Using a cultural and RDoC framework to conceptualize anxiety in Asian Americans.

Using a cultural and RDoC framework to conceptualize anxiety in Asian Americans.
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DOI:
10.1016/j.janxdis.2016.09.006
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发表时间:
2017-05
影响因子:
10.3
通讯作者:
Shankman SA
Shankman SA
中科院分区:
医学2区
文献类型:
--
作者:
Liu H;Lieberman L;Stevens ES;Auerbach RP;Shankman SA

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亚裔美国人是美国增长最快的少数民族之一;然而,这一人群的心理健康,特别是焦虑症,仍然严重不足。亚裔美国人群体内的异质性,沿着焦虑的多维度性质,导致难以理解这一群体的焦虑。本文将回顾亚裔美国人焦虑异质性的两个来源:(1)文化变量和(2)焦虑的机制或成分。具体来说,我们将研究与亚裔美国人焦虑相关的研究中最常见的四个文化变量:文化适应、情感评价、面子损失和个人主义-集体主义。我们还将讨论通过研究领域标准(RDoC)框架解析焦虑的方法,特别关注对急性和潜在威胁的敏感性,负价系统中的结构。我们还提出了以前未发表的初步数据,以说明一种方法来检查种族差异的焦虑使用RDoC框架。最后,本文对这一领域的未来工作提出了建议。
Asian Americans are one of the fastest growing minority group in the United States; however, mental health within this population segment, particularly anxiety disorders, remains significantly understudied. Both the heterogeneity within the Asian American population, along with the multidimensional nature of anxiety, contribute to difficulties in understanding anxiety in this population. The present paper will review two sources of heterogeneity within anxiety in Asian Americans: (1) cultural variables and (2) mechanisms or components of anxiety. Specifically, we will examine four cultural variables most commonly found in research related to anxiety in Asian Americans: acculturation, affect valuation, loss of face, and individualism-collectivism. We will also discuss ways to parse anxiety through a Research Domain Criteria (RDoC) framework, specifically focusing on sensitivity to acute and potential threat, constructs within the Negative Valence System. We also present previously unpublished preliminary data to illustrate one way of examining ethnic differences in anxiety using an RDoC framework. Finally, this paper offers recommendations for future work in this area.