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遭受抑郁:重度抑郁症医学生非正式主要照顾者的疾病认知

Suffering Depression: Illness Perception of Informal Primary Caregivers of Medical Students With Major Depressive Disorder.

作者信息

Robelo-Zarza Olga, Vargas-Huicochea Ingrid, Kelsall Nora, Rodríguez-Machain Ana

机构信息

Division of Social Work, Psychiatry and Mental Health Department, Faculty of Medicine, National Autonomous University of Mexico (Universidad Nacional Autónoma de México, UNAM), Mexico City, Mexico.

Research Division, Psychiatry and Mental Health Department, Faculty of Medicine, National Autonomous University of Mexico (Universidad Nacional Autónoma de México, UNAM), Mexico City, Mexico.

出版信息

J Patient Exp. 2020 Dec;7(6):1577-1588. doi: 10.1177/2374373520958514. Epub 2020 Sep 10.

DOI:10.1177/2374373520958514
PMID:33457617
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7786746/
Abstract

When a family member has depression at a level that generates disability in various functional spheres, the informal primary caregiver (IPC) is the individual who provides the majority of emotional and basic needs of the patient. This person is usually a relative and is extremely important in the health-disease-care process. This phenomenological qualitative study aimed to analyze the illness perception, in IPCs of undergraduate medical students previously diagnosed with mild depression. It was found that IPCs generate perceptions about depression based on a lack of knowledge of the disorder, which leads to feelings of sorrow, anger, frustration, and fear, that could interfere with the evolution of patients. Psychiatric disorders, such as depression, strongly impact both patients and people around them. For mental health professionals, in order to provide a more complete clinical approach, it is important to understand the illness perceptions not only of patients but of family IPCs as well.

摘要

当家庭成员患有抑郁症,且其严重程度导致在各个功能领域出现功能障碍时,非正式主要照顾者(IPC)就是为患者提供大部分情感和基本需求的人。这个人通常是亲属,在健康 - 疾病 - 护理过程中极其重要。这项现象学定性研究旨在分析先前被诊断为轻度抑郁症的本科医学生的非正式主要照顾者对疾病的认知。研究发现,非正式主要照顾者基于对该疾病缺乏了解而产生对抑郁症的认知,这会导致悲伤、愤怒、沮丧和恐惧等情绪,而这些情绪可能会干扰患者的病情发展。诸如抑郁症之类的精神疾病会对患者及其周围的人产生强烈影响。对于心理健康专业人员而言,为了提供更全面的临床方法,不仅了解患者的疾病认知,还了解家庭非正式主要照顾者的疾病认知非常重要。

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本文引用的文献

1
Factors Associated With Primary Family Caregivers' Perceptions on Quality of Family-Centered Care in Mental Health Practice.与初级家庭照顾者对精神卫生实践中以家庭为中心的护理质量的看法相关的因素。
J Nurs Scholarsh. 2019 Nov;51(6):680-688. doi: 10.1111/jnu.12526.
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Explanatory models of mental illness among family caregivers of persons in psychiatric rehabilitation services: A pilot study.精神康复服务患者的家庭照顾者对精神疾病的解释模型:一项初步研究。
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A bittersweet relationship: What does it mean to be the caregiver of a patient with bipolar disorder?一段苦乐参半的关系:作为双相情感障碍患者的照顾者意味着什么?
Int J Soc Psychiatry. 2018 May;64(3):207-216. doi: 10.1177/0020764018758124. Epub 2018 Feb 26.
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PLoS One. 2015 Dec 2;10(12):e0143612. doi: 10.1371/journal.pone.0143612. eCollection 2015.
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7
Balancing needs: the role of motivations, meanings and relationship dynamics in the experience of informal caregivers of people with dementia.平衡需求:动机、意义及关系动态在痴呆症患者非正式照护者经历中的作用
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[Depression in adolescents and family functioning].青少年抑郁症与家庭功能
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