超过饥饿:对精神分裂症频谱精神障碍患者及其病例经理之间粮食不安全和关系应对的定性研究
Christian Ketel1,2, Thereasa Abrams3, Lora Beebe4
1Department of Nursing, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Issues in mental health nursing
|January 30, 2026
概括
粮食不安全对患有精神分裂症谱系精神病障碍 (SSPD) 的人产生重大影响,影响他们的心理健康,需要综合支持. 解决慢性饥饿问题包括解决耻辱感,将粮食安全与住房和复苏联系起来.
科学领域:
- 心理健康研究 心理健康研究
- 健康的社会决定因素
- 定性研究方法 定性研究方法
背景情况:
- 粮食不安全是精神分裂症谱精神病障碍 (SSPD) 患者健康的关键社会决定因素.
- 现有的研究主要集中在患病率和临床结果上,对慢性饥饿的关系和情感方面的理解有限.
- 患有SSPD的个人和他们的案例经理之间对粮食不安全的共同经验未得到充分探索.
研究的目的:
- 检查SSPD患者及其案例经理对粮食不安全的共同经验和解释.
- 探索在社区心理健康环境中应对慢性饥饿的关系和情感层面.
- 确定与粮食不安全相关的关键主题和挑战.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 与5名被诊断患有SSPD的客户和5名案例经理进行了10次采访.
- 基于布劳恩和克拉克的框架进行反思性主题分析.
主要成果:
- 五个相互关联的主题出现了:结构性权衡 (住房与食物),寻求帮助的耻辱和耻辱,看不见的应对劳动,对身体健康的影响 (营养不良,慢性疾病) 和饥饿作为精神疾病的催化剂.
- 对客户和案例经理观点的三角分析揭示了共享和分歧的理解.
- 粮食不安全超越了物质剥夺,影响了心理健康的恢复.
结论:
- 对于患有SSPD的人来说,粮食不安全需要综合,创伤信息和减少耻辱的干预措施.
- 干预措施应将粮食安全与稳定的住房和心理健康恢复联系起来.
- 调查结果突显了社区心理健康背景下的粮食不安全的复杂,多方面的性质.
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