Lara-Cinisomo Sandraluz, Wisner Katherine L, Burns Rachel M, Chaves-Gnecco Diego
1University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Qual Health Res. 2014 Feb;24(2):232-41. doi: 10.1177/1049732313519866. Epub 2014 Jan 27.
The study described here was designed to determine treatment preferences among Latinas to identify treatment options that meet their needs and increase their engagement. Focus group interviews were conducted with 22 prenatal and postpartum Latinas at risk for depression. The group interviews were conducted in Spanish and English using a standardized interview protocol. Focus group transcripts were analyzed to identify themes regarding perinatal depression coping strategies, preferred approaches to treating perinatal depression, and recommendations for engaging perinatal Latinas in treatment. The results suggest that Latinas' treatment preferences consist of a pathway (i.e., hierarchical) approach that begins with the use of one's own resources, followed by the use of formal support systems (e.g., home-visiting nurse), and supplemented with the use of behavioral therapy. Antidepressant use was judged to be acceptable only in severe cases or after delivery. The data indicate that to increase health-seeking behaviors among perinatal Latinas, practitioners should first build trust.
本研究旨在确定拉丁裔女性的治疗偏好，以找出满足她们需求并提高其参与度的治疗方案。对22名有产后抑郁症风险的产前和产后拉丁裔女性进行了焦点小组访谈。小组访谈采用标准化访谈协议，用西班牙语和英语进行。对焦点小组访谈记录进行分析，以确定围产期抑郁症应对策略、围产期抑郁症首选治疗方法以及让围产期拉丁裔女性参与治疗的建议等主题。结果表明，拉丁裔女性的治疗偏好包括一种路径（即分层）方法，首先是利用自身资源，其次是利用正式支持系统（如家访护士），并辅以行为疗法。仅在严重病例或产后才认为使用抗抑郁药是可接受的。数据表明，为了增加围产期拉丁裔女性的求医行为，从业者应首先建立信任。
