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埃塞俄比亚农村地区严重心理健康状况的分布影响,定性研究
Wubalem Fekadu1, Tom K J Craig2, Charlotte Hanlon3,2,4,5
1Department of Psychiatry, WHO Collaborating Centre for Mental Health Research and Capacity Building, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, 9086, Ethiopia. wubfek@gmail.com.
严重的心理健康状况 (SMHCs) 严重影响个人,家庭和社区,造成压力,社会混乱和经济困难. 干预措施必须满足家庭的需求,并让社区参与,以减轻这些广泛的影响.
科学领域:
- 全球心理健康全球心理健康
- 社会精神病学是一种社会精神病学.
- 公共卫生干预 公共卫生干预
背景情况:
- 严重的心理健康状况 (SMHCs) 提出了超出个人范围的多方面的挑战.
- 了解SMHC对家庭和社区的影响对于有效支持至关重要.
研究的目的:
- 探索严重心理健康状况 (SMHCs) 对有生活经验的个人,他们的家庭成员和社区成员的分布影响.
- 在埃塞俄比亚农村环境中识别SMHC的心理社会和经济后果.
主要方法:
- 在埃塞俄比亚农村地区,对家庭关键信息人 (n=32),SMHC患者 (n=10) 和社区成员 (n=6) 进行了深入采访.
- 这项研究利用了以阿姆哈拉语进行的录音面试的主题分析.
- 数据收集是在长期以人口为基础的SMHC患者队列中进行的.
主要成果:
- 四个主要主题出现了:压力和物理收费,失去的期望,社会破坏和经济威胁.
- 家庭成员经历了严重的压力,绝望和社会隔离,与未满足的照顾者期望和中断的关系.
- 经济影响包括资产销售,债务,失业,强迫移民和粮食不安全,以及社区报告的对侵略行为和经历的耻辱感的担忧.
结论:
- SMHCs对影响个人,家庭和社区的深刻,广泛的后果.
- 未来的干预措施应采用家庭层面的方法,解决经济和护理需求,同时减轻代际影响.
- 社区应该被认为是心理健康干预的资源和目标.
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