Cultural Effects on Stress, Coping, and Symptom Expression

文化对压力、应对和症状表达的影响

• 批准号: 7890894
• 负责人: Bahr Weiss
• 金额: $ 64.71万
• 依托单位: VANDERBILT UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-13 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7890894
• 关键词: Accounting; Acculturation; Adolescent; Affect; Affective; American; Asian Americans; Asians; Behavior; Behavioral; Bispecific Antibody 2B1; Complex; Data; Distal; Emotional; Emotions; Event; Evidence based intervention; Failure; Frequencies; Gender; Goals; Human; Intervention; Interview; Life; Mainstreaming; Mediating; Mental Health; Mental disorders; Modeling; Population; Process; Psychology; Public Health; Questionnaires; Science; Series; Stigmata; Stress and Coping; Stressful Event; Subgroup; Symptoms; System; Time; Variant; coping; improved; psychosocial; public health relevance; social stigma

DESCRIPTION (provided by applicant): Despite the fact that psychology and related fields generally have conceptualized themselves as science of universal human behavior, for the most part they have developed as Euro-American science of Euro-American behavior. Failure to consider more fully potential effects of cultural differences on human behavior and emotion has had a number of consequences, the foremost of which probably is that the field has reached conclusions about constructs being related as main effects when in fact they may be related via more complex interactive relations involving cultural processes. The overall purpose of the proposed project is to increase our understanding of how culture and cultural variation are related to human behavioral and emotional functioning, with a particular focus on what might be called the "stress - coping - symptom manifestation" system, with the ultimate goal of generating data that are useful for modifying or developing culturally informed psychosocial interventions. In the proposed project, cross-sectional questionnaire data will be obtained from 1000 Vietnamese and 1000 Vietnamese-American adolescents. Longitudinal interview data will be obtained from subsets of 500 of each of these groups, at three time points spaced three months apart. Data will focus on (a) stressful life events, (b) coping styles and strategies, (c) mental health symptoms, and (d) distal cultural as well as more proximal variables (e.g., collectivism vs. individualism; stigma associated with symptoms, respectively). Analyses will (a) determine the extent to which Vietnamese and Vietnamese-American adolescents differ cross-sectionally in regards to the life events they find stressful, the types of strategies that the adolescents use to cope with these stressful events, and the symptom manifestations (such as affective problems; somatization, conduct problems, etc.) that may occur when these coping attempts are not successful; (b) determine the extent to which cross-sectional group differences are related to cultural variables; (c) model longitudinal relations between life events, coping strategies, and symptom manifestations and determine the extent to which these relations are influenced by the cultural variables; (b) compare models the Vietnamese and Vietnamese-American adolescents to determine whether these relations differ across cultural groups and if they do, whether these differences are mediated by the cultural variables. Finally, results will be reviewed to identify potential factors relevant for developing culturally-informed interventions for Vietnamese- American, and ultimately Asian-American, adolescents. PUBLIC HEALTH RELEVANCE: The present project focuses on increasing our understanding of how culture and cultural variation are related to mental health and mental illness symptomatology, with the ultimate goal of improving the quality of mental health interventions for different subgroups within our population. It therefore is directly relevant to public health.

描述(申请人提供)：尽管心理学和相关领域普遍将自己概念化为研究普遍人类行为的科学，但在很大程度上，它们已经发展成为研究欧美行为的欧美科学。未能更充分地考虑文化差异对人类行为和情感的潜在影响已经产生了一系列后果，其中最重要的可能是该领域得出了关于结构作为主要影响相关的结论，而事实上，它们可能是通过涉及文化过程的更复杂的互动关系而相关的。拟议项目的总体目的是增进我们对文化和文化差异如何与人类行为和情绪功能相关的理解，特别侧重于所谓的“压力-应对-症状表现”系统，最终目的是产生有助于修改或发展了解文化的心理社会干预措施的数据。在拟议的项目中，将从1000名越南青少年和1000名越南裔美国青少年中获得横断面问卷数据。纵向访谈数据将从这些群体中每组500人的子集中获得，时间间隔为三个月，共三个时间点。数据将集中在(A)应激性生活事件，(B)应对方式和策略，(C)精神健康症状，以及(D)远端文化以及更近的变量(例如，集体主义与个人主义；分别与症状相关的污名)。分析将(A)确定越南青少年和越南裔美国青少年在他们认为有压力的生活事件方面的横向差异程度，青少年用来应对这些压力事件的策略类型，以及症状表现(如情感问题、躯体化、行为问题等)。(B)建立生活事件、应对策略和症状表现之间的纵向关系模型，并确定这些关系在多大程度上受到文化变量的影响；(B)比较越南和越南裔美国青少年的模型，以确定不同文化群体之间的这些关系是否存在差异，如果存在，这些差异是否受到文化变量的影响。最后，将对结果进行审查，以确定为越南裔美国人，最终为亚裔美国人青少年开发文化知情干预措施的潜在因素。 公共卫生相关性：本项目侧重于提高我们对文化和文化差异如何与精神健康和精神疾病症状学有关的理解，最终目标是提高针对我国人口中不同亚群的心理健康干预的质量。因此，它与公共卫生直接相关。