Cabassa Leopoldo J, Zayas Luis H
School of Social Work, University of Southern California.
Washington University.
Am J Orthopsychiatry. 2007 Apr;77(2):231-242. doi: 10.1037/0002-9432.77.2.231.
This study examined the role that illness perceptions, attitudes toward depression treatments, and subjective norms played in Latino immigrants' intentions to seek depression care. Ninety-five Latino immigrant patients were presented a vignette depicting an individual with major depression and interviewed about their intentions to seek care if confronted with a similar situation. Patients' preferences were to rely on informal sources of care first, and then turn to formal sources to cope with depression. Findings showed Latinos immigrants' help-seeking intentions for depression were a function of their views of depression, attitudes toward their doctors' interpersonal skills, and social norms related to seeking professional care after controlling for demographics, health insurance status, acculturation, clinical characteristics, perceived barriers to care, and past service use.
本研究考察了疾病认知、对抑郁症治疗的态度以及主观规范在拉丁裔移民寻求抑郁症治疗意向中所起的作用。向95名拉丁裔移民患者展示了一个描述重度抑郁症患者的 vignette,并就他们在面对类似情况时寻求治疗的意向进行了访谈。患者的偏好是首先依赖非正式的护理来源,然后求助于正式来源来应对抑郁症。研究结果表明,在控制了人口统计学、健康保险状况、文化适应、临床特征、感知到的护理障碍和过去的服务使用情况后,拉丁裔移民寻求抑郁症治疗的意向是他们对抑郁症的看法、对医生人际技能的态度以及与寻求专业护理相关的社会规范的函数。