初级保健提供者中与抑郁症相关的耻辱感。

The Mental Health Clinician Pub Date : 2021-05-12 eCollection Date: 2021-05-01 DOI:10.9740/mhc.2021.05.175
Andrew Kluemper, Lauren Heath, Danielle Loeb, Miranda Kroehl, Katy Trinkley
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引用次数: 4

摘要

简介:抑郁症是美国最常见的精神疾病之一,通常在初级保健机构进行治疗。尽管抑郁症很普遍,但由于各种原因,包括耻辱感,抑郁症仍未得到充分诊断和治疗。这可能导致对抑郁症的管理不够理想。评估美国初级保健提供者(PCP)病耻感的研究很少。本研究的主要目的是描述pcp队列中的病耻感。方法:我们使用一份经过验证的问卷来测量病耻感(得分范围为15至75分,得分越低表明病耻感水平越低)。2个学术内科诊所的pcp被发送了一份电子问卷,并得到了小额的金钱奖励。除了污名调查外,我们还收集了人口统计数据,包括年龄、提供者类型、性别以及与精神疾病的社会接近度相关的其他数据。为了描述病耻感,在适当的情况下,使用t检验和方差分析检验来评估提供者特征之间的病耻感差异。结果:107例pcp中,有效率71例,有效率66.4%。男性应答者的耻感得分高于女性(31.8比27.4,P = 0.0021)。住院医生的污名得分高于非住院医生(31.3比27.2,P = 0.0045)。个人有精神疾病的提供者和那些报告说他们经常治疗抑郁症的人没有那么耻辱。讨论:总体而言,在接受调查的pcp中存在一系列耻辱感。在男性、住院医生、没有个人精神疾病病史的人、年轻的pcp和报告治疗抑郁症频率较低的人中,发现了更高水平的耻辱感。未来的研究应该利用更大的样本量,并关注耻辱感对护理质量的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Depression-related stigma among primary care providers.

Depression-related stigma among primary care providers.

Introduction: Depression is one of the most common mental illnesses in the United States and is often treated in primary care settings. Despite its prevalence, depression remains underdiagnosed and undertreated for a variety of reasons, including stigma. This may result in suboptimal management of depression. Studies evaluating stigma in US primary care providers (PCP) are scarce. The main objective of this study was to describe stigma in a cohort of PCPs.

Methods: We utilized a validated questionnaire to measure stigma (score range 15 to 75 with lower scores indicating lower stigma levels). PCPs in 2 academic internal medicine clinics were sent an electronic questionnaire and received a small monetary incentive for responding. In addition to the stigma survey, we collected demographic data, including age, provider type, gender, and other data related to social proximity to mental illness. To describe stigma, differences in stigma between provider characteristics were evaluated using t tests and ANOVA tests as appropriate.

Results: Of 107 PCPs, 71 responded (66.4% response rate). Male responders displayed higher stigma scores than females (31.8 vs 27.4, P = .0021). Medical residents displayed higher stigma scores than nonresidents (31.3 vs 27.2, P = .0045). Providers with personal exposure to mental illness and those who reported they frequently treated depression had less stigma.

Discussion: Overall, a range of stigma was present among PCPs surveyed. Higher levels of stigma were found in men, medical residents, those without personal exposure to mental illness, younger PCPs, and those who reported treating depression less frequently. Future studies should utilize larger sample sizes and focus on the impact of stigma on quality of care.

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