有和没有移民背景的精神科患者对精神药理学和心理治疗的态度。
Attitudes towards psychopharmacology and psychotherapy in psychiatric patients with and without migration background.
机构信息
Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Psychiatry and Psychotherapy, Campus Mitte, Berlin, Germany Charité Universitätsmedizin Berlin, Berlin, Germany.
Psychiatrische Universitätsklinik der Charité im St. Hedwig Krankenhaus, Große Hamburger Str. 5-11, 10115, Berlin, Germany.
出版信息
BMC Psychiatry. 2020 Apr 17;20(1):176. doi: 10.1186/s12888-020-02585-1.
BACKGROUND
Sociodemographic factors, attitude towards treatment and acculturation may be important factors influencing the decision of immigrants to seek and maintain psychiatric treatment. A better understanding of these factors may significantly improve treatment adherence and outcome in these patients. Therefore, we investigated factors associated the attitude towards psychotherapy and medication in a sample of psychiatric outpatients with and without migration background.
METHODS
N = 381 patients in a psychiatric outpatient unit offering specialized treatment for migrants were included in this study. Attitude towards psychotherapy was assessed using the Questionnaire on Attitudes Toward Psychotherapeutic Treatment, attitude towards medication with the Drug Attitude Inventory-10. Acculturation, symptom load and sociodemographic variables were assessed in a general questionnaire. Statistical analyses included analyses of covariance and hierarchical regression.
RESULTS
Patients of Turkish and Eastern European origin reported a significantly more positive attitude towards medication than patients without migration background. When controlling for sociodemographic and clinical variables, we did not observe any significant differences in attitude towards psychotherapy. Acculturation neither influenced the attitude towards psychotherapy nor towards medication.
CONCLUSION
Our study indicates that sociodemographic and clinical factors may be more relevant for patients´ attitudes towards treatment than acculturation. Considering these factors in psychiatric treatment of patients with migration background may improve treatment outcome and adherence.
背景
社会人口因素、对治疗的态度和文化适应能力可能是影响移民寻求和维持精神治疗的重要因素。更好地了解这些因素可能会显著改善这些患者的治疗依从性和结果。因此，我们调查了具有和不具有移民背景的精神科门诊患者样本中与对心理治疗和药物治疗的态度相关的因素。
方法
本研究纳入了一家为移民提供专门治疗的精神科门诊的 381 名患者。使用治疗态度问卷评估对心理治疗的态度，使用药物态度量表-10 评估对药物治疗的态度。在一般问卷中评估了文化适应、症状负荷和社会人口学变量。统计分析包括协方差分析和分层回归。
结果
土耳其和东欧原籍的患者对药物的态度明显比没有移民背景的患者更为积极。当控制社会人口学和临床变量时，我们没有观察到对心理治疗的态度有任何显著差异。文化适应既不影响对心理治疗的态度，也不影响对药物治疗的态度。
结论
我们的研究表明，社会人口学和临床因素可能比文化适应更能影响患者对治疗的态度。在对具有移民背景的患者进行精神治疗时考虑这些因素可能会改善治疗效果和依从性。
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