"Tension" in South Asian women: developing a measure of common mental disorder using participatory methods.
"Tension" in South Asian women: developing a measure of common mental disorder using participatory methods.
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DOI：
10.1353/cpr.2013.0046
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Shimu P
中科院分区：
文献类型：
--
作者：
Karasz A;Patel V;Kabita M;Shimu P
Though common mental disorder (CMD) is highly prevalent among South Asian immigrant women, they rarely seek mental treatment. This may be due in part to the lack of conceptual synchrony between medical models of mental disorder and the social models of distress common in South Asian communities. Furthermore, common mental health screening and diagnostic measures may not adequately capture distress in this group. CBPR is ideally suited to help address measurement issues in CMD as well as develop culturally appropriate treatment models. To use participatory methods to identify an appropriate, culturally specific mental health syndrome and develop an instrument to measure this syndrome. We formed a partnership between researchers, clinicians, and community members. The partnership selected a culturally specific model of emotional distress/ illness, “Tension,” as a focus for further study. Partners developed a scale to measure Tension and tested the new scale on 162 Bangladeshi immigrant women living in the Bronx. The 24-item “Tension Scale” had high internal consistency (alpha =0.83). In bivariate analysis, the scale significantly correlated in the expected direction with depressed as measured by the PHQ-2, age, education, self-rated health, having seen a physician in the past year, and other variables. Using participatory techniques, we created a new measure designed to assess common mental disorder in an isolated immigrant group. The new measure shows excellent psychometric properties and will be helpful in the implementation of a community-based, culturally synchronous intervention for depression. We describe a useful strategy for the rapid development and field testing of culturally appropriate measures of mental distress and disorder.
