Acculturation and ataque de nervios in a community sample

描述(由申请人提供)：鉴于拉美裔是当代美国增长最快的少数群体之一，旨在阐明概念化和痛苦经历的研究无可否认地与最适合日益多样化的美国的具有文化能力的职业心理学相关。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于文化的概念化和体验焦虑的模式。Ataque de nervios被确定为各种拉丁裔社区中与抑郁和焦虑并存的一种主要情感性疾病，在25岁左右至60岁出头的妇女中发现高患病率(Guarnaccia，DeLaCancela和Carrillo，1989)。通过使用定量和定性的方法，本项目在墨西哥/墨西哥裔美国成年女性社区样本中探索了文化适应、神经病变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标：1)考察文化适应水平在多大程度上预测神经性障碍对情绪困扰的解释；2)调查典型神经性障碍症状的表达在多大程度上依赖于文化适应水平；3)探索文化适应和个体文化适应领域在多大程度上预测神经性障碍症状和/或精神病理学的认可；以及4)了解神经性障碍和神经性障碍与文化适应相关的概念。[参与者将从当地社区计划中招募。所有成员都将使用西班牙语版本的BSI进行心理健康筛查。只有这样。有中度到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加。首先，所有参与者(N=75)将接受SCID(临床医生管理的诊断性访谈)和两项文化适应措施(AMAS-ZABB和SMAS)。其次，将进行一次探索神经类别的定性访谈(EMIC)。相应地，将使用回归分析和主题内容分析来分析数据。每年约有20%的美国人患有精神疾病。居住在美国的拉美裔人(包括美国公民和外国出生的人)的显著上升要求在由于与歧视、贫困、移民等相关的重大压力因素而面临身体和心理痛苦的风险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，需要更多关于拉丁裔人如何经历痛苦及其与抑郁症(导致残疾的主要原因和自杀的诱因)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).