在土著人民中查抑郁和焦虑:全球范围审查
Kathryn Meldrum1, Ellaina Andersson2, Torres Webb1
1James Cook University.
Transcultural psychiatry
|July 25, 2023
概括
在土著人民中查抑郁症和焦虑症通常使用西方工具,引发了对文化适当性的担忧. 本次审查强调了对文化敏感查方法的需求,以改善心理健康护理.
科学领域:
- 全球健康 全球健康
- 心理健康研究 心理健康研究
- 土著研究土著研究.
背景情况:
- 原住民的世界观强调整体健康,不同于西方的生物医学模型.
- 标准的西方工具经常用于选土著人口的抑郁和焦虑.
- 这些标准查工具的文化适用性是一个重大问题.
研究的目的:
- 系统地绘制现有文献的工具用于选抑郁或焦虑在世界各地的土著成年人使用的工具.
- 确定所使用的查工具类型及其在全球多样化的土著社区中的应用.
主要方法:
- 采用了一种系统的范围审查方法.
- 在主要数据库 (CINAHL,PubMed,Scopus,Google) 中使用特定的关键字进行搜索.
- 引用搜索和对相关网站的审查补充了数据库搜索;包括英语出版物.
主要成果:
- 54个出版物符合审查的纳入标准.
- 大多数研究都在社区环境中使用了西方标准的抑郁和焦虑查工具.
- 确定了33种不同的查工具,其中患者健康问卷-9是最常见的.
结论:
- 对于土著人民来说,普遍使用非文化适当的查工具是一个重大问题.
- 虽然存在一些跨文化适应,但迫切需要提高认识和采用文化适当的查方法.
- 进一步的研究和临床实践必须优先考虑对土著人口的文化敏感心理健康查.
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