Costantino Giuseppe, Malgady Robert G, Primavera Louis H
Graduate School of Psychology, Department of Psychology, Touro College, New York, NY 10010, USA.
J Consult Clin Psychol. 2009 Oct;77(5):941-9. doi: 10.1037/a0016341.
This study investigated a new 2-factor construct, termed cultural congruence, which is related to cultural competence in the delivery of mental health services to ethnic minority clients. Cultural congruence was defined as the distance between the cultural competence characteristics of the health care organization and the clients' perception of those elements according to their cultural needs. The measure evidenced both reliability and validity in predicting criterion-related indicators. Older Hispanic/Latino clients (N = 272) receiving mental health services either through integrated primary care or referral to specialized mental health care were assessed for depression and anxiety symptomatology and health status at baseline, 3-, and 6-month follow-up treatment. Results indicated that cultural congruence predicted treatment outcomes (reduction of symptomatology) independent of treatment and evidenced moderator effects with respect to depression, suicidality, anxiety, and physical health criteria. Cultural congruence was more effective under the condition of the enhanced specialty referral model than under the integrated primary care model. Results are discussed in terms of how the new construct of cultural congruence extends knowledge of culturally competent mental health practice among the older Hispanic/Latino population.
本研究调查了一种新的双因素结构，称为文化契合度，它与向少数族裔客户提供心理健康服务时的文化能力相关。文化契合度被定义为医疗保健机构的文化能力特征与客户根据其文化需求对这些要素的认知之间的差距。该测量方法在预测与标准相关的指标方面证明了可靠性和有效性。对通过综合初级保健或转介至专门心理健康护理接受心理健康服务的老年西班牙裔/拉丁裔客户（N = 272）在基线、治疗3个月和6个月随访时进行抑郁和焦虑症状以及健康状况评估。结果表明，文化契合度可独立于治疗方式预测治疗结果（症状减轻），并在抑郁、自杀倾向、焦虑和身体健康标准方面显示出调节作用。在强化专科转介模式下，文化契合度比在综合初级保健模式下更有效。将根据文化契合度这一新结构如何扩展老年西班牙裔/拉丁裔人群中具有文化能力的心理健康实践知识来讨论研究结果。
