Green Bonnie L, Watson Maria Rosa, Kaltman Stacey I, Serrano Adriana, Talisman Nicholas, Kirkpatrick Laura, Campoli Marcela
J Nerv Ment Dis. 2017 Dec;205(12):952-959. doi: 10.1097/NMD.0000000000000754.
US Latinos are less likely to utilize mental health services than non-Latino whites and to take antidepressant medications. This mixed-method study followed a subset (N = 28) of a research sample of depressed Latino immigrant primary care patients, who took depression medication, with a telephone interview to study their knowledge about and experiences with antidepressant medications. Most (82%) reported taking medication for 2 months or more, and 75% reported feeling better, whereas more than half reported side effects. Most (61%) agreed that antidepressants are generally safe and helpful in treating depression (68%); however, many believed they could be addictive (39%). Fifty percent of patients who discontinued their medication did not inform their providers. Twelve of the 28 patients also participated in focus groups about interactions with providers and made suggestions for conveying information about antidepressants. Patients suggested videos as a format to disseminate medication information because they do not require written comprehension. Other patient recommendations are presented.
与非拉丁裔白人相比,美国拉丁裔使用心理健康服务和服用抗抑郁药物的可能性较小。这项混合方法研究跟踪了一组抑郁的拉丁裔移民初级保健患者(N = 28),这些患者服用抑郁症药物,并通过电话访谈来研究他们对抗抑郁药物的了解和使用经历。大多数人(82%)报告称服药时间为2个月或更长时间,75%的人报告感觉有所好转,而超过一半的人报告有副作用。大多数人(61%)同意抗抑郁药总体上对治疗抑郁症是安全且有帮助的(68%);然而,许多人认为它们可能会上瘾(39%)。50%停药的患者没有告知他们的医疗服务提供者。28名患者中的12名还参加了关于与医疗服务提供者互动的焦点小组,并就传达抗抑郁药物信息提出了建议。患者建议以视频作为传播药物信息的形式,因为它们不需要书面理解能力。还介绍了患者的其他建议。