Yale University Child Study Center, New Haven, CT 06520, United States.
Clin Psychol Rev. 2010 Apr;30(3):338-48. doi: 10.1016/j.cpr.2009.12.008. Epub 2010 Jan 4.
This review examines the impact of race/ethnicity and cultural differences in the presentation and prevalence rates of internalizing disorders in youth, as well as a variety of associated factors. There is robust support for higher prevalence rates of depression and anxiety in ethnic minority youth living in the United States. Gender differences are consistent across ethnicity, but symptom presentation, biological factors, and family processes vary somewhat by ethnic group. Environmental factors and acculturation are considered in relation to internalizing disorders in ethnic minority youth. Several problems with the literature are outlined. Several recommendations are made including better operationalization of internalizing disorders in the DSM and key issues that warrant being added to background text in the DSM. A research agenda is outlined to address possible mechanisms by which culture and race/ethnicity impact internalizing symptomatology.
本综述考察了种族/民族和文化差异对青少年内化障碍的表现和流行率以及各种相关因素的影响。有充分的证据表明，生活在美国的少数族裔青少年中抑郁和焦虑的患病率更高。跨种族来看，性别差异是一致的，但症状表现、生物因素和家庭过程在不同种族群体中有所不同。环境因素和文化适应被认为与少数族裔青少年的内化障碍有关。本文还概述了文献中的几个问题。并提出了一些建议，包括在 DSM 中更好地操作内化障碍，以及在 DSM 背景文本中添加值得关注的关键问题。本文还概述了一个研究议程，以解决文化和种族/民族如何影响内化症状的可能机制。
