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印度古吉拉特邦社区医疗服务提供者对临床抑郁症的认知和态度。

Knowledge and Attitudes Towards Clinical Depression among Community Medical Providers in Gujarat, India.

机构信息

Department of Psychiatry, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1230, New York, NY, 10029, USA.

MINDS Foundation, E102 Kuber Residency, Opp Nilamber Bungalows, Kubereshwar Road, Vadodara, 390025, India.

出版信息

Psychiatr Q. 2018 Jun;89(2):249-259. doi: 10.1007/s11126-017-9530-y.

Abstract

There is limited data on how community medical providers in India attempt to diagnose and treat depression, as well as on their general knowledge of and attitudes toward depression. A cross-sectional survey was conducted assessing knowledge and views of clinical depression with 80 non-psychiatric physicians and physician trainees recruited from community clinics and hospitals in Gujarat, India. Interviews were also held with 29 of the physicians to assess what they do in their own practices in regards to detection of and treatment of clinical depression. Although subjects showed a generally good basic understanding of the definition of clinical depression and its treatment, their responses reflected the presence of some negative and/or stigmatized attitudes toward clinical depression. Our findings raise the question of possible stigma among physicians themselves and underscore the importance of combatting physicians' stigma against and increasing awareness of how to detect and treat clinical depression.

摘要

关于印度社区医疗服务提供者如何尝试诊断和治疗抑郁症,以及他们对抑郁症的一般了解和态度,相关数据有限。本研究采用横断面调查方法,在印度古吉拉特邦的社区诊所和医院招募了 80 名非精神科医生和医生培训生,评估他们对临床抑郁症的知识和看法。还对其中 29 名医生进行了访谈,以评估他们在自己的实践中在发现和治疗临床抑郁症方面的做法。尽管这些研究对象对临床抑郁症的定义和治疗方法有一个普遍良好的基本理解,但他们的回答反映出对临床抑郁症存在一些负面的和/或污名化的态度。我们的研究结果提出了医生自身可能存在污名化的问题,并强调了消除医生对抑郁症的污名化以及提高他们对如何发现和治疗抑郁症的认识的重要性。

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