Department of Psychology, University of New Mexico.
Department of Psychiatry & Addiction Substance Abuse Program (ASAP), University of New Mexico.
Cultur Divers Ethnic Minor Psychol. 2012 Oct;18(4):352-362. doi: 10.1037/a0029757. Epub 2012 Sep 17.
The majority of people with alcohol use disorders do not seek formal treatment. Research on barriers to help-seeking have only recently focused on ethnic minority populations. The present study investigated the extent to which an adult American Indian (AI) sample experienced similar and/or unique barriers to help-seeking as have been reported in the literature. Using both qualitative and quantitative methods, 56 (54% male) AIs with lifetime alcohol dependence completed a semistructured face-to-face interview and a self-administered written survey. Interviews were tape recorded, transcribed, and coded for four major themes: personal barriers, pragmatic barriers, concerns about seeking help, and social network barriers. Quantitative data provided percentage endorsing each survey item and strength of each barrier, which were categorized according to the four major themes. In previous research, most barriers questionnaires have not queried for cultural concerns or how the specific type of help may be a mismatch from the client's perspective. Given the rapidly changing racial/ethnic demography in the United States, further research addressing cultural and spiritual concerns as well as more common barriers is indicated. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
大多数有酒精使用障碍的人并不寻求正式的治疗。最近，关于寻求帮助障碍的研究才开始关注少数民族群体。本研究调查了成年美洲印第安人（AI）样本在多大程度上经历了与文献中报道的相似和/或独特的寻求帮助障碍。本研究使用定性和定量方法，对 56 名（54%为男性）有终生酒精依赖的 AI 进行了半结构化的面对面访谈和自我管理的书面调查。访谈进行了录音、转录，并针对四个主要主题进行了编码：个人障碍、实际障碍、对寻求帮助的担忧以及社交网络障碍。定量数据提供了每个调查项目的百分比和每个障碍的强度，并根据四个主要主题进行了分类。在之前的研究中，大多数障碍问卷没有询问文化问题，也没有询问特定类型的帮助可能如何与客户的观点不匹配。考虑到美国种族/族裔人口结构的快速变化，需要进一步研究文化和精神问题以及更常见的障碍。（美国心理协会，2012 年，版权所有）。
