Mixed-Method Analysis of Depressed Japanese Women

对抑郁的日本女性的混合方法分析

基本信息

批准号：
7282441
负责人：
DENISE M SAINT ARNAULT
金额：
$ 32.88万
依托单位：
MICHIGAN STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-15 至 2009-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7282441
关键词：
Acculturation Affect Anthropology Asian Americans Asians Back Belief Businesses Censuses Characteristics Chiropractor Classification Client Clinic Clinical Collection Communities Complex Condition Conflict (Psychology)County Data Collection Data Set Depressed mood Development Directories Discrimination Distress Drowning Emotional Employment English Language Environment Equipment and supply inventories Ethnic Origin Ethnic group Ethnography Evaluation Exercise Extended Family Face Family Family Practice Foundations Future Health Resources Health Services Accessibility Herb High Prevalence Immigrant Incidence Industry Interview Investigation Japan Japanese Population Judgment Knowledge Label Language Lead Life Literature Massage Measures Medical Mental Depression Mental Health Mental Health Services Mental disorders Methods Michigan Movement Natural Remedy Nature Nurses Pattern Phase Population Population Density Postpartum Period Prevalence Primary Health Care Principal Investigator Program Development Provider Psyche structure Psychiatric Diagnosis Psychiatry Psychology Psychotic Disorders Published Directory Purpose Range Rate Recording of previous events Recruitment Activity Research Research Personnel Risk Risk Factors Role Saints Sampling Screening procedure Services Severities Severity of illness Shame Shapes Site Social Environment Social Network Social Psychiatry Social support Source Stigmata Stigmatization Structure Subgroup Symptoms Syndrome System Time United States United States Dept. of Health and Human Services Woman Women&apos s Group Work base demographics design desire emotional distress ethnographic method experience help-seeking behavior improved innovation instrument intergenerational knowledge base multidisciplinary news programs psychologic response self help skills social social stigma tool

项目摘要

Asian immigrants face mental illness risks of intergenerational conflict, role changes, limited English language proficiency, and discrimination. Yet despite evidence that mental illness prevalence and severity levels are high, there also is evidence that Asians underutilize mental health services. Underutilization of mental health services is related to somatic distress, cultural differences, and stigma. Previous research shows that Asians combine primary-care, physically-oriented self-help sources (i.e. herbs, massage, exercise and dietary changes) and social support in response to symptoms of mental or emotional distress. This study investigates how illness experiences, cultural beliefs about the causes of illness, and social structural factors interact to influence help-seeking for mental or emotional distress. This study uses a multiphase, mixed ethnographic and quantitative, longitudinal design, and systematic sampling (with random start and interval sampling) to examine the influence of culture on distress and help-seeking for 250 Japanese women. The aims are to: 1). Compare characteristics (demographics and distress symptoms) of groups of women with diverse help-seeking profiles; 2). Describe the ethnographic and psychiatric profiles of a sub-sample of 60 highly distressed women (20 women from each of three recruitment sites); 2A). Ethnographic profiles include social networks, distress experiences, cultural interpretations and evaluations, and help seeking patterns; and 2B). Psychiatric profiles include life-time history and current psychiatric diagnoses; and 3). Compare the ethnographic and psychiatric profiles within and across groups. This study uses a multidisciplinary team and rigorous methods to investigate cultural and clinical aspects of Japanese depression. It will identify cultural patterns of help-seeking to facilitate program development; elucidate cultural adaptations for existing psychiatric tools; and refine symptom profiles to improve precision of mental health assessments.

亚洲移民面临代际冲突，角色变化，英语能力有限和歧视的精神疾病风险。然而，尽管有证据表明精神疾病的患病率和严重程度很高，但也有证据表明亚洲人不足以精神卫生服务。精神卫生服务的缺乏症与体细胞苦难，文化差异和污名有关。先前的研究表明，亚洲人结合了初级护理，身体为导向的自助来源（即草药，按摩，运动和饮食变化）和社会支持，以应对精神或情绪困扰的症状。这项研究调查了疾病经历，对疾病原因的文化信念以及社会结构因素相互作用，以影响寻求帮助的心理或情绪困扰。这项研究使用多相，人种学和定量，纵向设计以及系统的采样（随机开始和间隔抽样）来检查培养对250名日本妇女的苦难和寻求帮助的影响。目的是：1）。比较具有多种帮助的人的特征（人口统计和遇险症状）； 2）。描述60名高度困扰妇女的子样本的人种学和精神病学特征（来自三个招聘场所的20名妇女）； 2a）。民族志概况包括社交网络，遇险经历，文化解释和评估以及帮助寻求模式；和2b）。精神病学特征包括终身历史和当前的精神病诊断；和3）。比较群体内外的人种学和精神病学特征。这项研究使用多学科团队和严格的方法来研究日本抑郁症的文化和临床方面。它将确定寻求帮助的文化模式，以促进计划发展；阐明现有精神病工具的文化适应；并完善症状特征以提高心理健康评估的精度。