一种针对不同文化水平的西班牙裔移民的心理健康评估工具。

Patricia Boiko, Wayne Katon, Juan C Guerra, Sara Mazzoni
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引用次数: 18

摘要

使人衰弱的精神疾病如果被发现是可以治疗的。对于文化水平不同的西班牙裔移民农场工人,没有有效的自我管理的精神疾病评估工具。本研究测试了与标准访谈工具相比,为低文化水平开发的录音调查的敏感性和特异性。来自11个移民营地的受试者用西班牙语完成了一项自我管理的录音调查,以诊断重度抑郁症、药物滥用、恐慌和广泛性焦虑以及家庭暴力。初级保健诊所协助寻找营地并提供后续治疗。在154名男性和156名女性中,音频工具对重度抑郁症最敏感,对焦虑症、酗酒和家庭暴力最敏感。70%的重度抑郁症患者接受了适当的治疗。本研究验证了一种廉价的、自我管理的音频工具,用于评估具有广泛文化水平的移民西班牙裔农场工人的心理健康。
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An audiotaped mental health evaluation tool for Hispanic immigrants with a range of literacy levels.

Debilitating mental illness is treatable if found. There is no validated self-administered mental illness evaluation tool for immigrant Hispanic farm workers with variable literacy levels. This study tested sensitivity and specificity of an audiotaped survey developed for low literacy levels compared with standard interview instruments. Subjects from 11 migrant camps completed a self-administered audiotaped survey in Spanish to diagnose major depression, substance abuse, panic and generalized anxiety, and domestic violence. Primary care clinics assisted in finding camps and provided follow-up treatment. For 154 men and 156 women, the audio tool was most sensitive for major depression and specific for anxiety disorder, alcohol abuse, and domestic violence. Seventy percent of those diagnosed with major depression received appropriate treatment. This study validated an inexpensive, self-administered audio tool to evaluate the mental health of immigrant Hispanic farm workers with a wide range of literacy levels.

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