De Las Cuevas Carlos, Motuca Mariano, Baptista Trino, Villasante-Tezanos Alejandro G, de Leon Jose
Department of Internal Medicine, Dermatology and Psychiatry, Universidad de La Laguna, San Cristóbal de La Laguna, Spain.
Instituto Universitario de Neurociencia (IUNE), Universidad de La Laguna, San Cristóbal de La Laguna, Spain.
Hum Psychopharmacol. 2019 Mar;34(2):e2688. doi: 10.1002/hup.2688. Epub 2019 Jan 30.
The aim of this study was to examine whether or not cultural differences influence beliefs about the necessity of taking prescribed psychiatric drugs and concern about their adverse effects in psychiatric outpatients in Spain, Argentina, and Venezuela.
This cross-sectional study included 1,372 adult psychiatric outpatients using 2,438 psychotropic drugs and was designed to assess outpatients' beliefs about their prescribed medication. Patients completed sociodemographic, clinical questionnaires, and the Beliefs about Medicines Questionnaire Specific Scale and registered scores ranging from 1 to 5 on each of two subscales: concern and necessity. A "necessity-concern differential" was obtained by calculating the difference (range -4 to +4).
The global score, including all drugs in the total sample, had a mean necessity score of 3.50 ± 0.95, a mean concern score of 2.97 ± 0.99, and a mean differential score of 0.54 ± 1.42. The concern and necessity mean scores varied significantly across these three culturally Hispanic countries, probably across drug classes, and were associated with treatment duration. On the other hand, age and education played a very limited role.
Understanding the diverse effects of culture and society on these attitudes is highly relevant for the development of responsive mental health services in multicultural societies.
本研究旨在探讨文化差异是否会影响西班牙、阿根廷和委内瑞拉的精神科门诊患者对于服用处方精神类药物必要性的看法以及对其不良反应的担忧。
这项横断面研究纳入了1372名使用2438种精神类药物的成年精神科门诊患者，旨在评估门诊患者对其处方药物的看法。患者完成了社会人口统计学、临床问卷以及《药物信念问卷特定量表》，并在两个子量表（担忧和必要性）上分别记录了1至5分的分数。通过计算差值（范围为-4至+4）得出“必要性-担忧差值”。
总样本中所有药物的总体得分显示，必要性平均得分为3.50±0.95，担忧平均得分为2.97±0.99，平均差值得分为0.54±1.42。在这三个西班牙裔文化国家中，担忧和必要性的平均得分差异显著，可能因药物类别而异，并且与治疗时长相关。另一方面，年龄和教育程度的作用非常有限。
了解文化和社会对这些态度的不同影响对于多元文化社会中发展适应性心理健康服务具有高度相关性。
