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自我关注作为文化对抑郁症影响的一个中介因素。

Self-attention as a mediator of cultural influences on depression.

作者信息

Chen Hongtu, Guarnaccia Peter J, Chung Henry

机构信息

Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA.

出版信息

Int J Soc Psychiatry. 2003 Sep;49(3):192-203. doi: 10.1177/00207640030493005.

Abstract

BACKGROUND

Despite the widespread recognition of cultural differences in depressive symptoms, it is unclear through what processes culture affects depressive symptoms.

AIM

This research aims at examining whether self-attention mediates the influence of acculturation on changes in depressive symptoms in an immigrant group.

METHOD

Adults of Asian cultural backgrounds were surveyed. Depressive symptoms were assessed and divided into three categories: affective, somatic and interpersonal items of depression. Acculturation experiences were measured. Self-attention to three aspects (i.e. affective, somatic and interpersonal) of the self was also assessed.

RESULTS

As acculturation proceeds, Asian immigrants tend to pay increasingly more attention to the affective aspect of the self and less to the somatic aspect of the self. The changes in the focus of self-attention seem to explain the changes in the experience of depression that include more affective and less somatic symptoms of depression as the degree of acculturation increases.

CONCLUSION

Self-attention to certain aspects of the self seems to play an important role mediating the influence of acculturation on changes in subcategories of depressive symptoms.

摘要

背景

尽管人们普遍认识到抑郁症状存在文化差异,但尚不清楚文化通过何种过程影响抑郁症状。

目的

本研究旨在探讨自我关注是否在移民群体中调节文化适应对抑郁症状变化的影响。

方法

对具有亚洲文化背景的成年人进行调查。评估抑郁症状并将其分为三类:抑郁的情感、躯体和人际项目。测量文化适应经历。还评估了对自我三个方面(即情感、躯体和人际)的自我关注。

结果

随着文化适应的推进,亚洲移民倾向于越来越关注自我的情感方面,而减少对自我躯体方面的关注。自我关注焦点的变化似乎解释了抑郁体验的变化,即随着文化适应程度的增加,抑郁的情感症状增多,躯体症状减少。

结论

对自我某些方面的自我关注似乎在调节文化适应对抑郁症状亚类变化的影响方面发挥重要作用。

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