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[与精神药物相伴:西班牙东南部治疗依从性高的人群的社区照片声音研究]

[Living with psychotropic drugs: A community photovoice study in people with high treatment adherence in Southeastern Spain].

作者信息

Martínez-Granados Francisco, Briones-Vozmediano Erica, Ronda Elena

机构信息

Doctor en Ciencias de la Salud. Jefe de Unidad de Farmacia. Centro psiquiátrico socio-asistencial Doctor Esquerdo, Alicante, España.

Doctora en Salud Pública. Profesora Agregada en Departamento de Enfermería y Fisioterapia, Facultad de Enfermería y Fisioterapia, Universidad de Lleida. Grupo de Investigación en Salud, Educación y Cultura (GESEC), Universidad de Lleida. Grup de Recerca en Cures en Salut (GRECS), Institut de Recerca Biomèdica (IRB), Lleida, España.

出版信息

Salud Colect. 2024 Oct 29;20:e5090. doi: 10.18294/sc.2024.5090.

DOI:10.18294/sc.2024.5090
PMID:39656563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11925746/
Abstract

Adherence to psychopharmacological treatment essentially involves a process of meaning-making. The objective of this study was to explore the experience of people undergoing chronic psychiatric treatment from the patients' perspective. In 2018, using the photovoice methodology, four sessions were conducted with the participation of 11 individuals from a community school in a socially marginalized neighborhood of a southeastern Spanish city, some of whom were also users of a social rehabilitation and integration center and a day center. Participants took and selected 41 photographs under the premise: "Photograph your experience regarding health and medication." A categorization of the emerging narratives was carried out during a dialogical session between participants and researchers, which was recorded for subsequent transcription and analysis. The experiences were divided into two major symbolic themes that seek to give therapeutic meaning to medication: one of conflict and the other of motivation.

摘要

坚持精神药物治疗本质上涉及一个意义建构的过程。本研究的目的是从患者的角度探索接受慢性精神治疗的人们的经历。2018年,采用摄影声音法,对西班牙东南部一个城市社会边缘化社区的一所社区学校的11名个体进行了四次访谈,其中一些人还是社会康复与融合中心及日间中心的使用者。参与者在“拍摄你关于健康和药物治疗的经历”这一前提下拍摄并挑选了41张照片。在参与者和研究人员之间的对话环节中,对新出现的叙述进行了分类,该环节进行了录音以便后续转录和分析。这些经历被分为两个主要的象征性主题,旨在赋予药物治疗以治疗意义:一个是冲突主题,另一个是动机主题。

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本文引用的文献

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Decolonising global mental health: The role of Mad Studies.去殖民化全球心理健康:疯癫研究的作用。
Glob Ment Health (Camb). 2023 May 26;10:e30. doi: 10.1017/gmh.2023.21. eCollection 2023.
2
Take a picture! The role of visual methods in understanding psychiatric patient's everyday life.拍张照片!视觉方法在理解精神科患者日常生活中的作用。
Acta Biomed. 2021 Jul 29;92(S2):e2021028. doi: 10.23750/abm.v92iS2.11945.
3
[Mad pride and metaphors for dissidence: a linguistic and symbolic analysis].[疯狂的骄傲与异见的隐喻:语言与符号学分析]
Salud Colect. 2020 Aug 7;16:e2886. doi: 10.18294/sc.2020.2886.
4
Photovoice as a promising public engagement approach: capturing and communicating ethnic minority people's lived experiences of severe mental illness and its treatment.摄影发声作为一种有前景的公众参与方法:捕捉并传达少数民族群体严重精神疾病及其治疗的生活经历。
BMJ Open Qual. 2019 Nov 14;8(4):e000665. doi: 10.1136/bmjoq-2019-000665. eCollection 2019.
5
Randomised controlled trial of gradual antipsychotic reduction and discontinuation in people with schizophrenia and related disorders: the RADAR trial (Research into Antipsychotic Discontinuation and Reduction).精神分裂症及相关障碍患者逐渐减少和停止抗精神病药物治疗的随机对照试验:RADAR 试验(抗精神病药物停药和减量研究)。
BMJ Open. 2019 Nov 27;9(11):e030912. doi: 10.1136/bmjopen-2019-030912.
6
"We don't get much of a voice about anything": perspectives on photovoice among people who inject drugs.“我们在任何事情上都没有太多的发言权”:注射吸毒者对影像叙事的看法。
Harm Reduct J. 2019 Nov 27;16(1):61. doi: 10.1186/s12954-019-0334-2.
7
[Subjectivity and autonomy: meanings and narratives with respect to discontinuing psychiatric drugs].[主观性与自主性:关于停用精神科药物的意义与叙事]
Salud Colect. 2018 Jul-Sep;14(3):513-529. doi: 10.18294/sc.2018.1861.
8
Self-stigma of antidepressant users through secondary analysis of PhotoVoice data.通过对摄影发声数据的二次分析探讨抗抑郁药使用者的自我污名化问题
Ment Health Clin. 2018 Aug 30;8(5):214-221. doi: 10.9740/mhc.2018.09.214. eCollection 2018 Sep.
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Using Photovoice to explore patients' experiences with mental health medication: A pilot study.运用照片发声法探索患者使用精神科药物的经历:一项试点研究。
Ment Health Clin. 2016 May 6;6(3):142-153. doi: 10.9740/mhc.2016.05.142. eCollection 2016 Jun.
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