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首页> 外文期刊>The International journal of social psychiatry >Profile of transcultural patients in a regional Child and Adolescent Mental Health Service in Gippsland, Australia: The need for a multidimensional understanding of the complexities
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Profile of transcultural patients in a regional Child and Adolescent Mental Health Service in Gippsland, Australia: The need for a multidimensional understanding of the complexities

机译：澳大利亚Gippsland区域儿童和青少年心理健康服务跨文化患者的谱：需要对复杂性的多维了解

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Background: Several childhood stressors related to immigration have been documented, and it is important for clinicians to understand and address the various factors that may lead to or act as maintaining factors of mental disorders in children and adolescents. Aims: To describe the cultural profile of transcultural patients presenting to a Child and Adolescent Mental Health Service (CAMHS) in regional Victoria and identify the most common disorders and psychosocial stressors they presented with. Method: Descriptive analysis was applied to 101 case records of patients with a transcultural background who attended the CAMHS of Latrobe Regional Hospital in Gippsland Victoria from 2013 to 2017. The Adverse Childhood Experience questionnaire was retrospectively applied to capture psychosocial stressors such as 'bullying', 'racism' and 'family conflict', sexual abuse, physical violence, parents with mental illness and parental substance use. Results: Almost 60% of patients were male and over 46% Aboriginal. Those from a non-Aboriginal background belonged to 19 different cultural entities, the most common of which was a mixed Asian and European heritage. The most common diagnoses were disruptive mood dysregulation disorder (38.6%), attention-deficit hyperactivity disorder (32.7%) and developmental trauma disorder (26.7%). The most common psychosocial stressors were conflict and death in the family (44.6%), domestic violence (41.6%) and emotional abuse (34.7%). 'Parent in jail' and 'domestic violence' were associated with having an Aboriginal background (p < .005). 'Cultural differences with parent' was associated with a non-Aboriginal background (p < .005). Conclusion: This study provides a snapshot of challenges faced by children from different cultural backgrounds while adjusting in a rural area in Australia. A broad-based formulation and cultural awareness by clinicians can enable a better understanding of the complexities, guide management plans and inform public health policies for primary prevention and early intervention.
机译：背景：已记录有几种与移民活动相关的童年压力，并且对于临床医生来说是重要的，并解决可能导致或充当儿童和青少年精神障碍因素的各种因素。旨在描述在区域维多利亚州儿童和青少年心理健康服务（CAMH）的跨文化患者的文化概况，并确定他们提出的最常见的疾病和心理社会情绪。方法：将描述性分析应用于跨文化背景的101例患者，他于2013年至2017年于Gippsland Victoria出席了Latobe地区医院的CABH。批评性童年经验调查问卷是回顾性的，以捕获“欺凌”等心理社会压力源， “种族主义”和“家庭冲突”，性虐待，身体暴力，患有精神疾病和父母物质的父母。结果：近60％的患者是男性，土着人数超过46％。来自非土着背景的人属于19种不同的文化实体，最常见的是混合亚洲和欧洲遗产。最常见的诊断是破坏性情绪失调障碍（38.6％），注意力缺陷多动障碍（32.7％）和发育创伤障碍（26.7％）。最常见的心理社会压力源是家庭的冲突和死亡（44.6％），家庭暴力（41.6％）和情绪虐待（34.7％）。 “监狱”和“家庭暴力”与土着背景有关（P <.005）。 “与父母的文化差异”与非土着背景有关（P <.005）。结论：本研究提供了不同文化背景的儿童面临的挑战的快照，同时在澳大利亚的农村地区调整。临床医生的广泛配方和文化意识可以更好地了解复杂性，指导管理计划，并为初级预防和早期干预提供公共卫生政策。

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