Dawson Darius B, Tsao Christie G-J, Chen Patricia, Giardina Traber D, Fletcher Terri L
Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, (MEDVAMC 156), 2002 Holcombe Blvd., Houston, TX 77030, USA.
South Central Mental Illness Research, Education and Clinical Center, Michael E. DeBakey VA Medical Center (a virtual center), Houston, TX, USA.
J Mood Anxiety Disord. 2023 Sep 29;4:100030. doi: 10.1016/j.xjmad.2023.100030. eCollection 2023 Dec.
We examined providers' perspectives about how culture affects diagnosing and recognizing anxiety.
We interviewed providers about diagnosing anxiety ("How do you think culture impacts expression and diagnosis of anxiety?") and used inductive analysis, with open coding, to allow themes to emerge organically.
We identified three themes: (1) Impartiality toward Culture: downplaying culture in recognizing or diagnosing anxiety and not acknowledging necessary cultural diagnostic considerations; (2) Acknowledgment of Cultural Impact: detailed variations across different cultural communities in how patients present with and describe anxiety, with differing levels of stigma associated with expressing and treating anxiety; (3) Culturally Integrated Practice: implement culturally informed diagnosis and treatment, with training and self-directed processing on culture and bias.
While most providers acknowledge that culture impacts accurate diagnosis of anxiety, they vary in how they integrate cultural information. It is important to deliver culturally informed care.
我们考察了医疗服务提供者对于文化如何影响焦虑症诊断与识别的观点。
我们就焦虑症诊断问题采访了医疗服务提供者（“你认为文化如何影响焦虑症的表达与诊断？”），并采用归纳分析和开放式编码，让主题自然浮现。
我们识别出三个主题：（1）对文化的漠视：在识别或诊断焦虑症时淡化文化因素，不承认必要的文化诊断考量；（2）对文化影响的认知：不同文化群体的患者在焦虑症的表现及描述方式上存在细微差异，表达和治疗焦虑症时所受的污名化程度也有所不同；（3）文化融合实践：实施有文化意识的诊断与治疗，开展关于文化和偏见的培训及自我反思。
虽然大多数医疗服务提供者承认文化会影响焦虑症的准确诊断，但他们在整合文化信息的方式上存在差异。提供有文化意识的护理很重要。
