Acculturation and ataque de nervios in a community sample

描述（由申请人提供）：鉴于拉丁美洲人是当代美国增长最快的少数群体之一，旨在阐明痛苦的概念和经验的研究无疑与文化上胜任的专业心理学最适合日益多样化的美国有关。为了减轻所有美国人的精神疾病负担，有必要调查和理解特定文化的概念化和体验焦虑的模式。在许多拉丁裔/非拉丁裔社区，神经衰弱症被认为是一种与抑郁和焦虑共病的主要情感性疾病，在25岁到60岁出头的女性中患病率很高（Guarnaccia, DeLaCancela, & Carrillo, 1989）。通过使用定量和定性方法，本项目探讨了墨西哥/墨西哥裔美国成年女性社区样本中文化适应、神经失调和精神病理学之间的相互作用。这个跨学科的项目有四个目的：1)研究文化适应水平在多大程度上可以预测作为情绪困扰解释的神经性发作；2)探讨典型神经发作症状的表达对文化适应水平的依赖程度；3)探索文化适应和个体文化适应域在多大程度上预测神经无发作症状和/或精神病理的认可；4)了解与文化适应有关的神经障碍和神经障碍的概念。[参与者将从当地社区项目中招募。所有会员都将接受西班牙语版的心理困扰筛查。BSI。只有。具有中度至高度心理困扰的墨西哥/墨西哥裔美国人参与者将有资格进一步参与。首先，所有参与者（N = 75）将接受SCID（临床医生管理的诊断访谈）和两种文化适应测量（AMAS-ZABB和SMAS）。其次，将进行一次探讨神经类型的定性访谈（EMIC）。相应的，将采用回归分析和专题内容分析来分析数据。每年大约有20%的美国人患有精神疾病。生活在美国的拉美裔人（包括美国公民和外国出生的人）的显著增加，要求在由于与歧视、贫困、移民等相关的重大压力源而面临生理和心理困扰风险的人群中探索精神疾病的经历。为了促进所有美国人的健康生活，需要更多关于拉丁美洲人如何经历痛苦及其与抑郁症（残疾的主要原因和自杀的促成因素）的关系的信息。

DESCRIPTION (provided by applicant): Given that Latinos represent one of the fastest growing minority groups in the contemporary US, studies aimed at elucidating conceptualizations and experiences of distress are undeniably relevant for a culturally competent professional psychology best suited to an increasingly diverse America. To reduce the burden of mental illness for all Americans, it is essential that the culture-specific modes of conceptualizing and experiencing anxiety are investigated and understood. Ataque de nervios is identified as a major affective illness comorbid with depression and anxiety in various Latina/o communities, with high prevalence rates found among women in their mid-twenties to early sixties (Guarnaccia, DeLaCancela, & Carrillo, 1989). Through the use of quantitative and qualitative methods this project explores the interplay between acculturation, ataque de nervios, and psychopathology in a Mexican/Mexican-American adult female community sample. This interdisciplinary project has four aims: 1) to examine the extent to which level of acculturation predicts ataque de nervios as an explanation of emotional distress; 2) to investigate the degreeto which expression of prototypical ataque de nervios symptoms is dependent on level of acculturation; 3) to explore the extent to which acculturation and individual acculturative domains predict endorsement of ataque de nervios symptoms and/or psychopathology; and 4) to learn about conceptions of nervios and ataque de nervios in relation to acculturation. [Participants will be recruited from a local community program. All members will be pre-screened for psychological distress using the Spanish versionjof .the BSI. Only. Mexican/Mexican-rAmerican participants with moderate to high levels of psychological distress will be eligible for further participation. First, all participants (N = 75) will be administered the SCID (a clinician-administered diagnostic interview), and two acculturation measures (AMAS-ZABB and SMAS). Second, a qualitative interview (EMIC) that explores categories of nervios will be administered. Regression analyses and thematic content analysis will be used accordingly to analyze the data. About 20% of US Americans experience mental illness in a given year. The significant rise of Latinos living in the US (both US citizens and foreign-born) demands that experiences of mental illness are explored in populations at risk for physical and psychological distress due to significant stressors related to discrimination, poverty, migration etc. To promote healthy living for all US Americans, more information is needed about how Latinas experience distress and its relation to depression (a leading cause of disability and contributing factor in suicide).