Differential symptom expression and somatization in Thai versus U.S. children.
Differential symptom expression and somatization in Thai versus U.S. children.
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泰国儿童与美国儿童的不同症状表达和躯体化。
DOI：
10.1037/a0016779
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发表时间：
2009
影响因子：
5.9
通讯作者：
Achenbach,ThomasM
中科院分区：
文献类型：
--
作者：
Weiss,Bahr;Tram,JaneM;Weisz,JohnR;Rescorla,Leslie;Achenbach,ThomasM
个人在遇到超出其适应能力的环境挑战时，会以各种方式作出反应。一些研究人员提出，亚洲人对过度压力的反应往往会出现躯体症状，而西方人往往会更多地出现情感或抑郁症状。然而，其他研究人员认为，这种差异可能代表了寻求帮助的不同方法，而不是患病率的实际差异。本研究比较了来自社区和心理健康诊所样本的美国和泰国儿童的躯体症状和情感症状。在临床参考样本中，泰国儿童的躯体症状水平高于美国儿童，而在社区样本中，两组儿童的抑郁水平都略高于躯体症状。由于临床转介样本和社区样本的主要区别在于前者是通过临床转介过程(即寻求帮助)，这些结果表明躯体症状与抑郁症状表现的差异可能与求助行为有关，至少对本研究涉及的样本而言是如此。
Individuals react in a variety of ways when experiencing environmental challenges exceeding their capacity to cope adaptively. Some researchers have suggested that Asian populations tend to react to excessive stress with somatic symptoms, whereas Western populations tend to respond more with affective or depressive symptoms. Other researchers, however, have suggested that such differences may represent different approaches to help seeking rather than actual variations in prevalence. The present study compared somatic versus affective symptoms in US and Thai children from community and mental health clinic samples. In the clinic-referred sample, Thai children were reported to have higher levels of somatic versus depressive symptoms relative to US children, whereas in the community sample, both groups were reported to have slightly higher levels of depressive than somatic symptoms. Because a primary difference between clinic-referred and community samples is that the former have been through the clinical referral process (ie, were seeking help), these results suggest that differences in somatic versus depressive symptom presentation may be related to help-seeking behavior, at least for the samples involved in this study.