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“你必须一直努力证明自己的存在是合理的”:身体残疾男性抑郁的社会背景。

"You have to fight to legitimize your existence all the time": The social context of depression in men with physical disabilities.

机构信息

Oregon Health & Science University, Portland, OR, United States of America.

Oregon Health & Science University, Portland, OR, United States of America.

出版信息

Arch Psychiatr Nurs. 2021 Feb;35(1):80-87. doi: 10.1016/j.apnu.2020.09.016. Epub 2020 Nov 26.

DOI:10.1016/j.apnu.2020.09.016
PMID:33593519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7890048/
Abstract

Little is known about the common experience of depression in men with physical disabilities. To help address this gap, we present findings from a qualitative study situated in the social determinants of health (SDH). Findings describe the detrimental effects of marginalization, economic precarity, restrictive masculine norms, stigma, and the need to resist ableist messages on men's health and well-being. It is our intention to raise awareness of the impact of the SDH on depression in men with physical disabilities and encourage clinicians and policy makers to address the social domain as they seek to improve mental health in this population.

摘要

关于身体残疾男性常见的抑郁经历,人们知之甚少。为了解决这一差距,我们呈现了一项定性研究的结果,该研究立足于健康的社会决定因素(SDH)。研究结果描述了边缘化、经济不稳定、限制男性规范、污名化以及抵制歧视性信息对男性健康和幸福感的不利影响。我们希望提高人们对身体残疾男性的 SDH 对抑郁影响的认识,并鼓励临床医生和政策制定者在努力改善这一人群的心理健康时,关注社会领域。

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Psychiatry Res. 2019 Feb;272:206-208. doi: 10.1016/j.psychres.2018.12.098. Epub 2018 Dec 18.
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Socioeconomic resources predict trajectories of depression and resilience following disability.社会经济资源可预测残疾后抑郁和适应力的轨迹。
Rehabil Psychol. 2019 Feb;64(1):98-103. doi: 10.1037/rep0000254. Epub 2018 Dec 20.
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Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health-An integrative review.边缘化:在健康的社会决定因素框架中对患者脆弱性进行概念化——一项综合综述。
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Disability, mental health, sexual orientation and gender identity: understanding health inequity through experience and difference.残疾、精神健康、性取向和性别认同:通过经验和差异理解健康不公平现象。
Health Res Policy Syst. 2018 Oct 9;16(Suppl 1):97. doi: 10.1186/s12961-018-0366-1.
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