Efficacy of a Culturally Tailored Therapeutic Intervention Program for Community Dwelling Depressed Korean American Women: A Non-Randomized Quasi-Experimental Design Study.
Efficacy of a Culturally Tailored Therapeutic Intervention Program for Community Dwelling Depressed Korean American Women: A Non-Randomized Quasi-Experimental Design Study.
复制标题
针对社区住宅抑郁症韩国妇女的文化量身定制的治疗干预计划的功效：一项非随机的准实验设计研究。
DOI：
10.1016/j.apnu.2015.10.011
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发表时间：
2016-02
影响因子：
2.3
通讯作者：
Nokes KM
中科院分区：
文献类型：
--
作者：
Bernstein K;Park SY;Hahm S;Lee YN;Seo JY;Nokes KM
与非亚裔美国女性相比，亚裔美国女性更容易患抑郁症，并且由于缺乏合适的文化疗法，寻求心理健康服务的比例较低。之前两项关于一种名为“标志自传”的文化适应性治疗干预的研究对治疗患有抑郁症的韩裔美国女性有帮助。“标志自传”项目经过修订，不仅提高了对抑郁症状和生活目标的疗效，还增加了应对策略。
为了测试强化的“标志自传”项目对居住在社区的患有抑郁症的韩裔美国女性的抑郁症状、生活目标和应对策略的疗效。
两组非随机准实验设计。
位于美国纽约市和新泽西州东部的当地韩裔社区。
共有54名有韩国血统的抑郁症女性完成了实验组（n1 = 25）或对照组（n2 = 29）。样本纳入标准为有韩国血统的成年女性，通过流调中心用抑郁量表（CES - D）测量得分16分或更高的抑郁症状，韩语流利，能够独立参与。样本排除标准是那些通过心理社会调查问卷筛选出有积极自杀念头以及有躁狂或精神病发作病史的人。
实验组接受强化的“标志自传”项目，由一名引导者指导，在8周内进行每次90分钟的标准化干预课程；对照组参加每周的常规社区活动。在第一阶段（前测）、8周结束时（后测）以及3个月的随访阶段收集数据。使用重复测量一般线性模型（RMGLM）计算抑郁症状、生活目标和应对策略的时间和组间变化。
研究结果表明，在三个时间区间内，与对照组相比，实验组在抑郁症状（F = 6.94（2, 88），p < 0.01）、积极认知应对（F = 5.07（2, 86），p < 0.01）和回避应对策略（F = 3.48（2, 86），p < 0.05）方面有更大的改善。生活目标显示出具有统计学意义的时间和组间效应（F = 5.18（2, 88），p < 0.01；F = 9.44（2, 88），p < 0.01，分别），但未检测到时间和组间的显著交互作用。
这些研究结果表明，强化的“标志自传”对患有抑郁症的韩裔美国女性的抑郁症状和应对策略有效，对改善生活目标也有一定效果。
Asian American women are more prone to suffer with depression compared to their non-Asian American counterparts and have lower rates of seeking mental healthcare services due to lack of available culturally appropriate therapies. Two prior studies of a culturally tailored therapeutic intervention called LogoAutobiography were helpful in treating depressed Korean American women. The LogoAutobiography program was revised to enhance its efficacy not only for depressive symptoms and purpose in life but also to increase coping strategies. To test the efficacy of the Enhanced LogoAutobiography program on depressive symptoms, purpose in life, and coping strategies of depressed community-dwelling Korean American women. Two-group, non-randomized quasi-experimental design. Local Korean community areas located in New York City and eastern New Jersey of the United States. A total of 54 depressed women with Korean heritage completed either experimental group (n1= 25) or control group (n2= 29). Sample inclusion criteria were adult women with Korean heritage, depressive symptoms as measured by a CES-D score 16 or higher, fluent Korean language, and able to participate independently. Sample exclusion criteria were those who presented active suicidal ideation and history of episodes of mania or psychosis screened by the psychosocial survey questionnaire. The experimental group received Enhanced Logo-Autobiography program which was guided by a facilitator who used a manualized intervention for 90 minute sessions over 8 weeks; the control group attended routine weekly community activities. Data were collected during the first session (pretest), the end of 8 weeks (posttest), and the 3 months follow-up session. Time and group changes in depressive symptoms, purpose in life, and coping strategies were computed using Repeated Measures General Linear Model (RMGLM). Findings suggested that the experimental group showed greater improvement in depressive symptoms (F = 6.94 (2, 88), p < 0.01), active cognitive coping (F = 5.07 (2, 86), p < 0.01), and avoidance coping strategies (F = 3.48 (2, 86), p < 0.05) compared to the control group during the three time intervals. Purpose in life showed statistically significant Time and Group effects (F = 5.18 (2, 88), p < 0.01; F = 9.44 (2, 88), p < 0.01, respectively), but no significant interaction effect of Time and Group was detected. These findings suggest that enhanced LogoAutobiography is effective for depressive symptoms and coping strategies and somewhat effective for improving purpose in life for depressed Korean American women.