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Acculturation, beliefs about mental illness, and perceived social support as predictors of symptom severity in Chinese-American inpatients with schizophrenia.

机译：在华裔美籍精神分裂症患者中，文化容忍，对精神疾病的信仰以及对社会的支持可作为症状严重程度的预测指标。

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摘要

Social support has repeatedly been found to bolster emotional and physical well-being. This may be particularly true in collectivist cultures, such as Asian cultures, where the values of the social group are emphasized over the individual. Although lack of social support has been linked to increased psychopathology, research examining individuals from collectivist cultures, which place more importance on social group than other cultures, has been lacking. Perceptions of mental illness and acculturation also appear to influence social support. Past reports have found individuals with mental illness who are less acculturated and lack social support exhibit increased illness severity compared to their acculturated counterparts (Poyrazli et al., 2004; Rabkin, 1974). The present study investigated the impact of acculturation, beliefs about mental illness, and perceived social support on psychopathology in Chinese American inpatients with schizophrenia. Participants were adult Chinese American inpatients (n=63) with a diagnosis of schizophrenia or schizoaffective disorder recruited from an urban psychiatric inpatient facility. Social support was measured using the Social Interactions Scale (SIS), acculturation using the Suinn-Lew Asian Self-Identity Acculturation Scale (SL-ASIA), and negative opinions about mental illness using the Beliefs toward Mental Illness Scale (BMI). Psychopathology was measured with the Positive and Negative Syndrome Scale for Schizophrenia (PANSS) and length of hospitalization. Measures were administered in Mandarin, Cantonese, and English, according to participants' preference. Results revealed that levels of social support, acculturation and patients' beliefs about their illness were significant predictors of illness duration. Differences were consistently found between PANSS scores and length of hospitalization, suggesting that with this population, social factors may not significantly affect severity of illness but appear to predict chronicity of illness. Implications of these findings and the impact on future research are discussed.
机译：反复发现，社会支持可以增强情感和身体健康。在集体主义文化（例如亚洲文化）中，尤其如此，在这种文化中，社会群体的价值高于个人。尽管缺乏社会支持与心理病理学的增加有关，但缺乏对集体主义文化中的个体进行研究的研究，而集体主义文化中的个人比其他文化更重视社会群体。精神疾病和文化适应的观念似乎也影响社会支持。过去的报告发现，与那些精神错乱的同伴相比，精神错乱的那些受累较少，缺乏社会支持的人表现出更大的疾病严重性（Poyrazli等，2004； Rabkin，1974）。本研究调查了在华裔美国精神分裂症患者中，文化适应，对精神疾病的信念以及感知的社会支持对心理病理的影响。参加者为从城市精神病住院机构招募的诊断为精神分裂症或精神分裂症的成年华裔美国住院病人（n = 63）。使用社交互动量表（SIS）来衡量社会支持，使用Suinn-Lew亚洲自我认同文化量表（SL-ASIA）进行文化适应，并使用对心理疾病的信念量表（BMI）对精神疾病持负面意见。用精神分裂症的阳性和阴性综合征量表（PANSS）和住院时间对精神​​病理学进行测量。根据参加者的喜好，以普通话，广东话和英语进行管理。结果显示，社会支持，适应程度和患者对疾病的看法是疾病持续时间的重要预测指标。在PANSS评分和住院时间之间始终存在差异，这表明对于这一人群，社会因素可能不会显着影响疾病的严重程度，但似乎可以预测疾病的慢性。讨论了这些发现的含义及其对未来研究的影响。

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  • 作者

    Chang, Nadine A.;

  • 作者单位

    Hofstra University.;

  • 授予单位 Hofstra University.;
  • 学科 Psychology Clinical.
  • 学位 Ph.D.
  • 年度 2007
  • 页码 132 p.
  • 总页数 132
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医学心理学、病理心理学;
  • 关键词

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