抑郁症拉丁裔患者在治疗过程中的心理健康耻辱感：一项随机对照试验的结果。
Mental health stigma in depressed Latinos over the course of therapy: Results from a randomized controlled trial.
机构信息
Department of Psychology, Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, Lawrence, Kansas.
Department of Psychology, University of Houston, Houston, Texas.
出版信息
J Clin Psychol. 2019 Jul;75(7):1179-1187. doi: 10.1002/jclp.22777. Epub 2019 Apr 5.
OBJECTIVE
The current study examined the course, correlates, and predictors of mental health stigma among depressed, Spanish-speaking Latinos that were receiving treatment. This population faces significant disparities in mental health treatment and carries high levels of mental health stigma.
METHOD
The study utilized data generated from a randomized clinical trial (N = 46) that evaluated the efficacy of Behavioral Activation and Supportive Counseling for depression among Latinos.
RESULTS
Mental health stigma decreased over time; these decreases were more pronounced among individuals who were randomized to Supportive Counseling. Mental health stigma was positively associated with depressive symptoms and therapeutic alliance over time. Mental health stigma was not related to treatment attrition.
CONCLUSIONS
These preliminary findings indicate that mental health stigma continues to be relevant among individuals who are actively participating in treatment. Receiving mental health treatment may be sufficient to dispel some of the stigmatizing views endorsed by underserved clinical populations.
目的
本研究旨在探讨接受治疗的抑郁西班牙裔拉丁裔人群中心理健康污名的发展过程、相关因素和预测因素。这一人群在心理健康治疗方面存在显著差异，且心理健康污名水平较高。
方法
本研究利用了一项随机临床试验（N=46）的数据，该试验评估了行为激活和支持性咨询对拉丁裔人群抑郁的疗效。
结果
心理健康污名随时间推移而降低；在随机分配到支持性咨询的个体中，这种降低更为明显。心理健康污名与抑郁症状和治疗联盟随时间呈正相关。心理健康污名与治疗脱落无关。
结论
这些初步发现表明，在积极参与治疗的个体中，心理健康污名仍然存在。接受心理健康治疗可能足以消除服务不足的临床人群所认可的一些污名化观点。
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