Bermejo Isaac, Bursch Stephanie, Muthny Fritz A
Universitätsklinikum Freiburg, Abt. für Psychiatrie und Psychotherapie, Sektion Klinische Epidemiologie und Versorgungsforschung.
Psychother Psychosom Med Psychol. 2006 Aug;56(8):318-24. doi: 10.1055/s-2006-932664. Epub 2006 May 22.
Culturally influenced lay theories about myocardial infarction which exist in healthy individuals have an impact on treatment compliance. However, empirical data on the subject is rare. Using healthy subjects, a transcultural survey comparing three different ethnic groups was conducted. The groups were: Germans in Germany, Spaniards in Spain, and 1st generation Spaniards in Germany. Subjects were paralleled according to age, sex, and education. The groups were compared regarding cultural differences in casual attributions and locus of control with respect to myocardial infarction. While all three groups show a psycho-social understanding of myocardial infarction, it is most predominate in the German group. The results show both common factors as well as some significant differences between Germans and Spaniards, the Spaniards reporting more external attributions. Consequences for prevention concepts and medical care in a multicultural society were derived from the results.
健康个体中存在的受文化影响的关于心肌梗死的外行理论会对治疗依从性产生影响。然而，关于该主题的实证数据很少。利用健康受试者，开展了一项比较三个不同种族群体的跨文化调查。这些群体分别是：德国的德国人、西班牙的西班牙人以及德国的第一代西班牙人。受试者按照年龄、性别和教育程度进行匹配。就心肌梗死的偶然归因和控制点方面的文化差异对这些群体进行了比较。虽然所有三个群体都对心肌梗死有心理社会层面的理解，但在德国群体中最为突出。结果显示了德国人和西班牙人之间的共同因素以及一些显著差异，西班牙人报告的外部归因更多。从结果中得出了多元文化社会中预防观念和医疗保健方面的结论。
