在患有严重精神疾病的患者中向传统治疗师寻求帮助,以及与内化耻辱的关系
Alp Üçok1, Atilla Tekin2, Erkan Göçüm2
1Department of Psychiatry, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
The International journal of social psychiatry
|October 10, 2024
概括
许多精神分裂症和双相情感障碍患者寻求传统治疗师 (TH) 的帮助. 内化耻辱与这种寻求帮助的行为和延迟的精神病治疗有关.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 跨文化精神病学 跨文化精神病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 寻求传统治疗师 (TH) 的帮助在严重精神疾病患者中很普遍.
- 对于精神分裂症和双相情感障碍患者之间TH使用的差异的了解有限.
- 内化耻辱对严重精神疾病中寻求TH帮助的影响仍未得到充分研究.
研究的目的:
- 研究被诊断患有精神分裂症和双相情感障碍的患者向传统治疗师 (TH) 寻求帮助的模式.
- 在这些患者群体中检查内部化耻辱和寻求TH帮助之间的关联.
- 确定严重精神疾病中寻求TH帮助的预测因素.
主要方法:
- 一项涉及310名精神分裂症和双相情感障碍患者的横截面研究,涉及两个社会文化上不同的地点.
- 通过半结构面试收集关于寻求帮助行为和临床特征的数据.
- 使用精神疾病的内部化耻辱 (ISMI) 尺度衡量内化耻辱的测量.
主要成果:
- 几乎一半的患者 (47%) 在某个时候使用过TH;46%在初次精神病学接触之前寻求TH.
- 在来自农村背景的患者中,寻求TH的帮助更为常见,这些患者的教育程度较低,之前曾尝试过自杀,对治疗有抵抗力,并且有TH使用的家族史.
- 寻求TH的患者表现出更高的住院率和临床全球印象得分. 在精神分裂症患者中观察到更高的内化耻辱感,与TH使用和精神病治疗延迟相关.
- 在精神分裂症组中,内化耻辱性更高,并且与寻求TH护理和推迟精神病医院入院有关.
结论:
- 寻求传统治疗师的帮助是精神分裂症和双相情感障碍患者的常见做法.
- 社会文化因素,疾病特征和内化耻辱显著预测了严重精神疾病中传统治疗师的使用情况.
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