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（由申请人提供）：尽管心理学及相关领域通常将自己概念化为普遍人类行为的科学，但在大多数情况下，他们已经发展为欧美欧洲欧美行为科学。未能考虑文化差异对人类行为和情感的更全面的潜在影响产生了许多后果，最重要的是，该领域已经得出结论，即结构与主要影响相关，而实际上它们可能通过涉及文化过程的更复杂的互动关系与之相关。拟议项目的总体目的是提高我们对文化和文化差异如何与人类的行为和情感功能有关的理解，并特别关注所谓的“压力 - 应对 - 症状表现”系统，其最终目标是生成对修改或发展文化知识的心理社会社会心理干预措施有用的数据。在拟议的项目中，将从1000名越南和1000名越南裔美国人青少年那里获得横断面问卷数据。纵向访谈数据将从这些组中的500个的子集获得，分别为三个月的三个时间点。数据将重点放在（a）压力大的生活事件上，（b）应对方式和策略，（c）心理健康症状，以及（d）远端文化和更近端变量（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）确定越南和越南裔美国人青少年在他们发现压力大的生活事件方面的横截面差异，青少年用来应对这些压力大事的策略的类型，以及这些症状表现以及这些症状表现（例如情感问题，表现出问题，表现出来，表现出来，均可取得成功），这是成功的尝试。 （b）确定横截面群体差异与文化变量有关的程度； （c）模拟生命事件，应对策略和症状表现之间的纵向关系，并确定这些关系受文化变量影响的程度； （b）比较模型的越南和越南裔美国人青少年，以确定这些关系是否在文化群体之间以及它们是否有所不同，这些差异是否是由文化变量介导的。最后，将审查结果，以确定与为越南美洲和最终亚裔美国人青少年开发文化知名干预措施相关的潜在因素。 公共卫生相关性：本项目的重点是提高我们对文化和文化差异如何与心理健康和精神疾病症状相关的理解，其最终目标是提高人群中不同亚组的心理健康干预质量。因此，它与公共卫生直接相关。