Conceptual Models of Depression in Latino Outpatients

拉丁裔门诊患者抑郁症的概念模型

• 批准号: 7076851
• 负责人: ALISON KARASZ
• 金额: $ 13.99万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-07-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7076851
• 关键词: Hispanic Americans; Puerto Rican; behavioral /social science research tag; clinical research; depression; human subject; interview; managed care; mental health; outpatient care; patient oriented research; psychological models; questionnaires

DESCRIPTION (provided by applicant): The candidate described in this application is a clinical psychologist with a background in qualitative health research. The purpose of the application is to prepare the candidate for an independent career focusing on mental health research in primary care and community setting. Specific goals for the study include 1) improving skills in quantitative design and analysis; 2) acquiring expertise in developing mixed method studies; and 3) acquiring familiarity with problems and methods in the field of mental health research. Training activities include a combination of formal coursework, a research apprenticeship, and mentoring by a panel of expert consultants. In addition, the candidate will carry out a series of three small-scale mixed-methods pilot studies with the goal of developing a measure and generating hypotheses for future studies. During the award period, a hypothesis testing study which will be developed as an R01 application. The candidate's interests have been shaped by her experiences as a practicing psychotherapist, as well as a longstanding attraction to the methods and perspectives of psychiatric anthropology. The proposed studies examine primary care patients' conceptual representations of depression and investigate the relationship of their representations to treatment seeking preferences. Research shows that many depressed patients, especially low-income and minority patients, do not receive effective treatment for these disorders in primary care settings. Few studies have investigated how patients interpret their illness and make decisions about treatment, and none have examined in detail the effects of acculturation on patients' models of illness and care. Drawing on a model of the cognitive representation of illness from the health psychology literature, the exploratory studies proposed in the application seek to 1) describe depressed patients' conceptual models of their illness, 2) examine the influence of acculturation and SES on these models; and 3) examine the role of these models in shaping treatment preferences and behaviors. The current study focuses on Latino primary care patients, a focus of interest for the investigator both in prior research and in her clinical work.

描述（由申请人提供）：本申请中描述的候选人是具有定性健康研究背景的临床心理学家。该申请的目的是为候选人做好准备，以专注于初级保健和社区环境中的心理健康研究。研究的具体目标包括1）提高定量设计和分析技能； 2）获取在开发混合方法研究方面的专业知识； 3）熟悉心理健康研究领域的问题和方法。培训活动包括正式课程，研究学徒制和由专家顾问小组的指导。此外，候选人将进行一系列的三个小规模混合方法试点研究，目的是制定措施并为将来的研究产生假设。在奖励期间，将作为R01应用开发的假设检验研究。候选人的兴趣是她作为一名执业心理治疗师的经历所塑造的，并且长期以来对精神病学的方法和观点的吸引力。拟议的研究检查了初级保健患者对抑郁症的概念表征，并研究了他们的表示与寻求偏好的治疗的关系。研究表明，许多抑郁症患者，尤其是低收入和少数族裔患者，在初级保健环境中没有有效治疗这些疾病。很少有研究调查患者如何解释自己的疾病并就治疗做出决定，并且没有人详细研究适应对患者疾病和护理模型的影响。利用健康心理学文献中疾病认知的模型，应用程序中提出的探索性研究寻求1）描述抑郁症患者的疾病概念模型，2）检查培养和SES对这些模型的影响； 3）检查这些模型在塑造治疗偏好和行为中的作用。当前的研究重点是拉丁裔初级保健患者，这是研究人员在先前的研究和临床工作中的关注重点。