北美老年亚洲移民中的抑郁症及其社会心理关联：二十年研究的批判性综述
Depression and its psychosocial correlates among older Asian immigrants in North America: a critical review of two decades' research.
作者信息
Kuo Ben C H, Chong Vanessa, Joseph Justine
机构信息
Department of Psychology, University of Windsor, 401 Sunset Avenue, Chrysler Hall South 261-1, Windsor, Ontario, Canada N9B 3P4.
出版信息
J Aging Health. 2008 Sep;20(6):615-52. doi: 10.1177/0898264308321001.
OBJECTIVE
This article critically reviews two decades of empirically based depression studies on older Asian immigrants (OAIs) in North America published in English. The Psychosocial Model of Late-Life Depression is proposed as the conceptual roadmap to help interpret the findings across studies.
METHODS
Using multiple bibliographic databases, this review systematically summarized and evaluated findings in 24 studies in terms of: (a) the prevalence and severity of depression; (b) demographic, psychosocial, cultural, and health risk factors of depression; and (c) methodological approaches and designs.
RESULTS
The results showed that depression is prevalent among OAIs and is linked to gender, recency of immigration, English proficiency, acculturation, service barriers, health status, relationship with children and family, and social support. However, considerable variability in the results, the sample sizes, and the use of measurements were also found across studies.
DISCUSSION
Recommendations for future research and the provision of clinical and community services are discussed within the psychosocial model.
目的
本文批判性地回顾了二十年来以英文发表的关于北美老年亚洲移民（OAIs）抑郁症的实证研究。提出了晚年抑郁症的心理社会模型，作为帮助解释各项研究结果的概念性路线图。
方法
利用多个书目数据库，本综述从以下方面系统地总结和评估了24项研究的结果：（a）抑郁症的患病率和严重程度；（b）抑郁症的人口统计学、心理社会、文化和健康风险因素；（c）方法学方法和设计。
结果
结果表明，抑郁症在老年亚洲移民中普遍存在，且与性别、移民近期情况、英语水平、文化适应、服务障碍、健康状况、与子女及家庭的关系以及社会支持有关。然而，各项研究在结果、样本量和测量方法的使用上也存在很大差异。
讨论
在心理社会模型中讨论了对未来研究以及提供临床和社区服务的建议。
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