Florida State University, College of Social Work, PO Box 3062570, Tallahassee, FL 32306-2570, USA.
Diabetes Educ. 2010 Sep-Oct;36(5):816-27. doi: 10.1177/0145721710380145.
The purpose of the study was to explore African American, Latino, and Non-Hispanic White adult patients with type 2 diabetes cultural perceptions of symptoms of depression and factors that predict depression care treatment preferences between these groups.
A community sample of African Americans, Latinos, and White diabetic adults receiving services in 1 of 2 central Austin, Texas facilities participated in the study. Each participant was given a survey, which consisted of the following 5 components: (1) illness screener questions, (2) demographic questions, (3) Patient Health Questionnaire, (4) Depression Treatment Questionnaire, and (5) Illness Perception Questionnaire. A binary logistic regression was used to examine the relationship between cultural perceptions of symptoms and the predictor variables. A multinomial logistic regression analyses was used to examine the relationship between treatment and provider preferences for the symptoms of depression and ethnicity.
The first research question addressed whether there were differences across ethnicity in how symptoms of depression are attributed among patients with diabetes. There were 7 causal beliefs that were associated with differences in cultural endorsements of the causes of depressive symptoms. In addition, culture was associated with treatment preferences but not with provider preferences.
The utility of assessing a patient's understanding of symptoms of depression to determine how personal illness models impact treatment preferences and clinical implications of how knowledge of patient's causal attributions can aid medical and behavioral health providers working in collaborative management of diabetes and depression are discussed.
本研究旨在探讨 2 型糖尿病的非裔美国、拉丁裔和非西班牙裔白种成年患者对抑郁症状的文化认知，以及这些群体之间预测抑郁治疗偏好的因素。
本研究纳入了在德克萨斯州奥斯汀市 2 家中心服务机构接受治疗的非裔美国、拉丁裔和白种糖尿病成年患者。每位参与者都接受了一项调查，其中包括以下 5 个部分：（1）疾病筛查问题；（2）人口统计学问题；（3）患者健康问卷；（4）抑郁治疗问卷；（5）疾病认知问卷。采用二元逻辑回归分析检验症状文化认知与预测变量之间的关系。采用多项逻辑回归分析检验抑郁症状和治疗偏好与种族之间的关系。
第一个研究问题是探讨不同族裔的患者对糖尿病患者抑郁症状归因是否存在差异。有 7 种因果信念与抑郁症状产生原因的文化认可差异有关。此外，文化与治疗偏好有关，但与提供者偏好无关。
评估患者对抑郁症状的理解程度，以确定个人疾病模型如何影响治疗偏好，并了解患者因果归因的知识如何有助于共同管理糖尿病和抑郁症的医疗和行为健康提供者，这具有实际应用价值。
