Choi Heeseung
School of Nursing, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
ANS Adv Nurs Sci. 2002 Dec;25(2):71-85. doi: 10.1097/00012272-200212000-00006.
Asian-American adolescents often are regarded as a "model minority" and as being less likely to experience depression than adolescents of other ethnic groups. African-American adolescents are more often diagnosed with schizophrenia than depression. Do these epidemiologic phenomena reflect the real facts, or are these just artifacts shaped by cultural bias or insensitivity prevailing in this society? This article explores the diagnostic bias resulting in misdiagnosis of adolescent depression and reviews the role of culture/ethnicity in mental health and the ethnocultural variations in depression among African-American, Hispanic-American, and Asian-American adolescents. By discussing the issues, this article guides nurses to enhance cultural competence in nursing care.
亚裔美国青少年常被视为“模范少数族裔”，且被认为比其他族裔的青少年患抑郁症的可能性更小。非裔美国青少年被诊断患有精神分裂症的情况比抑郁症更为常见。这些流行病学现象反映的是真实情况，还是仅仅是由这个社会中普遍存在的文化偏见或麻木不仁所造成的假象呢？本文探讨了导致青少年抑郁症误诊的诊断偏见，并回顾了文化/种族在心理健康中的作用，以及非裔美国、西班牙裔美国和亚裔美国青少年在抑郁症方面的种族文化差异。通过讨论这些问题，本文指导护士在护理中提高文化能力。
