Mental health issues for Asian Americans
Mental health issues for Asian Americans
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DOI：
10.1176/ps.50.6.774
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发表时间：
1999-06-01
影响因子：
3.8
通讯作者：
Cheung, F
中科院分区：
文献类型：
--
作者：
Lin, KM;Cheung, F
亚裔美国人是近几十年来增长最快的人口群体之一，代表了文化、语言、信仰和习俗的极其多样化和丰富的融合，其中许多与欧洲裔美国人的文化、语言、信仰和习俗有很大不同。作为移民，亚裔美国人已经并将继续经历各种情感和行为问题。然而，他们往往没有充分利用现有的服务，除非那些文化上合适且语言兼容的服务除外。误诊频繁发生，文化束缚综合症的存在表明本土标签与既定诊断类别之间缺乏精确对应。由于亚洲传统将身体和心灵视为单一而非二元，患者往往更关注身体不适而不是情绪症状，导致躯体疾病的表现过高。在患者及其家人接受传统精神卫生保健系统之前和之后，经常使用传统的做法和治疗方法来减轻痛苦。寻求帮助通常是一项家庭事业。亚洲患者对高度结构化的治疗干预措施反应良好，例如行为、认知和人际模型中使用的治疗干预措施。在应用药物治疗时，临床医生应注意亚洲人对精神药物的独特反应，尤其是剂量要求和副作用。该领域以及其他重要问题的研究正处于发展的早期阶段。
One of fastest-growing population groups in recent decades, Asian Americans represent a vastly diversified and rich mixture of cultures, languages, beliefs, and practices, many of which differ widely from those of European Americans. As immigrants, Asian Americans have experienced and continue to experience various emotional and behavioral problems. However, they tend to underuse existing services except those that are culturally appropriate and Linguistically compatible. Misdiagnosis frequently occurs, and the existence of culture-bound syndromes points to a lack of precise correspondence between indigenous labels and established diagnostic categories, Due to Asian traditions of viewing the body and mind as unitary rather than dualistic, patients tend to focus more on physical discomforts than emotional symptoms, leading to an overrepresentation of somatic complaints. Traditional practices and healing methods are frequently used to alleviate distress both before and after patients and their family members approach the conventional mental health care system. Help seeking typically is a family venture. Asian patients respond well to highly structured therapeutic interventions such as those used in behavioral, cognitive, and interpersonal models. When applying pharmacotherapy, clinicians should pay attention to Asians' unique responses to psychotropics, especially in regard to dosage requirements and side effects. Research in this area as well as on other important issues is in the early stage of development.