Robelo-Zarza Olga, Vargas-Huicochea Ingrid, Kelsall Nora, Rodríguez-Machain Ana
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.
J Patient Exp. 2020 Dec;7(6):1577-1588. doi: 10.1177/2374373520958514. Epub 2020 Sep 10.
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.
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。