HWA-BYUNG - A COMMUNITY STUDY OF KOREAN AMERICANS
HWA-BYUNG - A COMMUNITY STUDY OF KOREAN AMERICANS
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DOI：
10.1097/00005053-199206000-00008
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发表时间：
1992-06-01
影响因子：
1.9
通讯作者：
NAKASAKI, G
中科院分区：
文献类型：
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作者：
LIN, KM;LAU, JKC;NAKASAKI, G
109韩裔美国人社区的主题进行了采访，他们的经验与hwa-byung（HB），韩国民间疾病的标签，韩国人常用的无数的生理和心理的投诉。在这些访谈中，标准工具也被用来评估他们的抑郁和躯体症状。结果表明，一个相对较高的比例（12%）的主题标记自己患有乙肝。虽然HB和非HB受试者之间没有明显的社会人口统计学差异，但更多的HB受试者符合DSM-III重度抑郁症的诊断，并且以前也有抑郁症的诊断。HB受试者的总分、抑郁和躯体分量表以及流行病学中心抑郁量表20个单项中的16个也显著较高。这些数据证实了以前的观察HB和DSM-III之间的韩国人和韩裔美国人的严重抑郁症大量重叠，并建议HB可能是一种文化模式的表达方式，韩国人经历抑郁症和相关条件。这些研究结果的临床和理论意义进行了讨论。
One hundred nine Korean American community subjects were interviewed regarding their experiences with hwa-byung (HB), a Korean folk illness label commonly used by Koreans with a myriad of physiological and psychological complaints. During these interviews, standard instruments were also used to assess their depressive and somatic symptoms. The results indicated that a relatively high proportion (12%) of the subjects labeled themselves as having suffered from HB. While no apparent sociodemographic differences were found between HB and non-HB subjects, significantly more HB subjects fulfilled the diagnosis of DSM-III major depression and also had previous diagnoses of depression. The HB subjects also had significantly higher scores for the total, depressive, and somatic subscales and 16 of the 20 individual items of the Center for Epidemiologic Studies-Depression Scale. These data confirm previous observations of substantial overlap between HB and DSM-III major depression among Koreans and Korean Americans, and suggest that HB may be a culturally patterned way of expression for Koreans experiencing major depression and related conditions. The clinical and theoretical implications of these findings are also discussed.