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康复时间:慢性精神病移民中的躯体化现象

Time for healing: somatization among chronically mentally ill immigrants.

作者信息

Shiroma Paulo R, Alarcon Renato D

机构信息

Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.

出版信息

J Cult Divers. 2011 Spring;18(1):3-7.

Abstract

In a cross-sectional study, we examined demographic factors and acculturation level with somatization among chronically mentally ill groups of immigrants (Russians and Latinos). Ninety Russian and 90 Latino patients attending a university affiliated Day Treatment Program were assessed on somatoform symptoms and acculturation by the 12-item somatization subscale of the SCL-90-R and by a 12- items short acculturation scale, respectively. Higher somatization was significantly associated to women, Russian ethnicity, high school or above level of education, shorter length of residence in the U.S., and lower acculturation. Interaction by ethnic group showed that somatization was influenced by the length of residence in the U.S. among Russians but not among Hispanics. In a multivariate model, higher somatization corresponds to female, Russian, and shorter residence in the U.S. (only among Russians). Length of stay in the host country rather than the level of acculturation influence the frequency of somatic complaints, modified by ethnicity.

摘要

在一项横断面研究中,我们调查了移民(俄罗斯人和拉丁裔)慢性精神疾病群体中的人口统计学因素以及文化适应水平与躯体化之间的关系。分别通过症状自评量表90修订版(SCL-90-R)的12项躯体化分量表和一个12项的简短文化适应量表,对90名俄罗斯患者和90名参加大学附属日间治疗项目的拉丁裔患者的躯体形式症状和文化适应情况进行了评估。较高的躯体化程度与女性、俄罗斯族裔、高中及以上教育水平、在美国居住时间较短以及较低的文化适应水平显著相关。种族群体之间的交互作用表明,在美国的居住时间对俄罗斯人的躯体化有影响,但对西班牙裔则没有影响。在一个多变量模型中,较高的躯体化程度与女性、俄罗斯族裔以及在美国居住时间较短(仅针对俄罗斯人)相对应。在东道国的停留时间而非文化适应水平影响躯体主诉的频率,且这种影响因种族而异。

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