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首页> 外文期刊>Progress in community health partnerships: research, education, and action >'Tension' in South Asian women: Developing a measure of common mental disorder using participatory methods
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'Tension' in South Asian women: Developing a measure of common mental disorder using participatory methods

机译：南亚妇女的“紧张感”：使用参与性方法开发一种常见精神障碍的测量方法

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Background: Although common mental disorder (CMD) is highly prevalent among South Asian immigrant women, they rarely seek mental treatment. This may be owing in part to the lack of conceptual synchrony between medical models of mental disorder and the social models of distress common in South Asian communities. Furthermore, common mental health screening and diagnostic measures may not adequately capture distress in this group. Community-based participatory research (CBPR) is ideally suited to help address measurement issues in CMD as well as to develop culturally appropriate treatment models. Objectives: To use participatory methods to identify an appropriate, culturally specific mental health syndrome and develop an instrument to measure this syndrome. Methods: We formed a partnership between researchers, clinicians, and community members. The partnership selected a culturally specific model of emotional distress/ illness, "tension," as a focus for further study. Partners developed a scale to measure Tension and tested the new scale on 162 Bangladeshi immigrant women living in the Bronx. Results: The 24-item "Tension Scale" had high internal consistency (α = 0.83). On bivariate analysis, the scale significantly correlated in the expected direction with depressed as measured by the Patient Health Questionnaire (PHQ-2), age, education, self-rated health, having seen a physician in the past year, and other variables. Conclusions: Using participatory techniques, we created a new measure designed to assess CMD in an isolated immigrant group. The new measure shows excellent psychometric properties and will be helpful in the implementation of a community-based, culturally synchronous intervention for depression. We describe a useful strategy for the rapid development and field testing of culturally appropriate measures of mental distress and disorder.
机译：背景：尽管南亚移民妇女中普遍存在常见的精神障碍（CMD），但她们很少寻求心理治疗。这可能部分是由于精神障碍的医学模型与南亚社区常见的困境社会模型之间缺乏概念上的同步。此外，常见的精神健康筛查和诊断措施可能不足以捕获该组患者的困扰。基于社区的参与性研究（CBPR）非常适合帮助解决CMD中的测量问题以及开发适合文化的治疗模型。目的：使用参与性方法来确定适当的，因文化而异的精神健康综合症，并开发一种测量该综合症的工具。方法：我们在研究人员，临床医生和社区成员之间建立了伙伴关系。该合作伙伴关系选择了文化上特定的情绪困扰/疾病模型“紧张”，作为进一步研究的重点。合作伙伴开发了一种测量张力的量表，并针对居住在布朗克斯区的162名孟加拉移民妇女测试了新的量表。结果：24项“张力量表”具有较高的内部一致性（α= 0.83）。在双变量分析中，该量表在预期的方向上与患者健康问卷（PHQ-2），年龄，教育程度，自我评估的健康状况，过去一年看过医生的状况以及其他变量所测得的抑郁水平显着相关。结论：使用参与式技术，我们创建了一项旨在评估孤立移民群体中CMD的新措施。这项新措施显示出出色的心理测量特性，将有助于实施基于社区的文化同步抑郁症干预措施。我们描述了一种快速发展的策略，并在文化上适当地评估了精神困扰和障碍的能力，并对其进行了现场测试。

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