Rutgers-The State University of New Jersey, Ackerson Hall, 180 University Avenue, Newark, NJ 07102, USA.
J Transcult Nurs. 2013 Jan;24(1):68-77. doi: 10.1177/1043659612453745. Epub 2012 Aug 20.
This study describes causal beliefs about depression among Dominican, Colombian, and Ecuadorian immigrants. The authors describe participants' narratives about how particular supernatural or religious beliefs may contribute to or alleviate depression.
Latino primary care patients (n = 177) were interviewed with the Beliefs About Causes of Depression Scale, a list of 35 items rated from not at all important to extremely important. Participants had the option of expanding on responses using an informal conversational approach. Underlying themes of these explanatory comments were derived from narrative and content analysis.
Major themes that emerged were Psychosocial and Religious and Supernatural causal beliefs. A third theme emerged that represented the integration of these categories in the context of the immigrant experience.
This article adds to the understanding of cross-cultural beliefs about depression. Psychosocial stressors related to the immigrant experience and adverse life events were highly endorsed, but the meaning of these stressors was construed in terms of religious and cultural values. To provide culturally appropriate services, nurses should be aware of and discuss the patient's belief systems, illness interpretations, and expectations of treatment.
本研究描述了多米尼加、哥伦比亚和厄瓜多尔移民对抑郁症的因果信念。作者描述了参与者关于特定的超自然或宗教信仰如何可能导致或缓解抑郁的叙述。
对 177 名拉丁裔初级保健患者进行了访谈，使用《抑郁原因信念量表》进行访谈，该量表包含 35 个项目，从一点也不重要到非常重要进行评分。参与者可以选择使用非正式的对话方式扩展回答。这些解释性评论的潜在主题来自叙事和内容分析。
出现的主要主题是心理社会和宗教及超自然的因果信念。第三个主题是代表这些类别在移民经历背景下的整合。
本文增加了对跨文化抑郁观念的理解。与移民经历相关的心理社会压力源和不利生活事件得到了高度认可，但这些压力源的意义是根据宗教和文化价值观来解释的。为了提供文化上适当的服务，护士应该了解并讨论患者的信仰体系、疾病解释和治疗期望。
