慢性疲劳综合症/慢性疲劳综合症和精神健康诊断:一种评估现已康复妇女经历的定性方法

P. McCue
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引用次数: 7

摘要

尽管近年来进行了大量的研究,但对于导致慢性疲劳综合症的原因,以及精神健康障碍在其病因和延续中所起的作用,仍然存在许多疑问。本研究的目的是评估一组从慢性疲劳综合征(CFS)或肌痛性脑脊髓炎(ME)中康复的妇女的疾病经历,以检查她们得到的诊断在多大程度上从心理健康的角度出发,以及是否接受她们患有真正的疾病。这是一项使用扎根理论的定性研究,样本中有14名女性参与者,她们以前患有慢性疲劳综合症,但认为自己基本上或完全从这种疾病中康复。研究发现,参与者在诊断方面遇到了很大的问题,卫生保健专业人员经常忽视他们的身体症状。同样,他们也遇到了接受和相信自己患有真正疾病的问题。研究结果进一步讨论了伴随的耻辱感和对妇女心理健康诊断的偏见。
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CFS/ME and mental health diagnoses: A qualitative approach to assessing the experiences of women who have now recovered

Despite much research in recent years there still remains much doubt as to what causes CFS, and the role that mental health disorders play in its aetiology and perpetuation. The purpose of this study was to assess the illness experiences of a cohort of women who had recovered from Chronic Fatigue Syndrome (CFS) or Myalgic Encephalomyelitis (ME) in order to examine the extent to which the diagnoses they were given took a mental health perspective, and whether or not it was accepted that they were suffering a genuine illness. This was a qualitative study using Grounded Theory, with a sample of 14 female participants who had previously had CFS but considered themselves to be substantially or totally recovered from this illness. It was found that the participants experienced substantial problems with regard to diagnosis, with health care professionals often ignoring their physical symptoms. Similarly they encountered problems of acceptance and belief in terms of having a genuine illness. The findings are further discussed in terms of concomitant stigma and bias towards mental health diagnoses for women generally.

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