Causal Beliefs and Effects upon Mental Illness Identification Among Chinese Immigrant Relatives of Individuals with Psychosis.
Causal Beliefs and Effects upon Mental Illness Identification Among Chinese Immigrant Relatives of Individuals with Psychosis.
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DOI：
10.1007/s10597-011-9464-z
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发表时间：
2012-08
影响因子：
2.7
通讯作者：
Wonpat-Borja AJ
中科院分区：
文献类型：
--
作者：
Yang LH;Wonpat-Borja AJ
由于治疗使用延迟，确定有助于中国移民精神障碍治疗的因素至关重要。确定亲属所持有的因果信念，这些信念可能预测“精神疾病”的识别，而不是其他“本土标签”，可能会促进更有效的心理健康服务的使用。我们研究了“物理原因”信念和其他非生物医学因果信念（“一般社会原因”和“中国本土信仰”或特定文化的疾病认识论）对精神疾病识别可能产生的影响。对患有精神病的中国移民消费者的 49 名亲属进行了抽样调查。对“身体原因”的更高认可与精神疾病标签相关。然而，在非生物医学因果信念中，“一般社会原因”与精神疾病识别没有关系，而对“中国本土信仰”的认可则表现出负相关。有效的基于治疗和社区的心理教育，除了强调生物医学模型之外，还可以整合中国本土的疾病认识论，以促进精神障碍的快速识别并促进治疗的使用。
Identifying factors that facilitate treatment for psychotic disorders among Chinese-immigrants is crucial due to delayed treatment use. Identifying causal beliefs held by relatives that might predict identification of ‘mental illness’ as opposed to other ‘indigenous labels’ may promote more effective mental health service use. We examine what effects beliefs of ‘physical causes’ and other non-biomedical causal beliefs (‘general social causes’, and ‘indigenous Chinese beliefs’ or culture-specific epistemologies of illness) might have on mental illness identification. Forty-nine relatives of Chinese-immigrant consumers with psychosis were sampled. Higher endorsement of ‘physical causes’ was associated with mental illness labeling. However among the non-biomedical causal beliefs, ‘general social causes’ demonstrated no relationship with mental illness identification, while endorsement of ‘indigenous Chinese beliefs’ showed a negative relationship. Effective treatment- and community-based psychoeducation, in addition to emphasizing biomedical models, might integrate indigenous Chinese epistemologies of illness to facilitate rapid identification of psychotic disorders and promote treatment use.
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