Not Saying I Am Happy Does Not Mean I Am Not: Cultural Influences on Responses to Positive Affect Items in the CES-D

Not Saying I Am Happy Does Not Mean I Am Not: Cultural Influences on Responses to Positive Affect Items in the CES-D
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DOI:
10.1093/geronb/gbq052
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发表时间:
2010-11-01
影响因子:
6.2
通讯作者:
Chiriboga, David A.
Chiriboga, David A.
中科院分区:
医学1区
文献类型:
--
作者:
Jang, Yuri;Kwag, Kyung Hwa;Chiriboga, David A.

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鉴于亚洲社会强调谦虚和自我谦虚,本研究探讨了流行病学研究中心抑郁量表的简短形式中 2 个积极情感项目(5 = 希望和 8 = 快乐)的差异项目反应。样本包括老年非西班牙裔白人 (n = 450)、韩裔美国人 (n = 519) 和韩国人 (n = 2,030)。估计多指标多因模型以确定群体成员身份对积极情感项目反应的影响,同时控制抑郁症状的潜在特征。数据显示,韩国人和韩裔美国人比非西班牙裔白人更不可能 认可积极影响的项目。与更能适应美国主流文化的韩裔美国人相比,那些不太适应美国主流文化的韩裔美国人不太可能认可积极的情感项目。我们的研究结果支持这样一种观点,即人们认可抑郁症状的方式很大程度上受到文化取向的影响。这些发现对简单均值比较的普遍使用和跨不同文化群体的通用分界点提出了质疑。
Given the emphasis on modesty and self-effacement in Asian societies, the present study explored differential item responses for 2 positive affect items (5 = Hopeful and 8 = Happy) on a short form of the Center for Epidemiologic Studies-Depression scale. The samples consisted of elderly non-Hispanic Whites (n = 450), Korean Americans (n = 519), and Koreans (n = 2,030).Multiple Indicator Multiple Cause models were estimated to identify the impact of group membership on responses to the positive affect items while controlling for the latent trait of depressive symptoms.The data revealed that Koreans and Korean Americans were less likely than non-Hispanic Whites to endorse the positive affect items. Compared with Korean Americans who were more acculturated to mainstream American culture, those who were less acculturated were less likely to endorse the positive affect items.Our findings support the notion that the way in which people endorse depressive symptoms is substantially influenced by cultural orientation. These findings call into question the common use of simple mean comparisons and a universal cutoff point across diverse cultural groups.