Psychiatric symptom dimensions among asian americans and native hawaiians: An analysis of the symptom checklist.
Psychiatric symptom dimensions among asian americans and native hawaiians: An analysis of the symptom checklist.
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亚裔美国人和夏威夷原住民的精神症状维度：症状清单分析。
DOI：
10.1002/1520-6629(198910)17:4
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发表时间：
1989
影响因子：
2.3
通讯作者：
Leaf,PhilipJ
中科院分区：
文献类型：
--
作者：
Takeuchi,DavidT;Kuo,Hsu-Sung;Kim,Kathleen;Leaf,PhilipJ
标准化的工具通常用于评估社区对精神卫生服务的需求。这些工具通常是标准化的高加索样本，一般认为是适合不同的民族文化少数。然而，这种假设可能是错误的，因为文化群体在他们的表达，表现和症状的报告方面各不相同。本文分析了一个标准化的工具，症状自评量表（SCL），在夏威夷的四个民族：高加索人，菲律宾人，日本人和夏威夷土著人的反应。使用procrustes旋转的因素分析用于迫使数据符合SCL的五个假设因素（躯体化，强迫，人际关系敏感，抑郁和焦虑）。结果表明，量表的项目负荷一般不符合假设的因素。在种族群体中，高加索人似乎有经验和假设的因素之间的最佳拟合，而夏威夷土著人有最差的拟合。我们的研究结果加强了评估建立的精神症状量表之前，他们对不同的民族文化的少数民族使用的重要性。
Standardized instruments are often used to assess the need for mental health services in a community. Such instruments are usually standardized on Caucasian samples and are generally assumed to be appropriate for different ethnocultural minorities. However, this assumption may be in error because cultural groups vary in their expression, manifestation, and reporting of symptoms. This article analyzes the responses to a standardized instrument, the Symptom Checklist (SCL), for four ethnic groups in Hawai'i: Caucasians, Filipinos, Japanese, and Native Hawaiians. Factor analysis using a procrustes rotation was used to force the data to fit into the five hypothesized factors of the SCL (somatization, obsessive‐compulsive, interpersonal sensitivity, depression, and anxiety). It showed that the scale item loadings generally did not correspond to the hypothesized factors. Among the ethnic groups, Caucasians appeared to have the best fit between the empirical and hypothesized factors whereas Native Hawaiians had the worst fit. Our results reinforce the importance of assessing established psychiatric symptom scales prior to their use on different ethnocultural minorities.