Miranda Jeanne, Bromley Elizabeth, Izquierdo Adriana, Jones Felica, Wells Kenneth
*Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles; †West Los Angeles VA Healthcare Center, Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC); ‡Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California Los Angeles; §Healthy African American Families II, Los Angeles; and ∥RAND Corporation, Santa Monica, CA.
J Nerv Ment Dis. 2017 Aug;205(8):589-599. doi: 10.1097/NMD.0000000000000632.
Depression is persistent and recurrent across ethnic groups. Few narrative analyses of long-term outcomes for ethnically diverse adults with depression exist. We combined 9 years of quantitative data, qualitative interviews at 10 years, clinician ratings of outcomes, and a community discussion group with the objective of describing long-term recovery and survival of diverse primary care patients after an episode of depression. Nearly half of participants were found to be depressed at some time over a 10-year period, and most cases across ethnic groups were judged to need further treatment. The ethnically diverse community members that analyzed the transcripts emphasized assets that participants showed in surviving multiple life stresses. Different sex and ethnic/racial groups had different characteristics of engaging in care, with Latino women in particular raising concerns about care engagement, coping with stress, and long-term outcomes.
抑郁症在不同种族群体中持续且反复出现。针对患有抑郁症的不同种族成年人的长期结果，几乎没有叙事分析。我们整合了9年的定量数据、10年时的定性访谈、临床医生对结果的评定，以及一个社区讨论小组，目的是描述不同的初级保健患者在经历一次抑郁发作后的长期康复和生存情况。在10年期间，近一半的参与者在某些时候被发现患有抑郁症，且不同种族群体的大多数病例被判定需要进一步治疗。分析这些记录的不同种族社区成员强调了参与者在应对多种生活压力时所展现的资产。不同性别和种族/族裔群体在接受治疗方面有不同特点，尤其是拉丁裔女性对治疗参与、应对压力和长期结果表示担忧。
