CULTURAL CATEGORIES/CROSS CULTURAL PSYCHIATRIC RESEARCH

文化类别/跨文化精神病学研究

• 批准号: 2246774
• 负责人: PETER J GUARNACCIA
• 金额: $ 0.56万
• 依托单位: RUTGERS, THE STATE UNIV OF N.J.
• 依托单位国家: 美国
• 财政年份: 1990
• 资助国家: 美国
• 起止时间: 1990-01-01 至 1995-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2246774
• 关键词: Hispanic Americans; adult human (21+); culture; health care service utilization; health science research; human subject; interview; mental disorder diagnosis; mental disorders; mental health epidemiology; psychological models; psychological stressor; sign /symptom; social support network; Hispanic Americans; adult human (21+); culture; health care service utilization; health science research; human subject; interview; mental disorder diagnosis; mental disorders; mental health epidemiology; psychological models; psychological stressor; sign /symptom; social support network

The proposed research project addresses two longstanding problems in cross-cultural psychiatric research. In order to interpret standard epidemiological findings in cross-cultural studies, the researcher needs to know the local culture or significant errors will be made in interpreting responses to diagnostic interviews. Research instruments require adaptation to the local culture to measure local categories of mental illness to correlate them with standard diagnostic categories. Without these modifications in cross-cultural psychiatric studies, inaccurate diagnoses will be made and inappropriate assessments of service needs for the population will result. This research project will examine the social and psychological correlates of ataques de nervios ("attacks of nerves"), a culturally defined syndrome of distress common among Puerto Ricans and other Hispanics. Through this study, a new research interview will be developed to measure this syndrome in future epidemiological studies of Hispanic populations. This study is designed to be a model for developing research in cross-cultural psychiatric studies. The specific aims of the proposed study are: 1) To analyze the relationship between reports of ataques de nervios in the Puerto Rican Adult Psychiatric Epidemiology Project - Disaster Study and a series of social, psychological, and health system variables in the NIMH Diagnostic Interview Schedule/Disaster Version; 2) To develop a detailed description of ataques de nervios, the situations that provoke them, and the types of help-seeking patterns people employ through ethnographic interviews with persons who reported an ataque de nervios in the DIS/DS; and 3) To develop a culturally valid interview to measure ataques de nervios to be used along with the DIS in future epidemiological studies with Puerto Ricans and other Hispanics.

拟议的研究项目解决了两个长期存在的问题 跨文化精神病研究。为了解释标准 跨文化研究的流行病学发现，研究人员需要 知道本地文化或重大错误在解释时会犯 对诊断访谈的反应。研究工具需要适应 到当地文化，以衡量当地的精神疾病类别 将它们与标准诊断类别相关联。没有这些 跨文化精神病研究的修改，不准确的诊断 将进行并不适当评估服务需求 人口将导致。 该研究项目将研究社会和心理关系 Ataques de Nervios（“神经攻击”），一种文化定义的综合征 波多黎各人和其他西班牙裔境内常见的困扰。通过这个 研究，将开发一项新的研究访谈来衡量该综合症 在未来对西班牙裔人群的流行病学研究中。这项研究是 设计为开发跨文化研究的模型 精神病研究。 拟议研究的具体目的是：1）分析关系 在波多黎各成人精神病学的Ataques de Nervios的报告之间 流行病学项目 - 灾难研究和一系列社会， NIMH诊断访谈中的心理和卫生系统变量 时间表/灾难版本； 2）制定Ataques的详细描述 de Nervios，引起他们的情况以及寻求帮助的类型 人们通过民族志采访的模式 报道了dis/ds中的nevios; 3）在文化上发展 有效的访谈，以衡量与Dis一起使用的Ataques de Nervios 在未来的流行病学研究中，波多黎各人和其他西班牙裔研究。