表示希望接受心理健康治疗,希望在初级保健中心接受治疗,并且比起精神药物,他们更喜欢心理治疗。在未表示希望接受治疗的参与者中,大多数人表示这是因为创伤已经“过去”。
临床医生可能会考虑询问那些报告感到悲伤、焦虑、紧张或恐惧的拉丁裔患者是否患有PTSD。我们的研究为临床医生在对PTSD患者进行心理教育时可能涵盖的主题提供了建议。